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Martínez-Jiménez EM, Losa-Iglesias ME, Becerro-de-Bengoa-Vallejo R, Rodríguez-Sanz D, Trevissón-Redondo B, Romero-Morales C, Painceira-Villar R, Palomo-López P, Calvo-Lobo C, Corral-Liria I. Myofascial induction technique changes plantar pressures variables compared to a simulated laser. A randomized clinical trial. J Bodyw Mov Ther 2025; 42:703-709. [PMID: 40325743 DOI: 10.1016/j.jbmt.2025.01.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2024] [Revised: 12/09/2024] [Accepted: 01/19/2025] [Indexed: 05/07/2025]
Abstract
BACKGROUND The fascial system is made up of large number of mechanoreceptors and cells that regulate their tension, such as myofibroblasts, in addition to an extracellular matrix. The treatment of myofascial induction has shown in the static imprint in a quasi-experimental study comparing the effect before and after the technique, but there are no studies compared with a control with no real intervention. The objective of this research is to check the effects of the myofascial Induction technique, compared with a simulated Laser in plantar footprint variables in asymptomatic subjects. METHODS Thirty-six healthy participants were recruited to carry out a single-blind clinical study in randomizated two groups. Experimental intervention group performed a bilateral plantar fascia of Myofascial Induction technique. Control intervention group performed a simulated Laser. The time of application of the techniques were 5 min for both interventions. The variables recorded were Surface, mean pressure and maximum pressure for each region of the foot, rear foot, midfoot and fore foot. RESULTS Both groups were homogeneous prior to the interventions. The significant differences found later were in the forefoot surface variable (p = 0.026) where there was an increase in the area in the experimental group. CONCLUSIONS The myofascial induction technique shows effects on the static plantar footprint by increasing the surface of the forefoot compared to the application of a simulated laser. Registration in ClinicalTrial.gov (ID: NCT04628299) Registered in clinicalTrials.govhttps://clinicaltrials.gov/ct2/show/NCT04628299.
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Affiliation(s)
- Eva María Martínez-Jiménez
- Universidad Complutense de Madrid, Facultad de Enfermería, Fisioterapia y Podología, Departamento de Enfermería, Madrid, Spain.
| | | | | | - David Rodríguez-Sanz
- Universidad Complutense de Madrid, Facultad de Enfermería, Fisioterapia y Podología, Departamento de Enfermería, Madrid, Spain.
| | - Bibiana Trevissón-Redondo
- Universidad de León, Facultad de Ciencias de la Salud, Departamento de Enfermería y Fisioterapia, Ponferrada, León, Spain.
| | - Carlos Romero-Morales
- Department of Physiotherapy, Faculty of Medicine, Health and Sports, European University of Madrid, Villaviciosa de Odón, Madrid, Spain.
| | - Roi Painceira-Villar
- Universidad de León, Facultad de Ciencias de la Salud, Departamento de Enfermería y Fisioterapia, Ponferrada, León, Spain.
| | | | - César Calvo-Lobo
- Universidad Complutense de Madrid, Facultad de Enfermería, Fisioterapia y Podología, Departamento de Enfermería, Madrid, Spain.
| | - Inmaculada Corral-Liria
- Universidad Rey Juan Carlos, Departamento de Enfermería y Estomatología, Alcorcón, Madrid, Spain.
