[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"leadSponsorName\":\"University of Alcala\",\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:":656},{"pageToken":4,"total":5,"offset":6,"count":7,"results":8},null,36,0,25,[9,46,82,119,142,173,198,216,238,261,280,307,329,350,382,408,437,462,487,513,534,562,584,604,630],{"id":10,"slug":11,"hasResults":12,"nctId":13,"briefTitle":14,"officialTitle":15,"acronym":4,"eligibilityCriteria":16,"healthyVolunteers":12,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":30,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":34,"lastUpdatePostDateStruct":35,"startDateStruct":38,"completionDateStruct":40,"leadSponsor":42,"locationsCount":45},"100643724","muscle-position-and-dry-needling-efficacy-100643724",false,"NCT07629141","Muscle Position and Dry Needling Efficacy","The Importance of Muscle Position in the Effectiveness of Dry Needling Technique","Inclusion Criteria:\n\n* Age between 18 and 65 years\n* Neck pain lasting more than 3 months\n* Current neck pain greater than 3\u002F10 on the VAS (Visual Analog Scale)\n* Presence of active trigger points in the upper trapezius muscle, meeting the following criteria: Painful point within a taut band whose palpation reproduces the patient's symptoms.\n\nExclusion Criteria:\n\n* Neck pain with a medical diagnosis (fractures, arthritis, fibromyalgia, etc.)\n* Radicular pain (paresthesia, burning, electric shocks)\n* Whiplash or any recent trauma\n* Previous surgery\n* Treatment by another physiotherapist within the last 3 months\n* Infections\n* Needle phobia\n* Use of anticoagulant medications\n* Pregnancy\n* Fibromyalgia\n* Metal allergies\n* Cognitive deficits or communication problems","ALL","18 Years","80 Years",{"count":21,"type":22},80,"ESTIMATED","INTERVENTIONAL",[25],"NA","Currently, no previous studies have investigated how the position of a muscle before dry needling may influence the outcome and effectiveness of the treatment.\n\nThis study aims to demonstrate whether the position of the upper trapezius muscle during dry needling treatment influences the outcome of that treatment in subjects with neck pain.\n\nA total of 46 participants with chronic neck pain will be recruited and randomly assigned to two groups: a dry needling group with the muscle in a stretched position and a dry needling group with the muscle in a shortened position. A total of two treatment sessions will be performed, separated by a 7-day interval. The primary outcome measure will be the intensity of neck and head pain, measured using the visual analog scale (VAS). Other variables to be measured include the cervical disability index, kinesiophobia, and catastrophizing (using a self-completion questionnaire), as well as participants' expectations and post-needling pain.",[28,29],"Neck Pain","Headache",[31,32],"dry needling","Musculoskeletal Pain","RECRUITING","2026-06-29",{"date":36,"type":37},"2026-07-01","ACTUAL",{"date":39,"type":37},"2026-06-08",{"date":41,"type":22},"2026-12-15",{"name":43,"class":44},"University of Alcala","OTHER",2,{"id":47,"slug":48,"hasResults":12,"nctId":49,"briefTitle":50,"officialTitle":50,"acronym":51,"eligibilityCriteria":52,"healthyVolunteers":53,"sex":17,"minAge":18,"maxAge":54,"enrollmentInfo":55,"targetDuration":4,"studyType":57,"phases":4,"briefSummary":58,"conditions":59,"keywords":63,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":74,"lastUpdatePostDateStruct":75,"startDateStruct":77,"completionDateStruct":79,"leadSponsor":81,"locationsCount":4},"100641671","ultrasound-muscle-biomarkers-as-predictors-of-isometric-quadriceps-muscle-strength-and-handgrip-in-healthy-adults-an-observational-study-100641671","NCT07647393","Ultrasound Muscle Biomarkers as Predictors of Isometric Quadriceps Muscle Strength and Handgrip in Healthy Adults: an Observational Study","MUSCLE-US","Inclusion Criteria:\n\n* Healthy adults aged 18-89 years.\n* Resident in Spain for at least 5 years.\n* Living independently in the community and able to complete all study assessments.\n* Able to understand and follow verbal instructions in Spanish.\n* Able and willing to provide written informed consent prior to study participation.\n\nExclusion Criteria:\n\n* Neurological, musculoskeletal, or systemic disorders affecting muscle strength or mobility.\n* Recent surgery or acute injury affecting the upper or lower limbs.\n* Recent use of medications affecting the musculoskeletal system (e.g., systemic corticosteroids for \\>1 week during the previous 6 months or muscle relaxants during the previous week).\n* Cognitive or psychiatric conditions limiting participation.\n* Pregnancy.\n* Recent postpartum period (≤3 months after delivery).\n* Presence of clinically relevant pain, fatigue, physical deconditioning, or functional limitations that may interfere with study procedures or measurement validity.\n* Acute illness at the time of assessment.\n* Uncontrolled hypertension (≥140\u002F90 mmHg).\n* Resting peripheral oxygen saturation ≤90%.\n* Moderate-to-severe pain (Numeric Rating Scale ≥4\u002F10).\n* Any medical condition considered by the investigator to contraindicate study participation.",true,"89 Years",{"count":56,"type":22},300,"OBSERVATIONAL","This observational study aims to determine whether ultrasound-derived muscle biomarkers can predict isometric quadriceps muscle strength and handgrip in healthy adults aged 18-89 years.\n\nThe main questions it aims to answer are:\n\n* Which ultrasound muscle characteristics are associated with isometric quadriceps muscle strength and handgrip?\n* Can ultrasound-derived biomarkers be used to develop predictive models of muscle strength in healthy adults?\n\nParticipants will undergo:\n\n* Ultrasound assessment of the quadriceps and forearm flexor muscles;\n* Measurement of isometric quadriceps muscle strength and handgrip using standardized dynamometry protocols;\n* Assessment of functional capacity, mobility and balance;\n* Completion of questionnaires related to health status, physical activity, nutrition, fatigue and health-related quality of life.\n\nThe study will also assess the reliability of ultrasound measurements and explore the relationship between ultrasound variables, muscle strength, physical function and health-related factors.",[60,61,62],"Healthy Adult","Muscle Strength","Skeletal Muscle Ultrasound",[64,65,66,67,68,69,70,71,72],"Muscle ultrasound","Skeletal muscle ultrasonography","Muscle biomarkers","Isometric quadriceps muscle strength","Handgrip","Muscle thickness","Echo intensity","Muscle quality","Predictive models","NOT_YET_RECRUITING","2026-06-12",{"date":76,"type":37},"2026-06-16",{"date":78,"type":22},"2026-06",{"date":80,"type":22},"2029-06",{"name":43,"class":44},{"id":83,"slug":84,"hasResults":12,"nctId":85,"briefTitle":86,"officialTitle":86,"acronym":87,"eligibilityCriteria":88,"healthyVolunteers":53,"sex":17,"minAge":18,"maxAge":54,"enrollmentInfo":89,"targetDuration":4,"studyType":57,"phases":4,"briefSummary":91,"conditions":92,"keywords":95,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":112,"lastUpdatePostDateStruct":113,"startDateStruct":114,"completionDateStruct":115,"leadSponsor":117,"locationsCount":118},"100643314","reference-equations-and-normative-data-for-isometric-quadriceps-and-handgrip-muscles-strength-in-southern-european-populations---restart-a-multicentre-study-100643314","NCT07628530","Reference Equations and Normative Data for Isometric Quadriceps and Handgrip Muscles STrength in Southern European Populations - RESTart: a Multicentre Study","RESTart","Healthy adults cohort\n\nInclusion Criteria:\n\n* Age between 18-89 years.\n* Spanish, Portuguese or Italian, or permanently resident in one of those countries for at least five years.\n* Be community-dwelling (i.e., not hospitalised or institutionalised).\n* Be functionally independent and capable of performing study assessments without assistance or limiting pain.\n* Be able to follow verbal instructions in the local language (Spanish, Portuguese or Italian, as appropriate).\n* Provide written informed consent.\n\nExclusion Criteria:\n\n* Acute or chronic musculoskeletal conditions affecting strength: recent fractures, severe osteoarthrosis, ligament injury, acute tendinitis in hands\u002Fknee areas, among others.\n* Recent surgery (e.g., within the past six months) in upper or lower limbs.\n* Neuromuscular disorders: Parkinson, multiple sclerosis, stroke, peripheral neuropathies, among others.\n* Non-communicable diseases affecting strength or functional status: active cancer, any unstable heart diseases; any CRD; active rheumatological diseases, obesity (BMI≥30kg\u002Fm2), uncontrolled metabolic diseases, among others (not included: controlled dyslipidaemia or arterial hypertension).\n* Cognitive impairments (e.g., dementia) or psychiatric disorders impairing following instructions.\n* Aid devices for walking or compromised functional mobility.\n* Moderate-to-severe pain during the assessment (VAS ≥4).\n* Systemic corticosteroids use for over one week in the previous six months (i.e., risk of muscle atrophy in type II fibres; or steroid myopathy).\n* Muscle relaxants use during the previous week (i.e., risk of not full muscle activation).\n* Pregnancy and postpartum (i.e., potential physiological changes which may alter muscle strength).\n* Current smoking.\n\nChronic respiratory disease cohort\n\nInclusion criteria:\n\n* Aged 18-89 years.\n* Clinical diagnosis of a chronic respiratory disease (e.g., COPD, interstitial lung disease, asthma, bronchiectasis, cystic fibrosis), confirmed by spirometry or clinical records.