Dynamic Plantar Pressures Changes After Dry Needling in Flexor Digitorum Brevis Versus Non Emission Laser

Study Overview
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Brief Summary
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Thirty-six subjects randomly distributed between a dry needling intervention group and a control group whose intervention is a non-emission laser. All the subjects will be measured before and after the interventions of each group. The measurements will be made on a pressure platform to record the dynamic footprint variables.

Detailed Description
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Thirty-six subjects randomly distributed between a dry needling intervention group and a control group whose intervention is a non-emission laser. All the subjects will be measured before and after the interventions of each group. The measurements will be made on a pressure platform to record the dynamic footprint variables of the first step of both feet.

Official Title
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Dynamic Plantar Pressures Changes After Dry Needling in Flexor Digitorum Brevis Versus Non Emission Laser

Conditions
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Flatfoot

Intervention / Treatment
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* Other: Bilateral dry needling in latent trigger points of the Flexor digitorum Brevis Muscle
* Other: Bilateral non emission Laser in latent trigger points of the Flexor digitorum Brevis Muscle


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Individuals must have latent trigger point in Flexor Brevis Digitorum muscles with no other pathologies Exclusion Criteria: Previous lower extremities surgery. History of lower extremities injury with residual symptoms (pain, giving-away sensations) within the last year. Leg-length discrepancy more than 1 cm Balance deficits (determined by oral questionnaire regarding falls)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Bilateral dry needling in Flexor Brevis Digitorum in subjects with latent trigger point<br> | Other: Bilateral dry needling in latent trigger points of the Flexor digitorum Brevis Muscle<br>* Bilateral dry needling in latent trigger points of the Flexor digitorum Brevis Muscle in flatfoot<br>|
| Sham Comparator: Bilateral non emission Laser in latent trigger points of the Flexor digitorum Brevis Muscle<br> | Other: Bilateral non emission Laser in latent trigger points of the Flexor digitorum Brevis Muscle<br>* Bilateral non emission Laser in latent trigger points of the Flexor digitorum Brevis Muscle in flatfoot<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Surface before dry needling in right foot at 20% of time of first step | Registration of the surface of the dynamic footprint at 20% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface before dry needling in right foot at 35% of time of first step | Registration of the surface of the dynamic footprint at 35% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface before dry needling in right foot at 92% of time of first step | Registration of the surface of the dynamic footprint at 92% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface before dry needling in right foot at Global of time of first step | Registration of the surface of the global dynamic footprint of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface before dry needling in left foot at 20% of time of first step | Registration of the surface of the dynamic footprint at 20% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface before dry needling in left foot at 35% of time of first step | Registration of the surface of the dynamic footprint at 35% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface before dry needling in left foot at 92% of time of first step | Registration of the surface of the dynamic footprint at 92% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface before dry needling in left foot at Global of time of first step | Registration of the surface of the global dynamic footprint of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface after dry needling in right foot at 20% of time of first step | Registration of the surface of the dynamic footprint at 20% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface after dry needling in right foot at 35% of time of first step | Registration of the surface of the dynamic footprint at 35% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface after dry needling in right foot at 92% of time of first step | Registration of the surface of the dynamic footprint at 92% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface after dry needling in right foot at Global of time of first step | Registration of the surface of the global dynamic footprint of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface after dry needling in left foot at 20% of time of first step | Registration of the surface of the dynamic footprint at 20% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface after dry needling in left foot at 35% of time of first step | Registration of the surface of the dynamic footprint at 35% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface after dry needling in left foot at 92% of time of first step | Registration of the surface of the dynamic footprint at 92% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface after dry needling in left foot at Global of time of first step | Registration of the surface of the global dynamic footprint of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface before Laser non-emission in right foot at 20% of time of first step | Registration of the surface of the dynamic footprint at 20% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface before Laser non-emission in right foot at 35% of time of first step | Registration of the surface of the dynamic footprint at 35% of the total duration, measured in square centimeters (cm2). | Through study completion, an average of 1 week | 
| Surface before Laser non-emission in right foot at 92% of time of first step | Registration of the surface of the dynamic footprint at 92% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface before Laser non-emission in right foot at Global of time of first step | Registration of the surface of the global dynamic footprint of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface before Laser non-emission in left foot at 20% of time of first step | Registration of the surface of the dynamic footprint at 20% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface before Laser non-emission in left foot at 35% of time of first step | Registration of the surface of the dynamic footprint at 35% of the total duration, measured in square centimeters (cm2). | Through study completion, an average of 1 week | 
| Surface before Laser non-emission in left foot at 92% of time of first step | Registration of the surface of the dynamic footprint at 92% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface before Laser non-emission in left foot at Global of time of first step | Registration of the surface of the global dynamic footprint of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface after Laser non-emission in right foot at 20% of time of first step | Registration of the surface of the dynamic footprint at 20% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface after Laser non-emission in right foot at 35% of time of first step | Registration of the surface of the dynamic footprint at 35% of the total duration, measured in square centimeters (cm2). | Through study completion, an average of 1 week | 
| Surface after Laser non-emission in right foot at 92% of time of first step | Registration of the surface of the dynamic footprint at 92% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface after Laser non-emission in right foot at Global of time of first step | Registration of the surface of the global dynamic footprint of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface after Laser non-emission in left foot at 20% of time of first step | Registration of the surface of the dynamic footprint at 20% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface after Laser non-emission in left foot at 35% of time of first step | Registration of the surface of the dynamic footprint at 35% of the total duration, measured in square centimeters (cm2). | Through study completion, an average of 1 week | 
| Surface after Laser non-emission in left foot at 92% of time of first step | Registration of the surface of the dynamic footprint at 92% of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 
| Surface after Laser non-emission in left foot at Global of time of first step | Registration of the surface of the global dynamic footprint of the total duration, measured in square centimeters (cm2) | Through study completion, an average of 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Foot, gait, Dry Needling, trigger point