- Email: [email protected]
Relationships between different evaluation techniques in lower medial longitudinal arch subjects
Abstracts / Manual Therapy 25 (2016) e57ee169
Disclosure of interest: None Declared Keywords: Ankle sprain, Manipulative therapy, Physical Therapy Intergrating Research into practice PO1-LL-049 DIAGNOSTIC ACCURACY OF NEUROPATHIC PAIN ASSESSMENT METHODS FOR THE DIAGNOSIS OF NEUROPATHIC PAIN IN KNEE OR HIP OSTEOARTHRITIS: A SYSTEMATIC REVIEW H. French 1, *, K. Smart 2, F. Doyle 3. 1 School of Physiotherapy, Royal College of Surgeons in Ireland, Ireland; 2 Physiotherapy Department, St Vincent's University Hospital, Ireland; 3 Division of Population Health Sciences (Psychology), Royal College of Surgeons in Ireland, Dublin, Ireland * Corresponding author.
Background: Emerging evidence suggests a possible neuropathic component to OA-related pain which is commonly determined by selfreport screening questionnaires. Guidelines were developed in 2008 by the IASP Special Interest Group on Neuropathic Pain (NeuPSIG) for grading the certainty of a diagnosis of neuropathic pain in clinical presentations of pain, based on the presence/absence of four criteria1. Purpose: To evaluate the diagnostic accuracy of neuropathic pain screening methods for identifying neuropathic pain in patients with knee and/or hip OA using the NeuPSIG neuropathic pain grading system. Methods: PubMed, CINAHL, Embase and PsychInfo databases and Google Scholar were systematically searched by two independent reviewers from 2008 onwards. Interventional and observational studies published in English language involving human participants aged 18 or over with hip and/or knee OA were eligible for inclusion. Diagnostic accuracy of neuropathic pain using an experimental/index test, against the diagnostic reference standard of NeuPSIG guidelines was a further inclusion criterion. Results: Following screening by two independent reviewers, 27 potentially eligible studies were identified; nine were available as fulletext, the majority of which were conducted on a knee OA population. None of the full-text studies used the NeuPSIG guidelines as a reference standard to diagnose neuropathic pain. Neuropathic questionnaires only were the most common method used to identify neuropathic pain (n¼6), whilst three studies also used quantitative sensory testing. One study assessed response to lignocaine injection as an indicator of neuropathic pain. Conclusion: The diagnostic accuracy of assessment methods for identifying neuropathic pain in patients with hip/knee OA is unknown. Implications: Appropriately designed studies are needed to test the diagnostic accuracy of available assessment methods in line with NeuPSIG guidelines. References 1. Treede RD, Jensen TS, Campbell JN, et al. Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurology. 2008;70:1630-1635. Funding acknowledgements: No funding was received for this study Ethics approval: No ethics approval was required for this systematic review. Disclosure of interest: None Declared Keywords: Neuropathic pain, Osteoarthritis, Systematic review Intergrating Research into practice PO1-LL-053 RELATIONSHIPS BETWEEN DIFFERENT EVALUATION TECHNIQUES IN LOWER MEDIAL LONGITUDINAL ARCH SUBJECTS A. Gomez-Conesa*, J.C. Zuil-Escobar, C. Martínez-Cepa, J.A. MartínUrrialde. * Corresponding author.
Background: The foot has important impact absorption and ground reaction force transmission functions in both gait and bipedal standing position.