\n* Clinically stable (no exacerbation within the past four weeks).\n* Capacity to provide informed consent and complete study procedures.\n\nExclusion criteria:\n\n* Coexisting conditions which meet the exclusion criteria defined for healthy participants, apart from chronic respiratory diseases.\n* Current requirement for hospitalisation or acute medical management.\n* Severe functional limitation preventing completion of assessments.",{"count":90,"type":22},2815,"This observational study aims to learn about peripheral muscle strength in healthy adults and people with chronic respiratory diseases. The study aims to develop reference data for quadriceps muscle strength and handgrip in adults living in Southern Europe and to assess whether these reference data can be used in people with chronic respiratory diseases.\n\nThe main questions it aims to answer are:\n\n* What are the normal values for quadriceps and handgrip muscle strength in healthy adults aged 18-89 years living in Spain, Portugal and Italy?\n* Can the reference values developed in healthy adults be applied to people with chronic respiratory diseases?\n\nParticipants will attend one study visit. During this visit, researchers will:\n\n* Measure quadriceps muscle strength and handgrip.\n* Collect information about age, sex, height, weight and other health characteristics.\n* Perform simple functional tests related to mobility and physical performance.\n* Ask participants to complete questionnaires about symptoms, physical activity and health-related quality of life.",[61,93,94],"Healthy","Chronic Respiratory Diseases",[96,68,97,98,99,100,101,102,103,104,105,106,107,108,109,110,111],"Quadriceps strength","Muscle strength","Reference equations","Reference values","Normative data","Dynamometrry","Healthy adults","Peripheral muscle dysfunction","Chronic respiratory diseases","COPD","Asthma","Bronchiectasis","Interstitial lung disease","Cystic fibrosis","Pulmonary rehabilitation","Southern Europe","2026-06-04",{"date":39,"type":37},{"date":78,"type":22},{"date":116,"type":22},"2030-06",{"name":43,"class":44},1,{"id":120,"slug":121,"hasResults":12,"nctId":122,"briefTitle":123,"officialTitle":124,"acronym":4,"eligibilityCriteria":125,"healthyVolunteers":12,"sex":17,"minAge":18,"maxAge":126,"enrollmentInfo":127,"targetDuration":4,"studyType":23,"phases":129,"briefSummary":130,"conditions":131,"keywords":4,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":134,"lastUpdatePostDateStruct":135,"startDateStruct":137,"completionDateStruct":139,"leadSponsor":141,"locationsCount":118},"100561226","treatment-of-lateral-epicondylalgia-with-shock-waves-100561226","NCT06587412","Treatment of Lateral Epicondylalgia With Shock Waves","Radial Shock Waves Versus Focal Shock Waves in the Treatment of Lateral Epicondylalgia","Inclusion Criteria:\n\n* Pain in the lateral epicondyle \\>3 months\n* Pain when performing resisted grip\n* Positive Cozen test\n* Positive Maudsley test\n\nExclusion Criteria:\n\n* Pregnancy\n* Systemic diseases (Fibromyalgia, Diabetes, Arthritis)\n* Local infection or Cancer\n* Recent treatments (Physiotherapy, Corticosteroids)-","70 Years",{"count":128,"type":22},50,[25],"Lateral epicondylalgia (LET) is characterized by pain, decreased muscle strength of the wrist extensor muscles, and disability. Among the treatments proposed in the literature, both focal shockwave therapy and radial shockwave therapy have been considered effective in the management of this musculoskeletal disorder. The objective of this study is to compare the safety and effectiveness of these two shockwave applications on the signs and symptoms of subjects with lateral epicondylalgia. In this clinical trial, subjects will be evaluated for elbow pain using a Visual Analog Scale (VAS), grip strength using a handheld dynamometer, and degree of disability using the Patient-Rated Tennis Elbow Evaluation Questionnaire (PRTEE). A six-month follow-up will be performed.\n\nPatients will be randomly divided into three groups. The first group will receive radial shock waves (rESWT), the second group will receive focal shock waves (fESWT), and the third group, which will act as a control, will receive a placebo treatment with very low energy parameters according to the literature.\n\nSubjects will receive three sessions, one session per week.",[132,133],"Epicondylitis of the Elbow","Epicondylitis, Lateral","2026-06-01",{"date":136,"type":37},"2026-06-02",{"date":138,"type":37},"2025-03-12",{"date":140,"type":22},"2027-06-20",{"name":43,"class":44},{"id":143,"slug":144,"hasResults":12,"nctId":145,"briefTitle":146,"officialTitle":147,"acronym":148,"eligibilityCriteria":149,"healthyVolunteers":12,"sex":150,"minAge":18,"maxAge":4,"enrollmentInfo":151,"targetDuration":4,"studyType":23,"phases":153,"briefSummary":154,"conditions":155,"keywords":158,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":165,"lastUpdatePostDateStruct":166,"startDateStruct":168,"completionDateStruct":170,"leadSponsor":172,"locationsCount":118},"100617058","therapeutic-exercise-for-postpartum-recovery-100617058","NCT07313683","Therapeutic Exercise for Postpartum Recovery","Lumbopelvic Stabilization Exercises vs. Hypopressive Exercises for Postpartum Recovery: A Randomized Clinical Trial","PelviRecover","Inclusion Criteria\n\n* Primiparous or multiparous women with an uncomplicated vaginal delivery.\n* Women between 6 and 12 weeks postpartum.\n* Women who have freely read, understood, and signed the informed consent form.\n\nExclusion Criteria\n\n* Cesarean delivery.\n* Pelvic or perineal pain greater than 4\u002F10 during physical examination.\n* Clinical diagnosis of pelvic floor myofascial pain syndrome.\n* Evidence of levator ani muscle avulsion.\n* Third- or fourth-degree perineal tears.\n* History of pelvic surgery.\n* History of pelvic fractures and\u002For pelvic neoplasms.\n* Current pregnancy.\n* Neurological disorders.\n* Active vaginal or urinary tract infections.\n* Cognitive, auditory, or visual impairments that limit comprehension, questionnaire completion, consent, or participation in the study.\n* Individuals under 18 years of age.","FEMALE",{"count":152,"type":22},84,[25],"Pelvic floor dysfunctions (PFDs) are common conditions that affect women, especially after vaginal childbirth. These disorders can cause urinary or fecal incontinence, pain during sexual activity, and prolapse of pelvic organs, leading to a significant decrease in quality of life. Current scientific evidence shows that early and specific physiotherapy-based interventions after childbirth may help reduce the risk of developing long-term PFDs.\n\nPelvic floor muscle training (PFMT) is currently the first-line conservative treatment for women with PFD, but in recent years other exercise methods, such as hypopressive exercises, have become increasingly popular, despite limited supporting evidence. At the same time, some women need to return early to physically demanding jobs or impact sports, but there are no clear guidelines on how to safely prepare the abdominopelvic region for progressive exposure to increased intra-abdominal pressure.\n\nThis study aims to compare two postpartum recovery exercise programs:\n\nA program based on lumbopelvic stabilization exercises that progressively expose women to increases in intra-abdominal pressure and impact activities.\n\nA program based on hypopressive exercises, which focus on avoiding intra-abdominal pressure.\n\nThe goal is to determine which approach is safer and more effective in improving pelvic floor recovery after childbirth and in supporting women in their gradual return to daily, work, and sports activities.",[156,157],"Postpartum Period","Pelvic Floor Disorders",[159,160,161,162,163,164],"Therapeutic exercise","Physical therapy","Intra-abdominal pressure","Pelvic floor","Postpartum period","Quality of life","2026-04-30",{"date":167,"type":37},"2026-05-04",{"date":169,"type":22},"2026-05-15",{"date":171,"type":22},"2029-02",{"name":43,"class":44},{"id":174,"slug":175,"hasResults":12,"nctId":176,"briefTitle":177,"officialTitle":178,"acronym":4,"eligibilityCriteria":179,"healthyVolunteers":53,"sex":17,"minAge":18,"maxAge":126,"enrollmentInfo":180,"targetDuration":4,"studyType":23,"phases":182,"briefSummary":183,"conditions":184,"keywords":186,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":190,"lastUpdatePostDateStruct":191,"startDateStruct":193,"completionDateStruct":195,"leadSponsor":197,"locationsCount":118},"100546717","effects-of-dry-needling-on-the-behavior-of-the-shoulder-muscles-100546717","NCT06398574","Effects of Dry Needling on the Behavior of the Shoulder Muscles","Effect of Dry Needling Technique on Shoulder Muscle Functionality in Subjects With and Without Shoulder Pain.","Inclusion Criteria:\n\n* Subjects of legal age\n* Subjects without shoulder pain or with unilateral shoulder pain of \\> 3 months duration.\n* Have shoulder mobility of 90º of abduction and at least 30º of glenohumeral external rotation.\n\nExclusion Criteria:\n\n* Have neck pain.\n* Whiplash\n* Having had trauma to the shoulder.\n* Having fibromyalgia.\n* Be pregnant.\n* Being afraid of needles.",{"count":181,"type":22},40,[25],"The main objective of this study will be to evaluate the effects of the application of the dry needling technique on the activity of the rotator cuff muscles in the shoulder.