000145573 001__ 145573
000145573 005__ 20250908131444.0
000145573 0247_ $$2doi$$a10.3390/jfmk9030163
000145573 0248_ $$2sideral$$a140374
000145573 037__ $$aART-2024-140374
000145573 041__ $$aeng
000145573 100__ $$aLópez-de-Celis, Carlos
000145573 245__ $$aRelevance of tibial fixation during tibiotarsal joint traction: descriptive cross-sectional study
000145573 260__ $$c2024
000145573 5060_ $$aAccess copy available to the general public$$fUnrestricted
000145573 5203_ $$aBackground: The effect of tibial fixation on the movement of the talus during the tibiotarsal axial traction technique (TATT) is unknown. The aim was to evaluate the effect on the tibiotarsus when applying three different intensities of TATT force with or without tibial fixation in healthy subjects, and to assess the reliability of detecting the different forces applied. Also, the discomfort generated during the technique would be analysed. Methods: A cross-sectional study was conducted in thirty lower limbs. Three magnitudes of TATT force in an open-packed position were applied in tibial fixation and non-fixation conditions. The axial traction movement was measured by ultrasound, and the magnitudes of the force applied during low-medium and high TATT force were recorded in both conditions. Patients were asked about the level of discomfort perceived during the technique. Results: The most significant distance increase (mm) was observed in the tibial fixation condition at all magnitudes of the TATT (F = 102.693, p < 0.001). The discomfort sensation (numeric rating scale, “NRS”) was higher in the non-fixation condition (p > 0.05). The application of the technique showed good reliability (>0.75 ICC) for the detection of the applied force. Conclusions: The TATT in the tibial fixation condition produced more significant axial movement of the talus (mm) relative to the tibia than the non-tibial fixation condition did. The detection of the magnitudes of movement showed good reliability (ICC: 0.75 to 0.92). The technique was well tolerated at all force magnitudes, with the tibial fixation condition being the most tolerable.
000145573 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000145573 592__ $$a0.804$$b2024
000145573 593__ $$aPhysical Therapy, Sports Therapy and Rehabilitation$$c2024$$dQ1
000145573 593__ $$aAnatomy$$c2024$$dQ1
000145573 593__ $$aRheumatology$$c2024$$dQ2
000145573 593__ $$aHistology$$c2024$$dQ2
000145573 593__ $$aOrthopedics and Sports Medicine$$c2024$$dQ2
000145573 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000145573 700__ $$aRodríguez-Sanz, Jacobo
000145573 700__ $$aGassó-Villarejo, Sergi
000145573 700__ $$aGarcía-Ribell, Erik
000145573 700__ $$aGonzález-Rueda, Vanessa
000145573 700__ $$0(orcid)0000-0002-5161-7479$$aEstébanez-de-Miguel, Elena$$uUniversidad de Zaragoza
000145573 700__ $$0(orcid)0000-0002-0026-9224$$aBueno-Gracia, Elena$$uUniversidad de Zaragoza
000145573 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000145573 773__ $$g9, 3 (2024), 163 [12 pp.]$$tJournal of Functional Morphology and Kinesiology$$x2411-5142
000145573 8564_ $$s1036718$$uhttps://zaguan.unizar.es/record/145573/files/texto_completo.pdf$$yVersión publicada
000145573 8564_ $$s2771700$$uhttps://zaguan.unizar.es/record/145573/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000145573 909CO $$ooai:zaguan.unizar.es:145573$$particulos$$pdriver
000145573 951__ $$a2025-09-08-13:00:46
000145573 980__ $$aARTICLE