Flexor Digitorum Brevis Muscle Dry Needling Changes Surface and Plantar Pressures: A Pre-Post Study

Martínez‐Jiménez, Eva María; Iglesias, Marta Elena Losa; Antolín-Gil, Marta San; López‐López, Daniel; Romero‐Morales, Carlos; Benito-de-Pedro, María; Calvo‐Lobo, César; Becerro-de-Bengoa-Vallejo, Ricardo

doi:10.3390/life11010048

Cited by 5 publications

(4 citation statements)

References 44 publications

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“…Stance time (ms), mean pressure (g/cm 2 ), and peak pressure (g/cm 2 ) measures were recorded. These parameters were considered the most frequently employed in functional foot assessment of pathological conditions [27][28][29].…”

Section: Dynamic Data Collectionmentioning

confidence: 99%

The Effect of Simulated Leg-Length Discrepancy on the Dynamic Parameters of the Feet during Gait—Cross-Sectional Research

Pereiro‐Buceta

Becerro-de-Bengoa-Vallejo

Iglesias

et al. 2021

Healthcare

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Background: The effect of Leg-Length Discrepancy (LLD) on dynamic gait parameters has been extensively discussed. Podobarography is the study of foot-to-ground pressure distribution. It has been used to test plantar footprint deviations that could reveal pathology. Purpose: The aim of this study is to determine the effects of simulated LLD on dynamic gait parameters measured with a pressure platform in healthy subjects. Methods: Thirty-seven healthy subjects participated in observational cross-sectional research. A procedure was performed to capture the dynamic parameters of each participant under five different simulated LLD conditions. Support time, mean pressure, and peak pressure measures were registered on three trials for each foot and LLD level per session. An analysis of variance (ANOVA) test for repeated measures was performed to check for differences between the different simulated LLD levels. Results: The stance time of the short leg had no significant changes. The stance time of the long leg increased by 3.51% (p < 0.001), mean pressure of the short leg increased by 1.23% (p = 0.005), and decreased by 5.89% in the long leg (p < 0.001). Peak pressure of the short leg decreased by 2.58% (p = 0.031) and the long leg decreased by 12.11% (p < 0.001). Conclusions: This study demonstrates that increasing LLD causes an asymmetrical foot-loading pattern, with decreased mean and peak pressure on the longer limb, and consequently an overload on the short side. Furthermore, an increasing LLD causes increased stance time on the long leg.

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Section: Dynamic Data Collectionmentioning

confidence: 99%

The Effect of Simulated Leg-Length Discrepancy on the Dynamic Parameters of the Feet during Gait—Cross-Sectional Research

Pereiro‐Buceta

Becerro-de-Bengoa-Vallejo

Iglesias

et al. 2021

Healthcare

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“…The Morton's extension remained consistent in material, thickness, and hardness throughout the study. Body mass index was considered, as the sample primarily consisted of individuals categorised as normal weight or overweight, akin to other studies [21,45,46]. Nevertheless, further investigations are warranted, especially encompassing obesity, as effects may diverge.…”

Section: Resultsmentioning

confidence: 99%

“…The aim was to observe differences before and after applying Morton's stretch. Examining a study with a similar methodology conducted by researchers investigating the acute effects of intermittent stretching on plantar pressures during standing, it is noted that these authors discovered a reduction in the maximum rearfoot pressure (measured in kPa) following stretching, decreasing from 106.24 ± 20.89 to 87.45 ± 22.28 (p = 0.004) [21,22]. Therefore, employing the sample size calculation for the related samples difference test (same group before and after an intervention), with a two-tailed hypothesis at a statistical confidence level of 95%, an alpha error probability of 0.05, and a power of 0.80, a sample size of 18 subjects was determined.…”

Section: Participantsmentioning

confidence: 99%

Orthopaedic Simulation of a Morton’s Extension to Test the Effect on Plantar Pressures of Each Metatarsal Head in Patients without Deformity: A Pre-Post-Test Study

Sánchez-Serena,

Losa-Iglesias,

Becerro-de-Bengoa-Vallejo

et al. 2023

Diagnostics

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Background: the area beneath the metatarsal heads is a common location of foot pain, which is often associated with high plantar pressures. The aim of this study was to determine the effect of the application of a Morton’s extension on the pressure in the metatarsal bones of the foot using a pressure platform. Methods: twenty-five subjects without musculoskeletal pathology were selected for this study, and an experiment was conducted with them as the subjects, before and after application of a Morton’s extension. The foot regions were divided into the forefoot (transversely subdivided into six areas corresponding to the first, second, third, fourth, and fifth metatarsal heads, and the hallux), midfoot, and rearfoot, and then the maximum and average pressures exerted at each region were measured before and after placing a Morton’s extension. Main findings: we found a pressure reduction, with a p-value less than (p < 0.05), in the head of the second and third metatarsals in statics and dynamics. Conclusions: we can conclude that the Morton’s extension produces a variation in plantar pressures on the lesser metatarsals. The application of a Morton’s extension may be beneficial for the management of forefoot pathology. This study will help clinicians consider various tools to treat forefoot disorders. NCT05879094 (ClinicalTrial.gov (accessed on 18 May 2023)).

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“… 32 , 33 This study model is capable of identifying significant differences between treatment regimens with relatively few subjects. 34 , 35 A recent review revealed that this model was greatly underused in studies that met the criteria. 36 …”

Section: Discussionmentioning

confidence: 99%

A Novel Randomized Trial Protocol for Evaluating Wound Healing Interventions

Bull

Clements

Collarte

et al. 2023

Advances in Wound Care

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Background: Randomized controlled trials using complete healing as an endpoint suffer from poor statistical power, owing to the heterogeneity of wounds and their healing trajectories. The Food and Drug Administration (FDA) has recently consulted with expert groups to consider percentage area reduction (PAR) of the wound over a 4-week period as a valid intermediate endpoint, creating the opportunity for more powerful study designs. Methods: A within-subject controlled study design comparing the PAR of venous leg ulcers (VLU) in patients over 4 weeks receiving different interventions. Twenty-nine patients received multilayer compression over 4 weeks, followed by neuromuscular electrostimulation (NMES) of the leg muscle pump in addition to compression for a further 4 weeks. Paired comparison was then made of PAR between the two phases. A second cohort of 22 patients received only multilayer compression throughout both 4-week phases. Results: Patients randomized to NMES saw a significant increase in healing rate compared with compression alone, whereas patients receiving compression only saw no significant change in healing rate throughout the course of the study. Conclusions: Intermittent NMES of the common peroneal nerve significantly accelerates the healing of VLU. It is well tolerated by patients and deserves serious consideration as an adjuvant to compression therapy. PAR is a useful metric for comparing the performance of wound healing interventions, and the self-controlled trial design allows sensitive discrimination with a relatively small number of subjects over a reasonably short trial period. The study is reported according to the CONSORT reporting guidelines. Clinical Trial Registration: NCT03396731 (ClinicalTrials.gov).

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Flexor Digitorum Brevis Muscle Dry Needling Changes Surface and Plantar Pressures: A Pre-Post Study

Cited by 5 publications

References 44 publications

The Effect of Simulated Leg-Length Discrepancy on the Dynamic Parameters of the Feet during Gait—Cross-Sectional Research

The Effect of Simulated Leg-Length Discrepancy on the Dynamic Parameters of the Feet during Gait—Cross-Sectional Research

Orthopaedic Simulation of a Morton’s Extension to Test the Effect on Plantar Pressures of Each Metatarsal Head in Patients without Deformity: A Pre-Post-Test Study

A Novel Randomized Trial Protocol for Evaluating Wound Healing Interventions

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