\n\nThe evaluation of the effects of the application of the dry needling technique will be carried out in subjects with and without shoulder pain.To do this, muscle strength, possible thickness changes in the muscle and electromyographic activity will be measured before and immediately after the application of a dry needling technique.\n\nLikewise, other variables will be measured such as the pressure pain threshold (PPT), pain with a Numeric Verbal Scale, kinesiophobia and catastrophism, the shoulder pain and disability index (SPADI) and the influence of expectations about dry needling.",[185],"Shoulder Pain",[187,188,189],"Dry needling","Shoulder muscle strength","Surface electromyography","2026-04-27",{"date":192,"type":37},"2026-05-01",{"date":194,"type":37},"2024-05-06",{"date":196,"type":22},"2026-12-20",{"name":43,"class":44},{"id":199,"slug":200,"hasResults":12,"nctId":201,"briefTitle":202,"officialTitle":203,"acronym":4,"eligibilityCriteria":204,"healthyVolunteers":12,"sex":17,"minAge":18,"maxAge":126,"enrollmentInfo":205,"targetDuration":4,"studyType":23,"phases":207,"briefSummary":208,"conditions":209,"keywords":4,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":190,"lastUpdatePostDateStruct":210,"startDateStruct":211,"completionDateStruct":213,"leadSponsor":215,"locationsCount":118},"100490176","percutaneous-needle-electrolysis-pne-on-the-concha-of-the-ear-100490176","NCT05662722","Percutaneous Needle Electrolysis (PNE) on the Concha of the Ear","Use of Infrared Thermography in the Measurement of Facial Blood Flow After the Application of Percutaneous Needle Electrolysis (PNE) on the Concha of the Ear","Inclusion Criteria:\n\n* Headache with a frequency of at least one monthly episode.\n* Present the \"cold nose\" and\u002For \"cold patch\" pattern\n\nExclusion Criteria:\n\n* Do not present a \"cold nose\" and\u002For \"cold patch\" pattern\n* Pregnant women\n* Subjects with facial alterations that may affect facial vascularization (sinusitis, allergies...)\n* Patients with belonephobia or allergy to metals or any material used in the procedure.",{"count":206,"type":22},60,[25],"Headache is a very frequent symptom among the world population, the adult population with an active headache disorder are 46% for headache in general, 11% for migraine, 42% for tension-type headache and 3% for chronic daily headache. There are different therapeutic approaches for the improvement of headache. Transcutaneous stimulation of the auricular vagal nerve is being used for the treatment of headache due to the involvement of the vagus nerve in inflammation and pain modulation. On the other hand, galvanic current has shown a measurable effect by increasing parasympathetic activity. The objective of this clinical trial is to stimulate the auricular vagal nerve with galvanic current using a needle as an electrode that will be inserted into the concha of the ear. As a tool for measuring results, infrared thermography will be used to observe changes in facial skin temperature, since patients with high sympathetic activity present a characteristic pattern of \"cold nose\" and\u002For \"cold patch\". In addition, variables that record changes in autonomic activity such as skin conductance and heart rate variability will be collected.",[29],{"date":192,"type":37},{"date":212,"type":37},"2022-03-22",{"date":214,"type":22},"2027-12-01",{"name":43,"class":44},{"id":217,"slug":218,"hasResults":12,"nctId":219,"briefTitle":220,"officialTitle":221,"acronym":4,"eligibilityCriteria":222,"healthyVolunteers":12,"sex":17,"minAge":18,"maxAge":223,"enrollmentInfo":224,"targetDuration":4,"studyType":23,"phases":225,"briefSummary":226,"conditions":227,"keywords":229,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":190,"lastUpdatePostDateStruct":231,"startDateStruct":233,"completionDateStruct":235,"leadSponsor":237,"locationsCount":118},"100471681","dry-needlig-vesus-tecartherapy-in-low-back-pain-treatment-100471681","NCT05422040","Dry Needlig Vesus Tecartherapy in Low-back Pain Treatment","Effectiveness of Diathermy Compared to Dry Needling in the Short-term Management of Subjects With Chronic Low Back Pain: a Randomised Controlled Trial","Inclusion Criteria:\n\n* Age between 18 and 65 years.\n* Chronic non-specific low back pain.\n* Duration of pain of more than 6 weeks.\n\nExclusion Criteria:\n\n* Neurological signs or symptoms.\n* Radicular pain.\n* Radiating pain below the knee.\n* Belonephobia.\n* Traumatic processes and\u002For surgeries in the lumbar region in the last year.\n* Having received physiotherapy treatment in the last 3 months.\n* Systemic diseases such as cancer, rheumatic diseases, neurological diseases.","65 Years",{"count":206,"type":22},[25],"Introduction: Diathermy is a new tool that could help subjects with chronic low back pain (CLBP), with no studies having compared it to other interventions already investigated such as dry needling.\n\nHypothesis: Diathermy is more effective than dry needling in improving pain intensity in the short term in subjects with CLBP.\n\nDesign: randomised controlled trial Methods: We will conduct a convenience sampling, with subjects receiving 2 treatment sessions with diathermy or dry needling, according to allocation. Subjects will be assessed at baseline, 1 week, 1 month and 3 months after treatment for pain intensity, disability, kinesiophobia and catastrophizing. Analysis of variance (ANOVA) and moderation analysis will be performed to evaluate the results, with 95% confidence intervals (CI).",[228],"Low Back Pain",[230],"Back pain, dry needling, Tecartherapy",{"date":232,"type":37},"2026-04-28",{"date":234,"type":37},"2022-06-20",{"date":236,"type":22},"2026-12-01",{"name":43,"class":44},{"id":239,"slug":240,"hasResults":12,"nctId":241,"briefTitle":242,"officialTitle":243,"acronym":4,"eligibilityCriteria":244,"healthyVolunteers":12,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":245,"targetDuration":4,"studyType":23,"phases":246,"briefSummary":247,"conditions":248,"keywords":251,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":190,"lastUpdatePostDateStruct":254,"startDateStruct":255,"completionDateStruct":257,"leadSponsor":259,"locationsCount":260},"100460197","a-combined-treatment-of-manual-therapy-and-nervous-vagus-stimulation-in-patients-with-myogenic-temporomandibular-disorders-100460197","NCT05272488","A Combined Treatment of Manual Therapy and Nervous Vagus Stimulation in Patients With Myogenic Temporomandibular Disorders","A Combined Treatment of Manual Therapy and Nervous Vagus Stimulation Versus a Treatment of Manual Therapy Isolated in Patients With Myogenic Temporomandibular Disorders","Inclusion Criteria:\n\n* Clinical diagnosis of myogenic pain according to the CD \u002F TTM diagnostic criteria.\n* Presence of pain during the last 30 days.\n* Patients with decreased jaw function and mobility due to pain.\n* Patients who have not received physiotherapy treatment in the last 3 weeks.\n* Patients of legal age.\n\nExclusion Criteria:\n\n* Patients with drug treatment: sedatives, anti-inflammatories, antidepressants, anxiolytics or muscle relaxants.\n* Patients with cardiac pacemakers and implanted defibrillators. Patients diagnosed with severe cardiorespiratory and \u002F or respiratory diseases, carcinogenic processes, infectious processes and \u002F or systemic pathologies.\n* Clinical diagnosis of temporomandibular disorder of joint or mixed origin according to the Diagnostic Criteria for Temporomandibular Disorders (CD \u002F TMD).\n* Patients with psychiatric or psychological disorders, intellectual or motor deficiencies that, due to their nature, prevent them from correctly performing the prescribed exercises, correctly following the physiotherapist's instructions or understanding the questionnaires and \u002F or measurement scales of the variables.\n* Patients with dental processes scheduled during the study period or who have undergone surgery in the last 3 months.\n* Patients with suspicion or certainty that their pain has appeared as a consequence of a local or general trauma.\n* Patients diagnosed with fibromyalgia, neuropathic pain or degenerative diseases",{"count":206,"type":22},[25],"Temporomandibular disorders (TMD) are one of the most important Public Health issues in the world and its incidence has increased over the years. The Physiotherapy and manual therapy techniques has shown its efficacy to reduce pain and to improve jaw functionality in patients with TMD. Until now, treatment targets has been the muscle and joint, but clinicians has not taken into account the innervation and how the nerve can have an influence in pain or jaw functionality.\n\nIn this sense, it is known that there is a relationship between jaw innervation and vagus nerve, a parasympathetic nerve which is easily stimulable, due to its connection with the respiratory system, taking deep breaths using the diaphragm.\n\nTherefore, our hypothesis is that a treatment in which clinicians combine manual therapy and nerve vagus stimulation could have better effects (reducing pain, increasing range of motion in temporomandibular joints and improving quality of life in patients with TMD) than a isolated manual therapy treatment.\n\nWith this purpose will be selected 20 subjects to participate in our study divided in two groups. Both groups will received 4 sessions of physiotherapy (one each 7 days during one month) and also will be thought to do own treatment those days the subjects does not come to the clinic until the study will have finished (the interventional period last two months). Both groups will received the same manual therapy techniques but only the experimental group will be treated with nerve vagus stimulation technique.