Impact of Manual Therapy on Plantar Pressures in Patients with Fibromyalgia: A Single-Arm, Non-Randomized Pilot Clinical Trial
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Participants
2.3. Intervention
2.3.1. Manual Therapy Protocol
2.3.2. Treatment Sequence
2.3.3. Technique Applied
2.4. Measurements
2.4.1. Baropodometric Analysis
2.4.2. Variables
2.5. Sample Size Calculation
2.6. Statistical Analysis
3. Results
3.1. Participation Flow and Sample Characteristics
3.2. Results of Baropodometric Analysis of the Total Sample Pre-Post
3.3. Results of Baropodometric Analysis Divided into BMI Groups
4. Discussion
Limitations and Recommendations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
Abbreviation | Definition |
FM | Fibromyalgia |
MT | Manual Therapy |
BMI | Body Mass Index |
PCS | Physical Component Summary |
MCS | Mental Component Summary |
RFS | Right Foot Surface |
LFS | Left Foot Surface |
P.Max | Max Pressure |
P.Med | Media Pressure |
PD | Right Foot |
PI | Left Foot |
NCT | National Clinical Trial |
SPSS | Statistical Package for the Social Sciences |
JASP | Jeffreys’s Amazing Statistics Program |
ET | Effect Size |
ACR | American College of Rheumatology |
CGCOP | General Council of Official Colleges of Podiatry |
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Outcome | All Participants (n = 24) | Overweight (n = 10) | Normality (n = 14) | p-Value |
---|---|---|---|---|
Age (years) | 56.83 ± 6.89 | 58.77 ± 7.27 | 54.30 ± 5.76 | 0.18 |
Height (cm) | 162.83 ± 4.76 | 162.00 ± 5.11 | 164.20 ± 4.18 | 0.28 |
Weight (Kg) | 71.08 ± 9.19 | 77.29 ± 5.31 | 62.40 ± 5.62 | 0.001 * |
Body mass index. (kg/m2) | 26.87 ± 3.79 | 29.54 ± 2.28 | 23.12 ± 1.54 | 0.001 * |
Shoe size | 38.40 ± 1.05 | 38.21 ± 1.25 | 38.65 ± 0.67 | 0.33 |
Short Form-36 Health Survey | 38.33 ± 14.87 | 38.00 ± 19.75 | 38.57 ± 10.99 | 0.52 |
P.Max Pre (gr/cm2) | 1885.00 ± 352.66 | 1957.21 ± 329.36 | 1783.90 ± 376.39 | 0.24 |
P.Max Post (gr/cm2) | 1811.00 ± 324.29 | 1918.71 ± 353.66 | 1660.20 ± 211.59 | 0.05 * |
Surface Pre (cm2) | 134.08 ± 32.28 | 142.14 ± 34.74 | 122.80 ± 26.03 | 0.15 |
Surface Post (cm2) | 144.33 ± 33.24 | 157.93 ± 32.70 | 125.30 ± 24.28 | 0.01 * |
RF Force Pre | 50.00 ± 6.21 | 51.07 ± 5.51 | 48.50 ± 7.11 | 0.33 |
RF Force Post | 49.75 ± 6.85 | 49.21 ± 7.26 | 51.07 ± 5.51 | 0.66 |
LF Force Pre | 50.00 ± 6.21 | 48.93 ± 5.51 | 51.50 ± 7.11 | 0.33 |
LF Force Post | 50.25 ± 6.85 | 50.79 ± 7.26 | 49.50 ± 6.54 | 0.66 |
Measure 1 | Measure 2 | t | gl | p | D de Cohen | ET D de Cohen |
---|---|---|---|---|---|---|
Surface pre | Surface post | −3.01 | 23 | 0.006 * | −0.61 | 0.11 |
LF Surface pre | LF Surface post | −2.65 | 23 | 0.01 * | −0.54 | 0.14 |
LF Force pre | LF Force post | −0.20 | 23 | 0.85 | −0.04 | 0.19 |
RF Surface pre | RF Surface post | −2.91 | 23 | 0.007 * | −0.59 | 0.10 |
RF Force pre | RF Force post | 0.20 | 23 | 0.85 | 0.04 | 0.19 |
P.Max pre | P.Max post | 1.25 | 23 | 0.22 | 0.25 | 0.18 |