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Martínez-Jiménez EM, Losa-Iglesias ME, Becerro-de-Bengoa-Vallejo R, Rodríguez-Sanz D, Calvo-Lobo C, Jiménez-Fernández R, Corral-Liria I, Pérez-Boal E, Navarro-Flores E. Effects of neural mobilization of sciatic nerve and its branches in plantar foot pressures and stabilometry. Sci Rep 2024; 14:23417. [PMID: 39379413 PMCID: PMC11461606 DOI: 10.1038/s41598-024-72848-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2024] [Accepted: 09/11/2024] [Indexed: 10/10/2024] Open
Abstract
Benefits of neural mobilization (NM) have been described in musculoskeletal patients. The effects of NM on balance appear to be unclear in research, and no studies have tested the possible effects of NM on plantar pressures. Eighteen subjects were evaluated pre and post bilateral gliding of the sciatic nerve and its branches posterior tibial nerve, lateral dorsocutaneous, medial and intermediate dorsocutaneous nerves. Static variables of the plantar footprint and stabilometric variables were measured in a pre-post study. We found no differences in plantar pressure variables, Rearfoot maximum pressure (p = 0.376), Rearfoot medium pressure (p = 0.106), Rearfoot surface (p = 0.896), Midfoot maximum pressure (p = 0.975), Midfoot medium pressure (p = 0.950), Midfoot surface (p = 0.470) Forefoot maximum pressure (p = 0.559), Forefoot medium pressure(p = 0.481), Forefoot surface (p = 0.234), and stabilometric variables either, X-Displacement eyes-open (p = 0.086), Y-Displacement eyes-open (p = 0.544), Surface eyes-open (p = 0.411), Medium speed latero-lateral displacement eyes-open (p = 0.613), Medium speed anteroposterior displacement eyes-open (p = 0.442), X Displacement eyes-closed (p = 0.126), Y-Displacement eyes-closed (p = 0.077), Surface eyes-closed (p = 0.502), Medium speed latero-lateral displacement eyes-closed (p = 0.956), Medium speed anteroposterior displacement eyes-closed (p = 0.349). All variables don´t have significant differences however the measurements had a high reliability with at least an ICC of 0.769. NM doesn´t change plantar pressures or improve balance in healthy non-athletes subjects. NCT05190900.
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Affiliation(s)
| | | | | | - David Rodríguez-Sanz
- Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain
| | - César Calvo-Lobo
- Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain
| | | | | | - Eduardo Pérez-Boal
- Department of Nursing. Faculty of Nursing and Physiotherapy, Universidad de León, Ponferrada, León, 24401, Spain.
| | - Emmanuel Navarro-Flores
- Department of Nursing, Faculty of Nursing and Podiatry, Frailty Research Organized Group, University of Valencia, Valencia, Spain
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Martínez-Jiménez EM, Jiménez-Fernández R, Corral-Liria I, Rodríguez-Sanz D, Calvo-Lobo C, López-López D, Pérez-Boal E, Trevissón-Redondo B, Grande-del-Arco J. Effects of Myofascial Induction Therapy on Ankle Range of Motion and Pressure Pain Threshold in Trigger Points of the Gastrocnemius-A Clinical Trial. Biomedicines 2023; 11:2590. [PMID: 37761030 PMCID: PMC10526438 DOI: 10.3390/biomedicines11092590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Revised: 09/13/2023] [Accepted: 09/18/2023] [Indexed: 09/29/2023] Open
Abstract
BACKGROUND The myofascial induction technique (MIT) has been shown to increase shoulder range of motion (ROM) in breast cancer survivors and decrease pain pressure threshold over the radial nerve in patients with epicondylalgia. To the authors' best knowledge, no study on trigger points and MIT has been published to date. The effect on ROM of latent trigger points is also unknown. METHODS A total of 20 twins with one latent trigger point of the gastrocnemius muscle were evaluated pre- and post-MIT in the calf. We measured static footprint variables in a pre-post study. RESULTS We found differences in PPT (p = 0.001) and no differences in ROM with knee flexed (p = 0.420) or stretched (p = 0.069). CONCLUSIONS After Calf MIT, latent myofascial trigger points improve PPT but no change in ankle dorsiflexion with knee bent or knee flexed were found in non-restriction healthy subjects.
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Affiliation(s)
- Eva María Martínez-Jiménez
- Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain; (E.M.M.-J.); (D.R.-S.); (C.C.-L.); (J.G.-d.-A.)
| | - Raquel Jiménez-Fernández
- Department of Nursing and Stomatology, Faculty of Health Sciences, King Juan Carlos University, Alcorcon Campus, 28922 Madrid, Spain;
| | - Inmaculada Corral-Liria
- Department of Nursing and Stomatology, Faculty of Health Sciences, King Juan Carlos University, Alcorcon Campus, 28922 Madrid, Spain;
| | - David Rodríguez-Sanz
- Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain; (E.M.M.-J.); (D.R.-S.); (C.C.-L.); (J.G.-d.-A.)
| | - César Calvo-Lobo
- Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain; (E.M.M.-J.); (D.R.-S.); (C.C.-L.); (J.G.-d.-A.)
| | - Daniel López-López
- Research, Health, and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Industrial Campus of Ferrol, Universidade da Coruña, 15403 Ferrol, Spain;
| | - Eduardo Pérez-Boal
- Department of Nursing and Physiotherapy, Faculty of Health Sciences, Universidad de León, 24007 León, Spain;
| | - Bibiana Trevissón-Redondo
- Department of Nursing and Physiotherapy, Faculty of Health Sciences, Universidad de León, 24007 León, Spain;
| | - Jessica Grande-del-Arco
- Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain; (E.M.M.-J.); (D.R.-S.); (C.C.-L.); (J.G.-d.-A.)