\n\nOne member of the group who will not participated in the interventions will be in charge of do evaluations (1 each month\u002F a total of 3 evaluations) following different questionaries to assess the primary variables of the study: chronic pain level, jaw functionality, physical symptoms level, range of motion and distress level.",[249,250],"Temporomandibular Joint Disorders","Pain",[252,253],"Temporomandibular Joint","Manual therapy",{"date":192,"type":37},{"date":256,"type":37},"2022-08-01",{"date":258,"type":22},"2027-09-15",{"name":43,"class":44},3,{"id":262,"slug":263,"hasResults":12,"nctId":264,"briefTitle":265,"officialTitle":266,"acronym":4,"eligibilityCriteria":267,"healthyVolunteers":12,"sex":17,"minAge":18,"maxAge":223,"enrollmentInfo":268,"targetDuration":4,"studyType":23,"phases":270,"briefSummary":271,"conditions":272,"keywords":4,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":190,"lastUpdatePostDateStruct":274,"startDateStruct":275,"completionDateStruct":277,"leadSponsor":279,"locationsCount":118},"100411388","dry-needling-and-patients-treatment-expectations-100411388","NCT04636879","Dry Needling and Patients Treatment Expectations","Influence of Induced Expectations on the Autonomic Nervous System During a Dry Needling Intervention for Patients With Neck Pain. A Randomized Clinical Trial.","Inclusion Criteria:\n\n* Neck pain.\n* Hiperalgesic point in Upper trapezius muscle.\n\nExclusion Criteria:\n\n* Pain Irradiation toward upper limb\n* Psychological disorders\n* Whiplash.\n* Neuropathic symptoms\n* Cervical and \u002F or Shoulder Spine Surgery",{"count":269,"type":22},45,[25],"Objectives The aim of this study is to compare the effects of inducing positive expectations against negative or neutral induced expectations on the activation of the Autonomic Nervous System and the analgesic response, after a dry needling technique in upper trapezius fibers in patients with unspecific neck pain.\n\nSummary Theoretical framework: Dry needling has proven its efficacy for the treatment of myofascial trigger points. Moreover, it has proven its effects over the Central Nervous System and the Autonomic Nervous System (ANS). Despite that previous studies have researched the role of patient's expectations and their relationship with the results of treatment, there is insufficient information concerning the effects of inducing expectations and the activation of the ANS during the application of widely used therapies, such as dry needling.",[273],"Neck Pain; Dry Needling; Motivation",{"date":192,"type":37},{"date":276,"type":37},"2021-02-23",{"date":278,"type":22},"2026-11-05",{"name":43,"class":44},{"id":281,"slug":282,"hasResults":12,"nctId":283,"briefTitle":284,"officialTitle":285,"acronym":4,"eligibilityCriteria":286,"healthyVolunteers":12,"sex":150,"minAge":18,"maxAge":287,"enrollmentInfo":288,"targetDuration":4,"studyType":23,"phases":289,"briefSummary":290,"conditions":291,"keywords":295,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":300,"lastUpdatePostDateStruct":301,"startDateStruct":303,"completionDateStruct":305,"leadSponsor":306,"locationsCount":118},"100623076","high-intensity-interval-training-and-menstrual-health-experience-in-primary-dysmenorrhea-100623076","NCT07391930","High-Intensity Interval Training and Menstrual Health Experience in Primary Dysmenorrhea.","Efficacy of a High-Intensity Interval Training Program and Analysis of Menstrual Health Experience in Women With Primary Dysmenorrhea: A Mixed-Methods Randomized Controlled Trial.","Inclusion Criteria:\n\n* nulliparous\n* primary dysmenorrhea\n* body mass index between 18 and 30\n* menstrual pain \\>5 according to the Numeric Pain Scale\n* exercise \\>45 minutes\u002Fweek\n* understand Spanish and can freely read and sign the informed consent form\n\nExclusion Criteria:\n\n* amenorrhea or cycles \\>35 days\n* secondary dysmenorrhea\n* pelvic or abdominal surgical intervention\n* use of hormonal drugs\n* diagnosed with fibromyalgia, muscoloskeletal injuries or medical comorbidities that prevent them from performing intense exercise\n* receiving physiotherapy for pelvic floor disorders\n* intense exercise \\>75 minutes\u002Fweek","40 Years",{"count":206,"type":22},[25],"The goal of this study is to evaluate whether a 12-week online supervised high-intensity interval training program can reduce menstrual pain and improve quality of life in women with primary dysmenorrhea. Participants will be divided into two groups: one receiving an educational workshop and the HIIT program, and a control group receiving only the workshop. Additionally, the study seeks to understand the personal experience of these women through weekly health diaries, exploring how the intervention affects their relationship with their bodies and their menstruation. The ultimate goal is to offer new, non-pharmacological evidence-based tools for managing menstrual pain.",[292,293,294],"Dysmenorrhea Primary","Menstrual Pain","Pelvic Pain",[296,297,298,299],"High- Intensity Interval Training","Quality of Life","Menstrual Health","Therapeutic Exercise","2026-04-19",{"date":302,"type":37},"2026-04-21",{"date":304,"type":37},"2026-02-18",{"date":80,"type":22},{"name":43,"class":44},{"id":308,"slug":309,"hasResults":12,"nctId":310,"briefTitle":311,"officialTitle":312,"acronym":313,"eligibilityCriteria":314,"healthyVolunteers":53,"sex":17,"minAge":18,"maxAge":315,"enrollmentInfo":316,"targetDuration":4,"studyType":23,"phases":317,"briefSummary":318,"conditions":319,"keywords":4,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":321,"lastUpdatePostDateStruct":322,"startDateStruct":324,"completionDateStruct":326,"leadSponsor":328,"locationsCount":118},"100568555","detection-of-balance-in-the-elderly-under-the-influence-of-stress-100568555","NCT06682754","Detection of Balance in the Elderly Under the Influence of Stress","Use of Balance Detection Devices for Elderly People Under the Influence of Stress (DEPIE)","DEPIE","Inclusion Criteria:\n\n* Young adults (ages 18-39).\n* Older adults (≥65).\n* Voluntarily participate in the study.\n* Not meeting the exclusion criteria\n\nExclusion Criteria:\n\n* Any disease, injury, or previous trauma that contraindicates muscular exertion, balance exercises, and\u002For walking.\n* Any physical or mental illness that contraindicates exposure to stimuli generating emotional stress, such as severe depression or severe psychosis\n* Difficulties in understanding study information and providing informed consent","99 Years",{"count":206,"type":22},[25],"The aging process involves physiological changes in organs and tissues that can evolve towards fragility and increased risk of falls. Falls, which can be one of the adverse results of frailty in older people, are the second leading cause of death worldwide. When an elderly person falls, it entails not only hospitalization, immobilization, and the consequent deterioration, but also usually causes fear of falling again, which can also lead to the onset of disability. The inherent aging process can be linked to the deterioration of postural control and balance, posing serious health problems. In falls in the elderly, both sensorimotor and cognitive functions are affected, the functioning of which is degraded to a greater extent by anxiety and stress. Nowadays, more extensive, and more precise research is needed in the study of the interactions between cognition, stress, and postural control in the context of postural instability and falls in older adults.\n\nThe purpose of the DEPIE Project is to detect whether neuromuscular changes that occur when exposed to stressful situations can affect the postural and motor control of the elderly.\n\nTo this end, all participants will undergo the same intervention. Firstly, they will all take a baseline cognitive and physical assessment. Afterwards, they will take the experimental session, which will consist of a baseline test and an experimental test. During the baseline test, participants will visualize International Affective Picture System (IAPS) images of low arousal and during the experimental test of high arousal. Finally, physical assessment tests will be repeated.\n\nYoung and older adults will be tested. Additionally, sub-analyses will be conducted within the elderly group differentiating the degree of cognitive impairment and functional dependence.\n\nThe primary outcome measures will be surface electromyography, pressures on the floor, activity on manipulation, and balance.\n\nThe secondary outcome measures will be heart rate variability, respiratory rate and the visual analogue scale on unease after visualisation of the images.",[320],"Balance","2025-08-06",{"date":323,"type":37},"2025-08-07",{"date":325,"type":37},"2024-11-27",{"date":327,"type":22},"2026-07",{"name":43,"class":44},{"id":330,"slug":331,"hasResults":12,"nctId":332,"briefTitle":333,"officialTitle":334,"acronym":4,"eligibilityCriteria":335,"healthyVolunteers":12,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":336,"targetDuration":4,"studyType":23,"phases":338,"briefSummary":339,"conditions":340,"keywords":4,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":342,"lastUpdatePostDateStruct":343,"startDateStruct":345,"completionDateStruct":347,"leadSponsor":349,"locationsCount":118},"100561225","comparison-of-manual-therapy-versus-radial-shock-waves-in-the-shoulder-pain-treatment-100561225","NCT06587399","Comparison of Manual Therapy Versus Radial Shock Waves in the Shoulder Pain Treatment","Comparison of Manual Therapy Versus Low-medium Energy Radial Shock Waves in the Treatment of Subacromial Syndrome in a Randomized Clinical Trial","Inclusion Criteria:\n\n* Unilateral shoulder pain with no history of trauma.