e133
The medial longitudinal arch is formed by the calcaneus, the talus, the navicular, the three cuneiform bones and the first three metatarsal bones4 and it is supported by the plantar aponeurosis, by means of the windlass mechanism and the extrinsic and intrinsic muscles. The evaluation of the medial longitudinal arch is neccesary in Physical Therapy. Changes in its height affect several lower limb functions and are related to lower limb injuries Purpose: To evaluate the correlation between the navicular drop test, the foot posture index-6 and several footprint parameters in lower medial longitudinal arch subjects. In addition, reliability was also studied Methods: A correlation study was carried out in 30 lower limb subjects (17 women and 13 men; 22.4±3.6 years). The navicular drop test, the arch angle, the Staheli index, the Chippaux-Smirnak index and the foot posture index-6 were collected in the dominant foot. The Pearson correlation coefficients (r) and the intraclass correlation coefficient were calculated. Results: Strong statistical correlations (p< .05) were obtained between the navicular drop test and the footprints parameters (r¼j0.650-0.722j) and between the navicular drop test and the foot posture index (r¼0.743). Excellent intrarater and interrater reliability were obtained for all the parameters (CCI¼0.941-0.94) Conclusion: The navicular drop test showed strong correlations with the arch angle, the Staheli index, the Chippaux-Smirnak index and the foot posture index-6. Implications: The navicular dropt is an easy, reproducible and wellcorrelated test in lower medial longitudinal arch subjects Funding acknowledgements: None We have no funding research Ethics approval: Work approved by the Ethics Committee of CEU San ~ a). All patients signed an informed conPablo University (Madrid- Espan sent document in accordance with the ethical code of the World Medical Association (Helsinki Declaration). Disclosure of interest: None Declared Keywords: Foot posture index-6, Footprint, Medial longitudinal arch Intergrating Research into practice PO1-LL-055 RELATIONSHIP BETWEEN MYOFASCIAL TRIGGER POINTS AND MUSCLE FUNCTION IN THE LOWER EXTREMITIES. DESCRIPTIVE AND CORRELATIONAL STUDY rez s Moreno*, C. Hidalgo García, S. Pe A. Ruiz De Escudero Zapico, J.M. Trica n, E. Este banez de Miguel, A. Casasnovas Rocha, L. Ceballos Laita, P. Guille Pardos Aguilella, M. Santos, L. Ventura Trallero. * Corresponding author.
Background: Musculoskeletal pain is a major cause of morbidity in the current society, in which one in every three patients with musculoskeletal pain is diagnosed as myofascial pain syndrome. The myofascial trigger points can be an independent cause of pain which is often not associated with another clinical diagnosis, but may be related to many musculoskeletal or visceral conditions. Although some myofascial trigger points can be spontaneously painless, they can cause a restriction of joint movement and/or cause weakness. For these reasons, it was considered relevant to perform a study to give insight about the relation between the presence of myofascial trigger points and muscle function. Purpose: We hypothesized that subjects with active or latent myofascial trigger points have a greater muscle shortening, decreased muscle strength and decreased pressure pain threshold compared with subjects who do not have myofascial trigger points, so we had the aim of studying the relationship between the prevalence of myofascial trigger points and muscle function of the lower extremities. Methods: 54 subjects volunteered for the study, they were interviewed to determine the compliance with the inclusion criteria which mainly was the absence of important lower extremity dysfunction. First a history taking with personal information and data such as weight, height, BMI and fat mss percentage, was performed. After, pain and overall muscle function was assessed, by measuring muscle strength by a dynamometer, muscle
Disclosure of interest: None Declared Keywords: Ankle sprain, Manipulative therapy, Physical Therapy Intergrating Research into practice PO1-LL-049 DIAGNOSTIC ACCURACY OF NEUROPATHIC PAIN ASSESSMENT METHODS FOR THE DIAGNOSIS OF NEUROPATHIC PAIN IN KNEE OR HIP OSTEOARTHRITIS: A SYSTEMATIC REVIEW H. French 1, *, K. Smart 2, F. Doyle 3. 1 School of Physiotherapy, Royal College of Surgeons in Ireland, Ireland; 2 Physiotherapy Department, St Vincent's University Hospital, Ireland; 3 Division of Population Health Sciences (Psychology), Royal College of Surgeons in Ireland, Dublin, Ireland * Corresponding author.
Background: Emerging evidence suggests a possible neuropathic component to OA-related pain which is commonly determined by selfreport screening questionnaires. Guidelines were developed in 2008 by the IASP Special Interest Group on Neuropathic Pain (NeuPSIG) for grading the certainty of a diagnosis of neuropathic pain in clinical presentations of pain, based on the presence/absence of four criteria1. Purpose: To evaluate the diagnostic accuracy of neuropathic pain screening methods for identifying neuropathic pain in patients with knee and/or hip OA using the NeuPSIG neuropathic pain grading system. Methods: PubMed, CINAHL, Embase and PsychInfo databases and Google Scholar were systematically searched by two independent reviewers from 2008 onwards. Interventional and observational studies published in English language involving human participants aged 18 or over with hip and/or knee OA were eligible for inclusion. Diagnostic accuracy of neuropathic pain using an experimental/index test, against the diagnostic reference standard of NeuPSIG guidelines was a further inclusion criterion. Results: Following screening by two independent reviewers, 27 potentially eligible studies were identified; nine were available as fulletext, the majority of which were conducted on a knee OA population. None of the full-text studies used the NeuPSIG guidelines as a reference standard to diagnose neuropathic pain. Neuropathic questionnaires only were the most common method used to identify neuropathic pain (n¼6), whilst three studies also used quantitative sensory testing. One study assessed response to lignocaine injection as an indicator of neuropathic pain. Conclusion: The diagnostic accuracy of assessment methods for identifying neuropathic pain in patients with hip/knee OA is unknown. Implications: Appropriately designed studies are needed to test the diagnostic accuracy of available assessment methods in line with NeuPSIG guidelines. References 1. Treede RD, Jensen TS, Campbell JN, et al. Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurology. 2008;70:1630-1635. Funding acknowledgements: No funding was received for this study Ethics approval: No ethics approval was required for this systematic review. Disclosure of interest: None Declared Keywords: Neuropathic pain, Osteoarthritis, Systematic review Intergrating Research into practice PO1-LL-053 RELATIONSHIPS BETWEEN DIFFERENT EVALUATION TECHNIQUES IN LOWER MEDIAL LONGITUDINAL ARCH SUBJECTS A. Gomez-Conesa*, J.C. Zuil-Escobar, C. Martínez-Cepa, J.A. MartínUrrialde. * Corresponding author.