Pre | Post | t | gl | p | D de Cohen | ET D de Cohen | |
---|---|---|---|---|---|---|---|
Surface | Surface | Normal | −3.45 | 13 | 0.004 * | −0.92 | 0.16 |
Overweight | −0.60 | 9 | 0.57 | −0.19 | 0.17 | ||
LF Surface | LF Surface | Normal | −3.45 | 13 | 0.004 * | −0.92 | 0.22 |
Overweight | −0.08 | 9 | 0.94 | −0.02 | 0.16 | ||
LF Force | LF Force | Normal | −1.42 | 13 | 0.18 | −0.38 | 0.20 |
Overweight | 0.86 | 9 | 0.41 | 0.27 | 0.35 | ||
RF Force | RF Force | Normal | −2.98 | 13 | 0.01 * | −0.80 | 0.12 |
Overweight | −0.98 | 9 | 0.35 | −0.31 | 0.20 | ||
RF Force | RF Force | Normal | 1.42 | 13 | 0.18 | 0.38 | 0.20 |
Overweight | −0.86 | 9 | 0.41 | −0.27 | 0.35 | ||
P.Max | P.Max | Normal | 0.50 | 13 | 0.63 | 0.13 | 0.23 |
Overweight | 1.30 | 9 | 0.22 | 0.41 | 0.29 |
Overweight (n = 10) | Normal Range (n = 14) | p-Value | |
---|---|---|---|
Delta Surface | 15.79 ± 17.11 | 2.50 ± 13.25 | 0.05 |
Delta P.Max | −38.50 ± 289.72 | −123.70 ± 300.06 | 0.49 |
Delta LF Surface | 9.29 ± 10.06 | 0.20 ± 8.04 | 0.003 |
Delta RF Surface | 6.50 ± 8.17 | 2.30 ± 7.42 | 0.21 |
Delta RF force | −1.86 ± 4.90 | 2.00 ± 7.35 | 0.14 |
Delta LF force | 1.86 ± 4.90 | −2.00 ± 7.35 | 0.14 |
t | gl | p | D de Cohen | ET D de Cohen | |
---|---|---|---|---|---|
Delta Surface | −2.05 | 22 | 0.05 * | −0.85 | 0.46 |
Delta P.Max | −0.70 | 22 | 0.49 | −0.29 | 0.42 |
Delta P.Med | 1.78 | 22 | 0.09 | 0.74 | 0.45 |
Delta PI Suface | −2.36 | 22 | 0.03 * | −0.98 | 0.47 |
Delta PD Surface | −1.29 | 22 | 0.21 | −0.53 | 0.43 |
Delta PD Force | 1.55 | 22 | 0.14 | 0.64 | 0.44 |
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Falaguera-Vera, F.J.; Torralba-Estellés, J.; Vicente-Mampel, J.; Ferrer-Torregrosa, J.; Oltra, E.; Garcia-Escudero, M. Impact of Manual Therapy on Plantar Pressures in Patients with Fibromyalgia: A Single-Arm, Non-Randomized Pilot Clinical Trial. Healthcare 2025, 13, 764. https://doi.org/10.3390/healthcare13070764
Falaguera-Vera FJ, Torralba-Estellés J, Vicente-Mampel J, Ferrer-Torregrosa J, Oltra E, Garcia-Escudero M. Impact of Manual Therapy on Plantar Pressures in Patients with Fibromyalgia: A Single-Arm, Non-Randomized Pilot Clinical Trial. Healthcare. 2025; 13(7):764. https://doi.org/10.3390/healthcare13070764
Chicago/Turabian StyleFalaguera-Vera, Francisco J., Javier Torralba-Estellés, Juan Vicente-Mampel, Javier Ferrer-Torregrosa, Elisa Oltra, and María Garcia-Escudero. 2025. "Impact of Manual Therapy on Plantar Pressures in Patients with Fibromyalgia: A Single-Arm, Non-Randomized Pilot Clinical Trial" Healthcare 13, no. 7: 764. https://doi.org/10.3390/healthcare13070764
APA StyleFalaguera-Vera, F. J., Torralba-Estellés, J., Vicente-Mampel, J., Ferrer-Torregrosa, J., Oltra, E., & Garcia-Escudero, M. (2025). Impact of Manual Therapy on Plantar Pressures in Patients with Fibromyalgia: A Single-Arm, Non-Randomized Pilot Clinical Trial. Healthcare, 13(7), 764. https://doi.org/10.3390/healthcare13070764