\n* Pain of at least 4\u002F10 on the Visual Analogue Scale for a minimum period of 3 months.\n* Be positive in at least 3 of the following 5 tests: painful arc test, Neer impingement test, Hawkins-Kennedy test, Jobe test, external rotation test against resistance for the infraspinatus tendon.\n\nExclusion Criteria:\n\n* Presence of red flags.\n* Diagnosis of shoulder instability.\n* Diagnosis of frozen shoulder.\n* Diagnosis of complete rupture of the common rotator cuff tendon.\n* Diagnosis of cervical radiculopathy.\n* Diagnosis of whiplash.\n* Diagnosis of degenerative disease of the glenohumeral joint.",{"count":337,"type":22},88,[25],"Subacromial syndrome represents the third leading cause of pain in the general population. There is no clear pathophysiological explanation, nor a specific treatment. Manual therapy stands out as one of the reference treatments for this disease, however, it is complex to develop a specific protocol. On the other hand, shock waves have still not received adequate attention in the treatment of this pathology. The aim of this study will focus on using manual treatment using ischemic pressure, joint mobilizations and myofascial techniques in comparison to shock wave therapy to determine which is more effective.\n\nThis study will be a randomized, single-blind clinical trial with third-party evaluation. In it 88 subjects suffering from subacromial syndrome will participate. 44 patients will receive treatment through manual therapy over 6 weeks and other 44 patients through low-med energy radial shock waves for 6 weeks.\n\nAll subjects will complete their treatment with a 12-week home-based therapeutic exercise program.\n\nThe main endpoint of the study will be pain measured using the visual analogue scale (VAS) in motion. Pain will also be assessed using the VAS scale at rest and overnight. The Spadi Spanish version questionnaire will be used, shoulder strength will be measured using a handheld dynamometer and the ranges of motion will be measured.\n\nData will be measured before and one year after treatment.",[341,185],"Shoulder Impingement","2025-06-01",{"date":344,"type":37},"2025-06-03",{"date":346,"type":37},"2024-09-30",{"date":348,"type":22},"2026-09-15",{"name":43,"class":44},{"id":351,"slug":352,"hasResults":12,"nctId":353,"briefTitle":354,"officialTitle":355,"acronym":356,"eligibilityCriteria":357,"healthyVolunteers":12,"sex":150,"minAge":358,"maxAge":4,"enrollmentInfo":359,"targetDuration":4,"studyType":23,"phases":361,"briefSummary":362,"conditions":363,"keywords":366,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":374,"lastUpdatePostDateStruct":375,"startDateStruct":377,"completionDateStruct":379,"leadSponsor":381,"locationsCount":118},"100571567","genitourinary-syndrome-of-menopause-in-breast-cancer-100571567","NCT06721936","Genitourinary Syndrome of Menopause in Breast Cancer","Genitourinary Syndrome of Menopause Induced by Breast Cancer Treatments: A Randomized Clinical Trial Protocol Comparing Multimodal Pelvic Floor Physiotherapy and Frac-tional CO2 Laser Therapy (PILME Study).","PILME","Inclusion Criteria:\n\n* Breast cancer survivors diagnosed with GSM as a result of cancer treatment\n* Vaginal Health Index (VHI) score of ≤ 15.\n\nExclusion Criteria:\n\n* History of conservative treatment or surgery for pelvic floor dysfunction or GSM\n* Currently undergoing chemotherapy, or have undergone BC surgery but have not received chemotherapy or hormonal treatment.\n* Presence of concomitant or systemic diseases that could interfere with the proposed treatments, such as a recurrence of the oncological process, active or recurrent untreated urinary tract infections, hematuria, or cognitive impairments that hinder the participant's ability to comprehend study information, respond to questionnaires, provide informed consent, or fully participate in the study.","38 Years",{"count":360,"type":22},182,[25],"This randomized, single-blind clinical trial will compare the effectiveness of multimodal pelvic floor physiotherapy (PPT) and fractional CO2 vaginal laser therapy in reducing genitourinary syndrome of menopause (GSM) symptoms among breast cancer (BC) survivors. GSM, induced by cancer treatments, is common in BC survivors due to hormonal deprivation, and effective non-hormonal treatments are needed. The study will enroll 210 women diagnosed with GSM following BC treatment, who will be randomly assigned to either three sessions of CO2 vaginal laser therapy or eight sessions of multimodal PPT, which includes pelvic floor muscle training, vaginal non-ablative radiofrequency, education, and moisturizers. Primary outcomes will include perineal pain, sexual function, and health-related quality of life (HRQoL), with assessments at baseline, post-intervention, and at 3, 6, and 12 months. The hypothesis is that multimodal PPT will lead to greater improvements in pelvic pain, muscle function, and sexual health, with sustained benefits over time. This trial aims to provide evidence for non-invasive, non-hormonal treatments to manage GSM in BC survivors, filling a significant therapeutic gap.",[364,365],"Genitourinary Syndrome of Menopause (GSM)","Breast Cancer Female",[367,368,369,370,371,372,373,164],"Breas cancer","Cost-effectiveness","Dyspareunia","Genitourinary syndrome of menopause","Laser therapy","Menopause","Physiotherapy","2025-04-23",{"date":376,"type":37},"2025-04-27",{"date":378,"type":37},"2024-11-29",{"date":380,"type":22},"2027-12-31",{"name":43,"class":44},{"id":383,"slug":384,"hasResults":12,"nctId":385,"briefTitle":386,"officialTitle":387,"acronym":4,"eligibilityCriteria":388,"healthyVolunteers":53,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":389,"targetDuration":4,"studyType":57,"phases":4,"briefSummary":391,"conditions":392,"keywords":394,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":400,"lastUpdatePostDateStruct":401,"startDateStruct":403,"completionDateStruct":405,"leadSponsor":407,"locationsCount":45},"100571711","physical-activity-and-work-ability-in-university-staff-100571711","NCT06723808","Physical Activity and Work Ability in University Staff","Relationship Between Leisure-Time Physical Activity and Work Ability in University Staff With Different Occupational Demands: A Cross-Sectional Study With a Gender Perspective","Inclusion Criteria:\n\n* University staff from different departments of the University of Alcalá who are able to understand Spanish.\n\nExclusion Criteria:\n\n* Individuals with cognitive limitations that hinder their ability to comprehend information, respond to questionnaires, or consent to participation in the study.\n* Individuals with neurological impairments or a diagnosis of severe mental illness.\n* Individuals with uncontrolled cardiorespiratory diseases or diabetes.",{"count":390,"type":22},876,"The goal of this observational study is to explore the relationship between leisure-time physical activity (LTPA) and work ability in university staff, with a focus on occupational physical activity (OPA) and gender. The main question it aims to answer is:\n\nHow does leisure-time physical activity (LTPA) influence work ability in university staff, considering their occupational physical activity (OPA) and gender?\n\nParticipants from the University of Alcalá will complete an online survey, which includes sociodemographic data and validated questionnaires on LTPA, OPA, work ability, musculoskeletal disorders, health-related quality of life, and workload.",[393],"Work Ability",[395,396,397,398,399],"Physical Activity","Working Conditions","Recreational Activities","Sedentary Behavior","Gender Perspective","2025-03-24",{"date":402,"type":37},"2025-03-25",{"date":404,"type":37},"2024-12-15",{"date":406,"type":22},"2028-12-31",{"name":43,"class":44},{"id":409,"slug":410,"hasResults":12,"nctId":411,"briefTitle":412,"officialTitle":413,"acronym":414,"eligibilityCriteria":415,"healthyVolunteers":12,"sex":150,"minAge":18,"maxAge":223,"enrollmentInfo":416,"targetDuration":4,"studyType":23,"phases":418,"briefSummary":419,"conditions":420,"keywords":424,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":429,"lastUpdatePostDateStruct":430,"startDateStruct":432,"completionDateStruct":434,"leadSponsor":436,"locationsCount":4},"100571520","therapeutic-education-of-sexual-dysfunctions-in-women-survivors-of-sexual-violence-and-female-genital-mutilation-100571520","NCT06721325","THERAPEUTIC EDUCATION of SEXUAL DYSFUNCTIONS in WOMEN SURVIVORS of SEXUAL VIOLENCE and FEMALE GENITAL MUTILATION","EFFECTIVENESS of THERAPEUTIC EDUCATION in the PREVENTION and MANAGEMENT of SEXUAL DYSFUNCTIONS in WOMEN SURVIVORS of SEXUAL VIOLENCE and FEMALE GENITAL MUTILATION: RANDOMIZED CLINICAL TRIAL","TESDSV","Inclusion Criteria:\n\nWomen who have suffered sexual assault:\n\n* Aged 18 and older\n* No severe psychiatric disorders or any other condition that prevents them from answering questions and questionnaires\n* Emotionally prepared to address the affected physical and sexual sphere\n\nWomen who have undergone Female Genital Mutilation:\n\n* Aged 18 and older\n* No severe psychiatric disorders or inability to answer questions and questionnaires\n* Emotionally prepared to address the affected physical and sexual sphere\n\nExclusion Criteria:\n\n* Women who have suffered sexual assaults in the context of trafficking of women and girls for sexual exploitation.