Dance, Rehabilitation, Sport Performance, Sports Physical Therapy
Conditions
Brief summary
Tendinopathy of the flexor hallucis longus (FHL), colloquially referred to as dancer's tendinitis, is a common condition in dancers and attributed to high demand on this muscle in positions of extreme ankle plantarflexion and metatarsophalangeal (MTP) flexion and extension. Tradicional conservative treatment includes rest from pain-inducing activities including pointe work and jumping, physical therapy a focusing on movilization of the joints of the first ray and subtalar joint, and antiinflamatory medications. Unfortunately, dancer frecuently do not follow recommendations to rest due to the competitive nature of the field. Those who do not respond to conservative treatment undergo more serious interventions including steroid injections or surgery, each with additional risks and recovery time. To develop experimental protocols aimed at prevention and nonsurgical interventions are needed. Therefore, the aim of this study was To investigate the effects of one shot of low-frequency percutaneous electrical nerve stimulation (PENS) vs. one shot of transcutaneous electrical nerve stimulation (TENS) in performance of the Flexor Hallucis Longus muscle in young dancers.
Interventions
OTHERPENS
This intervention consisted in the application of an asymmetric biphasic rectangular current of 150 microseconds and 10 Hz using a specifically developed medically certified device (Physio Invasive, Enraf Nonius, Prim, SPAIN). This is an invasive intervention by ultrasound and needles.
OTHERTENS
This intervention consisted in the application of an asymmetric biphasic rectangular current of 150 microseconds and 10 Hz using a specifically developed medically certified device (Physio Invasive, Enraf Nonius, Prim, SPAIN). This is a non-invasive intervention by self-adhesive electrodes.
Sponsors
University of Seville
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 30 Years
Healthy volunteers
Yes
Inclusion criteria
* Female dancers * Training at least twenty-five hours per week * Pointe training at least five hours per week.
Exclusion criteria
* They had sustained an injury to their stance limb in the past year preventing dancing for at least 1 day * Personal Psychological Apprehension Scale (PPAS) score \>37.5 * Commonly accepted contraindications to invasive phsyiotherapist technique * Any contraindications to needling per se. * Commonly accepted contraindications to electrotherapy * Epilepsy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in balance | 1 day | Assessed by a single leg balance test |
| Change in muscular endurence, | 1 day | Assessed by endurance test (heel raise repetitions). |
| Change in range of motion of first MTF joint | 1 day | Assessed using goniometer. |
Countries
Spain
Outcome results
None listed