Functional Pathologies of the Musculoskeletal System in Physiotherapy Students - Clinical Trial for Low Back Pain, Postural | NCT05544188

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Primary Purpose

Status

Recruiting

Phase

Not Applicable

Locations

Czechia

Study Type

Interventional

Intervention

Differential diagnostic

About this trial

This is an interventional screening trial for Low Back Pain, Postural focused on measuring Trigger Point Pain, Myofascial, Motor Activity, Physiotherapy

Eligibility Criteria

18 Years - 30 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Bachelor's study of physiotherapy at the Third Faculty of Medicine, Charles University
The presence of functional pathologies of the musculoskeletal system (verification by means of Trigger Points)

Exclusion Criteria:

Serious cardiovascular or orthopedic dysfunction
Neurological disease
Reduced cognitive functions complicating examination and subsequent therapy

Sites / Locations

Department of rehabilitation, Third Faculty of MedicineRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

individual outpatient physiotherapy

Without changing the current habits

Arm Description

individual outpatient physiotherapy (7 times in two and a half months, approx. 90 minutes) aimed at correcting functional pathologies of the musculoskeletal system assessed by differential diagnosis (removal of trigger points, stretching of shortened muscles and mobilization of joint blockages) and changing of motor program that led to the occurrence of the functional disorder by means of Motor Programmes Activating Therapy

It will not change the existing habits. At the same time, however, these are physiotherapy students who will participate in the classes. Their motor behaviour can thus be influenced in a natural way.

Outcomes

Primary Outcome Measures

Changes in Trigger Points at 3 months

Local hypertonic change in muscle function arising as a manifestation of pathogenic tension, 0 no trigger point, 2 maximal tiger point (higher value, worse function)

Secondary Outcome Measures

Change in the Foot posture index at 3 and 15 month

Clinical examination of the foot type ranging from significantly pronated (values 6 - 12) to significantly supinated (values from -1 to -12) one according to the 6-item, higher value (both negative or positive) means worse function.

Change in Foot morphology and flexibility at 3 and 15 month

examination by means of the full foot 3D scanner Footscan® and the software 3D scanner 7.7 while sitting and standing still. Arch high index defines two kinds of pathologies: hypermobility under 0,6, norm 0,7 - 0,8, rigidity 0,9 - 1,3

Change in Postural stability at 3 and 15 month

evaluation of the level of postural stability using the total path of displacement of the centre of pressure of the body on the mat in mm and the maximum displacement obtained in the latero-lateral and in the anteroposterior direction in mm (lower number means better function), measurement using the RS Footscan® tensiometric plate, higher value means worse function.

Change in the subtalar joint flexibility at 3 and 15 month

mobility of the subtalar joint during the initial phase of walking (software evaluation after walking barefoot on the Footscan® tensiometric plate). Under 5.5° means normal range of pronation and normal function. Higher values mean worse function and pathologic pronation during initial phase of gait.

Change in the foot progression angle at 3 and 15 month

rotation of the foot during walking (software evaluation after walking barefoot on the Footscan® tensiometric plate). Normal angle 0-5.4°, in-toeing (inwards rotation) under 0°, out-toeing (outward rotation) above 5.5°.

Full Information

NCT ID

NCT05544188

First Posted

September 14, 2022

Last Updated

December 21, 2022

Sponsor

Charles University, Czech Republic

1. Study Identification

Unique Protocol Identification Number

NCT05544188

Brief Title

Functional Pathologies of the Musculoskeletal System in Physiotherapy Students

Acronym

FUNPAMUS

Official Title

Occurrence and Characteristics of Functional Pathologies of the Musculoskeletal System in Physiotherapy Students and the Possibility of Influencing Them

Study Type

Interventional

2. Study Status

Record Verification Date

December 2022

Overall Recruitment Status

Recruiting

Study Start Date

November 1, 2022 (Actual)

Primary Completion Date

November 30, 2023 (Anticipated)

Study Completion Date

March 1, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

Charles University, Czech Republic

4. Oversight

Studies a U.S. FDA-regulated Drug Product

No

Studies a U.S. FDA-regulated Device Product

No

Data Monitoring Committee

No

5. Study Description

Brief Summary

This study map the occurrence of functional pathologies of the musculoskeletal system in students of the bachelor's program of physiotherapy of the Third Faculty of Medicine, Charles University, and aim on improvement of them.

Detailed Description

The aim of this study is to map the occurrence of functional pathologies of the musculoskeletal system in students of the bachelor's program of physiotherapy of the Third Faculty of Medicine, Charles University, and to examine their postural functions. Another goal is to teach the students of the experimental group how to remove functional pathologies of the musculoskeletal system and how to change their motor behaviour and postural functions so that the development of functional disorders no longer occurs.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Low Back Pain, Postural

Keywords

Trigger Point Pain, Myofascial, Motor Activity, Physiotherapy

7. Study Design

Primary Purpose

Screening

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

ParticipantCare Provider

Allocation

Randomized

Enrollment

60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title

individual outpatient physiotherapy

Arm Type

Experimental

Arm Description

individual outpatient physiotherapy (7 times in two and a half months, approx. 90 minutes) aimed at correcting functional pathologies of the musculoskeletal system assessed by differential diagnosis (removal of trigger points, stretching of shortened muscles and mobilization of joint blockages) and changing of motor program that led to the occurrence of the functional disorder by means of Motor Programmes Activating Therapy

Arm Title

Without changing the current habits

Arm Type

Active Comparator

Arm Description

It will not change the existing habits. At the same time, however, these are physiotherapy students who will participate in the classes. Their motor behaviour can thus be influenced in a natural way.

Intervention Type

Diagnostic Test

Intervention Name(s)

Differential diagnostic

Intervention Description

Physiotherapy aimed at correcting functional pathologies of the musculoskeletal system assessed by differential diagnosis (removal of trigger points, stretching of shortened muscles and mobilization of joint blockages)

Primary Outcome Measure Information:

Title

Changes in Trigger Points at 3 months

Description

Local hypertonic change in muscle function arising as a manifestation of pathogenic tension, 0 no trigger point, 2 maximal tiger point (higher value, worse function)

Time Frame

Pre-assessment (baseline testing), Post-assessment (immediately after the end of three months).

Secondary Outcome Measure Information:

Title

Change in the Foot posture index at 3 and 15 month

Description

Clinical examination of the foot type ranging from significantly pronated (values 6 - 12) to significantly supinated (values from -1 to -12) one according to the 6-item, higher value (both negative or positive) means worse function.

Time Frame