\n* Women who have difficulty understanding the Spanish language.\n* Women who are not psychologically prepared to address their sexuality.",{"count":417,"type":22},163,[25],"Violence against women is a problem that affects women all over the planet, causing physical, emotional, and other repercussions for its survivors. Pelvic floor dysfunctions, especially female sexual dysfunctions, are among the most common physical consequences for women who have suffered sexual violence or female genital mutilation. Pelvic floor physiotherapy is the first-line treatment for these dysfunctions, with therapeutic education being one of its main strategies due to its importance in the cognitive approach and for promoting patient adherence to the proposed treatments. Women who are survivors of sexual violence and female genital mutilation, being at risk for these disorders, express the need to receive information about these dysfunctions and their possible treatments. However, it has been shown that their knowledge in this regard is limited. Therefore, a project is proposed with the objective of determining the effectiveness of an intervention based on therapeutic education in the prevention and management of sexual dysfunctions secondary to sexual violence or female genital mutilation. A group educational program is proposed, which allows survivor women to address these dysfunctions in a non-invasive way. Six sessions are planned to promote the development of various competencies: communicating their needs, integrating knowledge about their health problem, identifying and analyzing, decision-making and know-how, problem-solving, using healthcare resources and asserting their rights. This will provide these women a safe space to share their experiences, learn to manage them, acquire knowledge about the pelvic floor, related dysfunctions and their treatment, as well as self-efficacy tools for dealing with sexual dysfunctions.",[421,422,423],"Sexual Abuse of Adult (If Focus of Attention is on Victim)","Sexual Dysfunction Female","Female Genital Mutilation",[425,426,427,428],"sexual violence","female genital mutilation","therapeutic education","physiotherapy","2024-12-05",{"date":431,"type":37},"2024-12-06",{"date":433,"type":22},"2024-11-30",{"date":435,"type":22},"2026-12-31",{"name":43,"class":44},{"id":438,"slug":439,"hasResults":12,"nctId":440,"briefTitle":441,"officialTitle":442,"acronym":4,"eligibilityCriteria":443,"healthyVolunteers":53,"sex":150,"minAge":444,"maxAge":287,"enrollmentInfo":445,"targetDuration":4,"studyType":57,"phases":4,"briefSummary":447,"conditions":448,"keywords":4,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":454,"lastUpdatePostDateStruct":455,"startDateStruct":457,"completionDateStruct":459,"leadSponsor":461,"locationsCount":118},"100495605","non-invasive-imaging-technique-for-the-study-of-lordosis-in-pregnant-women-and-its-relationship-to-birth-outcome-100495605","NCT05733377","Non-invasive Imaging Technique for the Study of Lordosis in Pregnant Women and Its Relationship to Birth Outcome","Validation of a Non-invasive Image Technique for Studying Pregnant Women´s Lordosis. Relation Between Lordosis and Childbirth Outcome.","Inclusion Criteria:\n\n* pregnant women between 20 and 40 years old with a low-risk pregnancy\n\nExclusion Criteria:\n\n* Pregnant women under 20 years and over 40 years of age or with a significant lumbar pathology or with a very high-risk pregnancy or with IMC \\>35","20 Years",{"count":446,"type":22},122,"The study consists of collecting measurement data of the rachis in pregnant women and the subsequent outcome of her delivery.\n\nThis will make it possible to validate a non-invasive imaging technique through software that can be used to study this anatomical curve proposing a new measurement method for the angle of lordosis.\n\nFinally, with the research data, the investigators will try to find a correlation between these variables (angle of lordosis and delivery outcome.",[449,450,451,452,453],"Pregnancy Outcome","Biomechanics","Back Disorder","Diagnostic Imaging","Biomedical Technology","2024-11-06",{"date":456,"type":37},"2024-11-08",{"date":458,"type":37},"2022-07-15",{"date":460,"type":22},"2025-06-30",{"name":43,"class":44},{"id":463,"slug":464,"hasResults":12,"nctId":465,"briefTitle":466,"officialTitle":466,"acronym":467,"eligibilityCriteria":468,"healthyVolunteers":12,"sex":150,"minAge":18,"maxAge":4,"enrollmentInfo":469,"targetDuration":4,"studyType":23,"phases":471,"briefSummary":472,"conditions":473,"keywords":475,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":479,"lastUpdatePostDateStruct":480,"startDateStruct":482,"completionDateStruct":484,"leadSponsor":486,"locationsCount":118},"100562159","efficacy-of-hypopressive-exercises-versus-pilates-in-women-with-abdominal-diastasis-in-the-postpartum-period-a-randomized-controlled-trial-100562159","NCT06599541","Efficacy of Hypopressive Exercises Versus Pilates in Women with Abdominal Diastasis in the Postpartum Period: a Randomized Controlled Trial","AD-HE-PI","Inclusion Criteria:\n\n* Primiparous women over 18 years of age who are within 3 months postpartum.\n* AD with values \\&amp;gt;2.5 cm in any of the following reference points: 2 cm supraumbilical or 2 cm infraumbilical.\n* Vaginal birth.\n\nExclusion Criteria:\n\n* Abdominal or umbilical hernia.\n* Previous abdominal surgery.\n* Be receiving any other treatment for your AD",{"count":470,"type":22},48,[25],"The aim of this study is to compare the effects of two exercise programs in women with abdominal diastasis (AD) during the postpartum. One group will receive hypopressive exercises (HE) and the other will receive pilates exercise. The hypothesis of this study is that the execution of both protocols will offer benefits in the ultrasound values of the AD and in the data collected on the quality of life in the short term and 12 weeks after its completion.",[474],"Abdominal Diastasis",[476,477,474,478],"Hypopressive Exercise","Pilates","Postpartum","2024-09-16",{"date":481,"type":37},"2024-09-19",{"date":483,"type":22},"2024-10",{"date":485,"type":22},"2026-01",{"name":43,"class":44},{"id":488,"slug":489,"hasResults":12,"nctId":490,"briefTitle":491,"officialTitle":492,"acronym":4,"eligibilityCriteria":493,"healthyVolunteers":53,"sex":17,"minAge":18,"maxAge":494,"enrollmentInfo":495,"targetDuration":4,"studyType":57,"phases":4,"briefSummary":497,"conditions":498,"keywords":501,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":506,"lastUpdatePostDateStruct":507,"startDateStruct":508,"completionDateStruct":510,"leadSponsor":512,"locationsCount":4},"100562130","evaluation-of-vastus-medialis-muscle-inhibition-in-indoor-soccer-players-with-and-without-acl-injury-100562130","NCT06599164","Evaluation of Vastus Medialis Muscle Inhibition in Indoor Soccer Players With and Without ACL Injury","Evaluation of Muscular Anthrogenic Inhibition of the Vasto Medialis in Indoor Soccer Players With Anterior Cruciate Ligament (ACL) Injury in Comparison With Non-Injured Players: Observational Cohort Study","Inclusion Criteria:\n\n* Age between 18 and 45 years old\n* Playing in the Spanish National League (first or second category) or in the Madrid Futsal Federation in PRIMERA RFFM and PREFERENTE.\n* Both sexes\n* Have been playing futsal for at least 2 years\n* Enrolled in the Madrid Health System\n* Any language\n\nExclusion Criteria:\n\n* Operations other than an Anterior Cruciate Ligament injury (Cartilage, Meniscus, Ligaments).\n* Injuries to the knee of the contralateral lower limb. (sprains, fracture)\n* Muscle injuries or conditions in the affected or contralateral limb for less than 2 months (sprains, tibial periostitis, tendinopathies, tears).\n* Any infection must be reported after the intervention and will be excluded from the study.\n* Players will not be allowed to play any kind of team sport other than Futsal in an official way during this season.\n* Players may not have any cardiovascular or respiratory pathology that would affect the study.\n* Players who have already undergone an Anterior Cruciate Ligament rupture in previous years will not be considered.","45 Years",{"count":496,"type":22},64,"The Anterior Cruciate Ligament (ACL) is vital for knee stability, and ACL injuries in futsal can lead to long-term issues. Reconstruction surgery may be affected by Anthrogenic Muscle Inhibition (AMI), especially in the vastus medialis muscle. This study aims to compare AMI in futsal players with ACL injuries to those without injuries, focusing on measurement techniques, sports performance, muscle strength, and recovery time. The research involves evaluating 54 players (27 injured and 27 non-injured) at various stages of the season using strength tests and imaging.",[499,500],"Anterior Cruciate Ligament Injuries","Knee Injuries",[502,503,504,505],"Anthrogenic Muscle Inhibition","Soccer","Anterior Cruciate Ligament","Rehabilitation","2024-09-12",{"date":481,"type":37},{"date":509,"type":22},"2025-09-01",{"date":511,"type":22},"2026-08-31",{"name":43,"class":44},{"id":514,"slug":515,"hasResults":12,"nctId":516,"briefTitle":517,"officialTitle":517,"acronym":518,"eligibilityCriteria":519,"healthyVolunteers":12,"sex":17,"minAge":18,"maxAge":223,"enrollmentInfo":520,"targetDuration":4,"studyType":23,"phases":521,"briefSummary":522,"conditions":523,"keywords":525,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":527,"lastUpdatePostDateStruct":528,"startDateStruct":529,"completionDateStruct":531,"leadSponsor":533,"locationsCount":118},"100561351","34comparison-of-shockwave-application-on-the-sole-of-the-foot-vs-the-back-of-the-leg-in-the-treatment-of-plantar-fasciitis-a-clinical-trial34-100561351","NCT06589037","&#34;Comparison of Shockwave Application on the Sole of the Foot Vs. the Back of the Leg in the Treatment of Plantar Fasciitis: a Clinical Trial.