Background: The foot has important impact absorption and ground reaction force transmission functions in both gait and bipedal standing position.
e133
The medial longitudinal arch is formed by the calcaneus, the talus, the navicular, the three cuneiform bones and the first three metatarsal bones4 and it is supported by the plantar aponeurosis, by means of the windlass mechanism and the extrinsic and intrinsic muscles. The evaluation of the medial longitudinal arch is neccesary in Physical Therapy. Changes in its height affect several lower limb functions and are related to lower limb injuries Purpose: To evaluate the correlation between the navicular drop test, the foot posture index-6 and several footprint parameters in lower medial longitudinal arch subjects. In addition, reliability was also studied Methods: A correlation study was carried out in 30 lower limb subjects (17 women and 13 men; 22.4±3.6 years). The navicular drop test, the arch angle, the Staheli index, the Chippaux-Smirnak index and the foot posture index-6 were collected in the dominant foot. The Pearson correlation coefficients (r) and the intraclass correlation coefficient were calculated. Results: Strong statistical correlations (p< .05) were obtained between the navicular drop test and the footprints parameters (r¼j0.650-0.722j) and between the navicular drop test and the foot posture index (r¼0.743). Excellent intrarater and interrater reliability were obtained for all the parameters (CCI¼0.941-0.94) Conclusion: The navicular drop test showed strong correlations with the arch angle, the Staheli index, the Chippaux-Smirnak index and the foot posture index-6. Implications: The navicular dropt is an easy, reproducible and wellcorrelated test in lower medial longitudinal arch subjects Funding acknowledgements: None We have no funding research Ethics approval: Work approved by the Ethics Committee of CEU San ~ a). All patients signed an informed conPablo University (Madrid- Espan sent document in accordance with the ethical code of the World Medical Association (Helsinki Declaration). Disclosure of interest: None Declared Keywords: Foot posture index-6, Footprint, Medial longitudinal arch Intergrating Research into practice PO1-LL-055 RELATIONSHIP BETWEEN MYOFASCIAL TRIGGER POINTS AND MUSCLE FUNCTION IN THE LOWER EXTREMITIES. DESCRIPTIVE AND CORRELATIONAL STUDY rez s Moreno*, C. Hidalgo García, S. Pe A. Ruiz De Escudero Zapico, J.M. Trica n, E. Este banez de Miguel, A. Casasnovas Rocha, L. Ceballos Laita, P. Guille Pardos Aguilella, M. Santos, L. Ventura Trallero. * Corresponding author.
Background: Musculoskeletal pain is a major cause of morbidity in the current society, in which one in every three patients with musculoskeletal pain is diagnosed as myofascial pain syndrome. The myofascial trigger points can be an independent cause of pain which is often not associated with another clinical diagnosis, but may be related to many musculoskeletal or visceral conditions. Although some myofascial trigger points can be spontaneously painless, they can cause a restriction of joint movement and/or cause weakness. For these reasons, it was considered relevant to perform a study to give insight about the relation between the presence of myofascial trigger points and muscle function. Purpose: We hypothesized that subjects with active or latent myofascial trigger points have a greater muscle shortening, decreased muscle strength and decreased pressure pain threshold compared with subjects who do not have myofascial trigger points, so we had the aim of studying the relationship between the prevalence of myofascial trigger points and muscle function of the lower extremities. Methods: 54 subjects volunteered for the study, they were interviewed to determine the compliance with the inclusion criteria which mainly was the absence of important lower extremity dysfunction. First a history taking with personal information and data such as weight, height, BMI and fat mss percentage, was performed. After, pain and overall muscle function was assessed, by measuring muscle strength by a dynamometer, muscle