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Painceira-Villar R, García-Paz V, Becerro de Bengoa-Vallejo R, Losa-Iglesias ME, López-López D, Martiniano J, Pereiro-Buceta H, Martínez-Jiménez EM, Calvo-Lobo C. Impact of Asthma on Plantar Pressures in a Sample of Adult Patients: A Case-Control Study. J Pers Med 2021; 11:jpm11111157. [PMID: 34834508 PMCID: PMC8619124 DOI: 10.3390/jpm11111157] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 11/02/2021] [Accepted: 11/04/2021] [Indexed: 12/19/2022] Open
Abstract
Based on the high prevalence of asthma in the population, and its relationship with various musculoskeletal and postural disorders, the aim of this study was to evaluate the plantar pressures in asthmatic patients compared to a control group. A case-control study involving 90 participants was conducted, consisting of 45 asthma patients and 45 healthy paired controls. Static plantar pressure data were recorded using a portable pressure sensor platform. Statistically significant differences were shown in the body weight on the left heel (p = 0.031), and the right forefoot maximum peak pressure was lower in the case group (p = 0.042). The findings of this study show alterations in static plantar pressures in asthmatic patients compared to healthy individuals. Specifically, the subjects with asthma showed less maximum pressure in the right forefoot and less weight on the left heel, which appear to be associated with the asthma disease.
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Affiliation(s)
- Roi Painceira-Villar
- Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, 15403 Ferrol, Spain; (R.P.-V.); (D.L.-L.); (H.P.-B.); (V.G.-P.)
| | - Vanesa García-Paz
- Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, 15403 Ferrol, Spain; (R.P.-V.); (D.L.-L.); (H.P.-B.); (V.G.-P.)
- Departament of Allergology. Complexo Hospitalario Universitario de Ferrol, 15403 Ferrol, Spain
| | | | | | - Daniel López-López
- Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, 15403 Ferrol, Spain; (R.P.-V.); (D.L.-L.); (H.P.-B.); (V.G.-P.)
| | - João Martiniano
- Escola Superior de Saúde da Cruz Vermelha Portuguesa, 1300-125 Lisbon, Portugal;
| | - Héctor Pereiro-Buceta
- Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, 15403 Ferrol, Spain; (R.P.-V.); (D.L.-L.); (H.P.-B.); (V.G.-P.)
| | - Eva María Martínez-Jiménez
- Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain; (R.B.d.B.-V.); (C.C.-L.)
- Correspondence:
| | - Cesar Calvo-Lobo
- Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain; (R.B.d.B.-V.); (C.C.-L.)
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Pressure and Traction Technique Improves Postural Control More Than Tactile Stimulation in Foot Plantar Fascia: A Randomized Single-Blind Trial. Arch Phys Med Rehabil 2020; 101:978-984. [PMID: 32113972 DOI: 10.1016/j.apmr.2020.01.017] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Accepted: 01/15/2020] [Indexed: 12/26/2022]
Abstract
OBJECTIVE To check the acute effects of manual pressure and traction technique on balance and plantar footprint variables. DESIGN A single-blind clinical study with 2 groups. SETTING Private practice. PARTICIPANTS Healthy participants (N=40; 28 female and 12 male) were recruited to carry out a single-blind study. INTERVENTIONS Experimental group performed a bilateral plantar fascia manual pressure and traction technique. Control group performed a tactile stimulation. The position of the participant, the therapist, and the time of application of the techniques (5min) were the same for both interventions. MAIN OUTCOME MEASURES We measured stabilometry variables and static footprint. The footprint variables were divided in rear, middle, and front foot areas. RESULTS Significant differences were found in stabilometry variables. There was an improvement in experimental group at X displacement with eyes open (P=.014) and surface eyes closed (P=.046) variables. CONCLUSIONS After technique the experimental group improved the stabilometry variables, specifically surface with eyes closed and X displacement with eyes open. The static footprint variables have not shown differences after the technique compared with the control group.
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