&#34;","SW-PF-BL","Inclusion criteria: having been diagnosed with plantar fasciitis, experiencing pain related to the condition for at least 1 month, and being between 18 and 65 years of age.\n\nExclusion criteria: being pregnant, having a pacemaker, presenting with rheumatoid arthritis, or having coagulation disorders.",{"count":470,"type":22},[25],"The study focuses on plantar fasciitis, one of the most common causes of non-traumatic foot and ankle pain, with an estimated prevalence of 10%. Its objective is to evaluate the effectiveness of shock wave therapy applied along the course of the sciatic nerve in treating plantar fasciitis, comparing its effects on pain, foot-ankle functionality, and quality of life.\n\nForty-eight subjects will be recruited and randomly assigned to two groups: one will receive local shock wave therapy, while the other will receive therapy along the sciatic nerve. Data will be collected at four points in time: before the intervention, one week after, one month after, and three months after, with blinded data collection.\n\nPain, foot-ankle functionality, and quality of life will be measured. Data analysis will be performed using SPSS 29.0, applying ANOVA and other tests depending on the normality of the data. Differences will be estimated with a 95% confidence interval and a p-value \\&lt; 0.05.",[524],"Plantar Fasciitis",[526],"plantar fasciitis, shockwaves, sciatic nerve.","2024-09-05",{"date":481,"type":37},{"date":530,"type":22},"2024-10-01",{"date":532,"type":22},"2025-05-01",{"name":43,"class":44},{"id":535,"slug":536,"hasResults":12,"nctId":537,"briefTitle":538,"officialTitle":539,"acronym":540,"eligibilityCriteria":541,"healthyVolunteers":12,"sex":17,"minAge":18,"maxAge":542,"enrollmentInfo":543,"targetDuration":4,"studyType":23,"phases":545,"briefSummary":546,"conditions":547,"keywords":550,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":554,"lastUpdatePostDateStruct":555,"startDateStruct":557,"completionDateStruct":559,"leadSponsor":561,"locationsCount":118},"100560942","real-dry-needling-and-placebo-dry-needling-applied-with-and-without-ultrasound-guidance-on-the-infraspinatus-muscle-100560942","NCT06583707","Real Dry Needling and Placebo Dry Needling Applied With and Without Ultrasound Guidance on the Infraspinatus Muscle","Effect of the Application of Real Dry Needling and Placebo Dry Needling Applied With and Without Ultrasound Guidance on the Infraspinatus Muscle in Shoulder Pain and Functionality in Patients Diagnosed With Rotator Cuff Tendinopathy","DN-INFR-RCT","Inclusion Criteria:\n\nPatients aged between 18 and 60 years. Patients diagnosed with rotator cuff tendinopathy by a physician. The physician must have determined this diagnosis based on an imaging test: ultrasound or MRI. Presence of a taut band in the infraspinatus muscle with active trigger points that reproduce the patient\\&#39;s symptoms upon pressure.\n\n\\-\n\nExclusion Criteria:\n\nHigh-level athletes, patients diagnosed with capsulitis, patients with a history of humeral or scapular fracture, patients with a complete or partial rotator cuff tear, patients diagnosed with cancer, and patients with any contraindications related to dry needling, patients who have previously undergone shoulder surgery, patients with a history of shoulder dislocation, patients diagnosed with fibromyalgia, patients taking medication for shoulder pain, and pregnant patients\n\n\\-","60 Years",{"count":544,"type":22},76,[25],"The infraspinatus muscle is one of the four muscles that form the rotator cuff. The dry needling technique involves inserting a sterile needle to stimulate a myofascial trigger point with the aim of reducing pain and increasing range of motion and quality of life. This technique can be performed using ultrasound guidance, which allows us to visualize the needle at all times, but it can also be done using anatomical landmarks. This study includes a self-directed exercise plan for rotator cuff tendinopathy. Variables such as strength, shoulder functionality level, grip strength, and active range of motion will be measured. As part of the intervention, two dry needling sessions will be performed, 14 days apart, along with two different exercise programs. Three measurements will be taken, and the intervention will last for 6 weeks. The sample will be divided into four equal groups: Group 1: ultrasound-guided real dry needling; Group 2: ultrasound-guided placebo dry needling; Group 3: non-ultrasound-guided real dry needling; and Group 4: non-ultrasound-guided placebo dry needling",[548,549],"Tendinopathy","Rotator Cuff",[187,551,250,548,552,553],"Rotator cuff","ultrasound-guided","exercise","2024-09-03",{"date":556,"type":37},"2024-09-04",{"date":558,"type":22},"2024-09-23",{"date":560,"type":22},"2025-03",{"name":43,"class":44},{"id":563,"slug":564,"hasResults":12,"nctId":565,"briefTitle":566,"officialTitle":567,"acronym":4,"eligibilityCriteria":568,"healthyVolunteers":12,"sex":17,"minAge":444,"maxAge":569,"enrollmentInfo":570,"targetDuration":4,"studyType":23,"phases":571,"briefSummary":572,"conditions":573,"keywords":575,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":577,"lastUpdatePostDateStruct":578,"startDateStruct":579,"completionDateStruct":581,"leadSponsor":583,"locationsCount":118},"100561003","effect-of-dry-needling-on-gluteus-medius-contraction-in-greater-trochanteric-pain-syndrome-a-pilot-rct-protocol-100561003","NCT06584500","Effect of Dry Needling on Gluteus Medius Contraction in Greater Trochanteric Pain Syndrome: a Pilot RCT Protocol","Analysis of the Effect of Dry Needling on the Pelvitrochanteric Musculature on the Potential Contraction of the Gluteus Medius in Patients with Greater Trochanteric Pain Syndrome: Protocol for a Randomized Clinical Trial. Pilot Study","Inclusion Criteria:\n\n* Lateral hip pain lasting more than 3 months.\n* Greater trochanteric pain syndrome compatible with changes on MRI.\n* Clinical examination correlation: one of the following tests must be positive: FADER test, FABER test, hip adduction (ADD) test in side-lying position (DL), isometric contraction test in the ADD position, or single-leg stance test for 30 seconds.\n* Pain\u002Fsensitization upon palpation of the trochanter.\n\nExclusion Criteria:\n\n* Radicular pain due to lumbar pathology.\n* Osteoarthritis.\n* Pelvic pathology that could refer pain to the hip.\n* Needle phobia.\n* Hip injection performed less than 6 months ago.\n* Dry needling performed less than 1 month ago.\n* Surgery or pathology of the lower limb that prevents single-leg support.\n* Systemic diseases that could interfere with the pathological process.","75 Years",{"count":181,"type":22},[25],"Grater trochanteric pain syndrome is a hip related pathology that causes lateral hip pain and lack of strength in abductor muscles such as the gluteus medius, which hinders functional activities and daily life, such as standing, walking, sleeping on the affected side... Lack of strength and eccentric control of the gluteus medius may be related to the apparition of myofascial trigger points that are susceptible to treatment with dry needling.\n\nIn this study, two groups of patients with greater trochanteric pain syndrome will be treated with dry needling, some of them with real dry needling, and others with sham dry needling. Ultrasound will be used to assess whether real dry needling in the pelvitrochanteric musculature improves the potential contraction of the gluteus medius, in relation to a baseline measurement and to sham dry needling.\n\nThis study is a randomised clinical trial protocol, pilot study, so there will be no previous references for the sample of both study groups. 3 dry needling interventions will be performed in 3 consecutive weeks, leaving 1 week between each intervention. Data will be collected for the variables to be investigated (potential contraction, pain, function, strength…) before the first intervention, after each intervention, 1 month after the last intervention and at 3 months.",[574],"Greater Trocantheric Pain Syndrome",[576],"greater trochanteric pain syndrome, potential contraction, dry needling, gluteus medius.","2024-09-02",{"date":556,"type":37},{"date":580,"type":22},"2024-10-15",{"date":582,"type":22},"2025-11-08",{"name":43,"class":44},{"id":585,"slug":586,"hasResults":12,"nctId":587,"briefTitle":588,"officialTitle":589,"acronym":4,"eligibilityCriteria":590,"healthyVolunteers":53,"sex":17,"minAge":18,"maxAge":287,"enrollmentInfo":591,"targetDuration":4,"studyType":23,"phases":592,"briefSummary":593,"conditions":594,"keywords":4,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":596,"lastUpdatePostDateStruct":597,"startDateStruct":599,"completionDateStruct":601,"leadSponsor":603,"locationsCount":4},"100559845","efficacy-of-therapeutic-exercise-compared-to-femoral-nerve-mobilisation-in-knee-tendinosis-100559845","NCT06569433","Efficacy of Therapeutic Exercise Compared to Femoral Nerve Mobilisation in Knee Tendinosis","Efficacy of Therapeutic Exercise Compared to Femoral Nerve Mobilisation in Knee Tendinosis: Randomised Clinical Trial","Inclusion Criteria:\n\n* \\- Patients aged 18 to 40 years old\n* Patients with chronic or acute knee tendinosis\n* Who have pain or functional limitation\n\nExclusion Criteria:\n\n* Patients with a contraindication to treatment\n* Patients with a history of recent knee surgery or serious injury\n* Who present neurological pathologies\n* Who are using other physiotherapy techniques",{"count":206,"type":22},[25],"Tendons, located between muscle and bone, transmit force from the former to the latter, allowing joint movement. They are composed mainly of collagen, elastin and water, and are divided into three zones: osteotendinous junction (tendon-bone), myotendinous junction (muscle-tendon) and the tendon body.