Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
40 participants
INTERVENTIONAL
2023-07-23
2024-05-02
Brief Summary
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Two entities can be included in chronic ankle instability: mechanical instability, which involves movement of the joint beyond its physiological limit, and functional instability, which includes proprioceptive dysfunction, impaired neuromuscular control, postural control, and strength deficits.
Currently, the conservative treatment of these patients consists of neuromuscular training through the use of dynamic balance platforms, taping, joint mobilization, dry needling, and the use of plantar supports, balance training being the one that has shown the best result.
Ultrasound-guided percutaneous neuromodulation (PNM) is a recently used technique in the field of invasive physiotherapy that consists of applying a square wave biphasic electrical current through an acupuncture needle-like electrode that is place in close proximity to the nerve with ultrasound guidance. The aim of this study is to evaluate the effectiveness of PNM in ankle instability.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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PNM group
Subjects were treated once time. The technique consisted in the application of a square wave biphasic electrical current, with 10 Hz frequency, with 250 μs pulse width and the maximal torelable intensity to cause an exacerbated muscle contraction during ten seconds with a rest period of another ten seconds y total number of ten times. The subjects were lying in lateral decubitus. The common peroneal nerve was located with ultrasound (cross section) near to the peroneal head. After, an acupuncture needle (0,30mm x 30mm) was inserted in a long axis approach until the perineurium of the common peroneal nerve (in close proximity)
ultrasound-guided percutaneous neuromodulation
It´s an intervention of physiotherapy
Control group
Subjects were treated once time. The subjects were lying in lateral decubitus. The common peroneal nerve was located with ultrasound (cross section) near to the peroneal head. After, an acupuncture needle (0,30mm x 30mm) was inserted in a long axis approach until the perineurium of the common peroneal nerve (in close proximity). The needle remains in this location during 200 seconds without any electrical current.
dry needling
It´s an intervention of physiotherapy
Interventions
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ultrasound-guided percutaneous neuromodulation
It´s an intervention of physiotherapy
dry needling
It´s an intervention of physiotherapy
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Epilepsy
* Belonephobia or allergy to metals
18 Years
65 Years
ALL
No
Sponsors
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University of Alcala
OTHER
Responsible Party
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Prof. Dr. Daniel Pecos Martín
PhD Daniel Pecos-Martin
Principal Investigators
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Daniel Pecos-Martin, PhD
Role: STUDY_CHAIR
Alcala University
Locations
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Physioterapy and Pain center research
Alcalá de Henares, Madrid, Spain
Countries
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Other Identifiers
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CEID/2022/2/031
Identifier Type: -
Identifier Source: org_study_id
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