\n\nKnee tendinosis is a pathology that affects the tendons of this joint due to the breakdown of collagen in the tendon body, characterised by pain during and after exercise, inflammation and loss of function. It is common in athletes, especially in jumping sports such as basketball and volleyball, due to repetitive strain, injury or ageing. Factors such as weight, leg length and muscle strength can influence its development. Radiologically, patellar tendon thickening, and abnormalities are seen.\n\nTreatment includes eccentric exercises, shock wave therapy, ultrasound-guided sclerosis, anti-inflammatory drugs, plasma injections and aprotinin. Neurodynamic theory suggests that altered mechanosensitivity of the femoral nerve may contribute to knee pain, and neurodynamic techniques can improve nerve mobility and reduce symptoms.\n\nA strength exercise with isometric contractions can decrease pain for up to 45 minutes, being a therapeutic option for patellar tendinopathy without affecting muscle strength.\n\nThe research project presented in the master's thesis aims to compare the effectiveness of femoral nerve mobilisation and therapeutic exercise in the treatment of knee tendinosis.",[595],"Chronic Patellar Tendinopathy","2024-08-23",{"date":598,"type":37},"2024-08-26",{"date":600,"type":22},"2024-08-20",{"date":602,"type":22},"2024-12-20",{"name":43,"class":44},{"id":605,"slug":606,"hasResults":12,"nctId":607,"briefTitle":608,"officialTitle":609,"acronym":4,"eligibilityCriteria":610,"healthyVolunteers":53,"sex":17,"minAge":18,"maxAge":611,"enrollmentInfo":612,"targetDuration":4,"studyType":23,"phases":613,"briefSummary":614,"conditions":615,"keywords":617,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":622,"lastUpdatePostDateStruct":623,"startDateStruct":625,"completionDateStruct":627,"leadSponsor":629,"locationsCount":118},"100555240","effect-of-the-modified-sleeper-stretch-on-the-elasticity-of-the-posterior-and-posteroinferior-glenohumeral-capsule-100555240","NCT06509516","Effect of the Modified Sleeper-Stretch on the Elasticity of the Posterior and Posteroinferior Glenohumeral Capsule","Quasi-experimental Study Protocol to Measure the Effect of Modified Sleeper-Stretch on the Elasticity of the Posterior and Posteroinferior Glenohumeral Capsule by Means of Shear Wave Elastography in Adult Population","Inclusion Criteria:\n\n* Male or female with clinical history of nonspecific shoulder pain on a single shoulder, who had GIRD of 15º or more, asymptomatic for more than one month and less than one year.\n* Male or female with no history of shoulder pain.\n* Age between 18 and 59 years.\n\nExclusion Criteria:\n\n* Glenohumeral osteoarthritis.\n* Labrum lesion, Bankart or Hill-Sachs lesion.\n* Posterior instability of any of the shoulders.\n* Evidence of joint hypermobility as defined by a Beighton Scale score greater or equal to 6.\n* Rotator cuff tear.\n* Fracture or surgery in the cervical region or in any of the upper limbs, except shoulders, if less than a year has passed since the episode.\n* History of surgical intervention in any of the shoulders.\n* Tumor growth in the shoulder region.\n* Neuromuscular injuries with shoulder muscles motor involvement (myasthenia, spinal cord injury, spastic contracture, paresis).\n* Inflammatory diseases (rheumatoid arthritis, psoriatic arthritis) affecting the shoulder region in state of outbreak.\n* Metabolic or systemic diseases with potential to modify tissue elastic capacity.\n* Diseases or injuries with contraindication to mobilization or physical exercise of the shoulder region.\n* Inability to perform the stretch due to pain.","59 Years",{"count":496,"type":22},[25],"The goal of this quasi-experimental study is to determine the effect of the self-administered Modified Sleeper-Stretch on the elasticity of the posterior and posteroinferior glenohumeral capsule in adult individuals of both genders who either have clinical history of non-specific shoulder pain in a single shoulder or have no history of shoulder pain at all, being the assessment made by means of shear wave elastography. The main hypothesis it aims to confirm is:\n\n• A soft tissue stretching program, using the Modified Sleeper-Stretch, aimed at general adult population with history of nonspecific shoulder pain that has occurred with glenohumeral internal rotation deficit improves the elasticity of the posterior and posteroinferior glenohumeral capsules, showing no significant effect on general adult population without history of shoulder pain.\n\nResearchers will compare the effect of the Modified Sleeper-Stretch in the elasticity of the posterior and posteroinferior glenohumeral capsule in individuals with history of shoulder pain applying the technique on the affected shoulder and comparing with the healthy shoulder. In healthy individuals the intervention will be made on a randomly assigned shoulder and the effect will be compared to the non-interventional shoulder. Finally, a comparison between groups will be made considering only the intervention shoulder to see if there are differences in the effect amongst healthy and affected individuals.\n\nParticipants will be asked to follow a self-administered Modified Sleeper-Stretch program consisting of the execution of the stretch three times, for thirty seconds each time, with thirty seconds between stretches, daily, for twenty-eight days.",[185,616],"Shoulder Pain Chronic",[618,619,620,621],"Modified Sleeper-Stretch","Shear Wave Elastography","Posterior Capsule","GIRD","2024-07-28",{"date":624,"type":37},"2024-07-30",{"date":626,"type":22},"2024-09",{"date":628,"type":22},"2025-11",{"name":43,"class":44},{"id":631,"slug":632,"hasResults":12,"nctId":633,"briefTitle":634,"officialTitle":635,"acronym":636,"eligibilityCriteria":637,"healthyVolunteers":12,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":638,"targetDuration":4,"studyType":23,"phases":640,"briefSummary":641,"conditions":642,"keywords":644,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":650,"lastUpdatePostDateStruct":651,"startDateStruct":653,"completionDateStruct":654,"leadSponsor":655,"locationsCount":118},"100554922","effects-of-percutaneous-neuromouldation-of-the-saphenous-nerve-in-patients-with-patellofemoral-pain-100554922","NCT06505382","Effects of Percutaneous Neuromouldation of the Saphenous Nerve in Patients With Patellofemoral Pain","Effects of Ultrasound-Guided Percutaneous Neuromodulation of the Saphenous Nerve for Pain Management and Functionality in Patellofemoral Pain Syndrome Patients: A Single-Blind Randomized Controlled Trial","PNMSNPFP","Inclusion Criteria:\n\n* Be 18 years or older.\n* Knee pain in the anterior aspect or around the patella for at least 1 month, exacerbated by activities such as squatting, stair climbing, or prolonged sitting.\n* Patients experiencing difficulty participating in sports due to pain.\n\nExclusion Criteria:\n\n* Previous surgical intervention on the painful knee.\n* Previous diagnosed knee pathology.\n* Recent trauma or acute injury to the knee that may have led to the development of pain.\n* Antiplatelet or anticoagulant therapy.\n* Bilateral symptoms.\n* Pain attributed to hypersensitivity of any peripheral nerve of the lower limbs or a positive electromyographic test.\n* Lumbar spine pathologies (herniated disc, protrusion, etc.).\n* Use of medications such as opioids or those with knee pain as a side effect.\n* Belonephobia or any condition where percutaneous needle insertion is contraindicated.\n* Pregnancy.",{"count":639,"type":22},24,[25],"The knee is a common source of musculoskeletal pain, with patellofemoral pain (PFP) standing out due to its high prevalence. This pain, frequent in adolescents and athletes, significantly impacts the quality of life by hindering daily activities such as climbing stairs and sitting for extended periods. Percutaneous neuromodulation of the saphenous nerve (PNM) emerges as a promising therapeutic approach in physiotherapy to alleviate these symptoms.\n\nA randomized controlled clinical trial is proposed in adults with PFP. Participants will be divided into two groups: one will receive PNM of the saphenous nerve, while the other will be a control group receiving puncture without electrical stimulation. Pain, extension strength, and knee range of motion will be evaluated before and after the intervention using the AKPS scale. Three sessions will be conducted with specific intervals, and a follow-up assessment will be performed three months later.",[643],"Patellofemoral Pain",[645,646,647,648,649],"ultrasound-guided percutaneous neuromodulation","saphenous nerve","pain","functionality","femoropatellar pain","2024-07-14",{"date":652,"type":37},"2024-07-17",{"date":346,"type":22},{"date":460,"type":22},{"name":43,"class":44},""]