Different Therapeutical Modalities Associated to Hamstring Flexibility Training

NCT03021850 | Completed

• 1 other identifier: CAAE 52107115.7.0000.5345
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to compare the acute effect of the use of different thermal modalities associated to the training of passive flexibility of the hamstring muscles in the amplitude of motion of the knee extension.

Conditions

Range of Motion, Articular

Keywords

Pliability; Cryotherapy; Hot temperature; Hyperthermia, induced; Randomized Controlled Trial; Hamstring muscles; Muscle stretching exercises

Outcome Measures

Primary Outcomes (1)

• Change of Active Knee Extension Test

  Active Knee Extension Test is performed in a standardised procedure and is measured in degrees.

  3 weeks

Secondary Outcomes (2)

• Change of Peak Torque of flexors and knee extensors

  3 weeks

• Change of Passive Resistance flexors and knee extensors

  3 weeks

Study Arms (3)

Stretching associated with shortwave heating

ACTIVE COMPARATOR

Applying deep heat through the shortwave equipment for 20 minutes, in coplanar application to the posterior part of the thigh associated with flexibility training of the hamstrings in the last 10 minutes of the session, performed by passive static stretching of the hamstring muscles in 10 repetitions of 30 seconds, with a 10 second pause between each repetition.

Procedure: Flexibility training with or without different thermal modalities

Stretching associated with cryotherapy

ACTIVE COMPARATOR

Cryotherapy application for 20 minutes, applied to the posterior part of the thigh associated with flexibility training of the hamstring muscles in the last 10 minutes of the session, performed by passive static stretching of the hamstring muscles, in 10 repetitions of 30 seconds , with a 10 second pause between each repetition.

Procedure: Flexibility training with or without different thermal modalities

Stretching isolated

OTHER

The flexibility training of the hamstring muscles will be by passive static stretching of the hamstring muscles in 10 repetitions of 30-second , with a 10-second pause between each repetition.

Procedure: Flexibility training with or without different thermal modalities

Interventions

Flexibility training with or without different thermal modalities PROCEDURE

Flexibility training of the hamstring muscles by passive static stretching of the hamstring muscles in 10 30-second repetitions, with a 10-second pause between each repetition associated with or without short-wave heating or cryotherapy

Stretching associated with cryotherapy; Stretching associated with shortwave heating; Stretching isolated

Eligibility Criteria

• Age: 20 Years - 30 Years
• Sex: male
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Healthy men with knee extension range less than or equal to 160 degrees.

You may not qualify if:

• Have exercised in the last 48 hours before the intervention session;
• Previous neurological, muscular or articular disease that influences the performance of the training;
• Anterior lower limb surgery;
• Presence of painful symptoms or edema in the lower limbs;
• Hypersensitivity to ice or heat;
• Raynaud's syndrome;
• Loss of local thermal sensitivity;
• Have metallic implants;
• Use of cardiac pacemaker;
• Presence of malignant tumor;
• Arterial diseases;
• Deep venous thrombosis or phlebitis;
• Fever and inflammatory processes;
• Bleeding processes;
• Osteomyelitis;

Sponsors & Collaborators

• Federal University of Health Science of Porto Alegre: lead

Study Sites (1)

Federal University of Health Science of Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Location

Related Publications (20)

• Marek SM, Cramer JT, Fincher AL, Massey LL, Dangelmaier SM, Purkayastha S, Fitz KA, Culbertson JY. Acute Effects of Static and Proprioceptive Neuromuscular Facilitation Stretching on Muscle Strength and Power Output. J Athl Train. 2005 Jun;40(2):94-103.

  PMID: 15970955 RESULT

• Page P. Current concepts in muscle stretching for exercise and rehabilitation. Int J Sports Phys Ther. 2012 Feb;7(1):109-19.

  PMID: 22319684 RESULT

• Bandy WD, Irion JM, Briggler M. The effect of time and frequency of static stretching on flexibility of the hamstring muscles. Phys Ther. 1997 Oct;77(10):1090-6. doi: 10.1093/ptj/77.10.1090.

  PMID: 9327823 RESULT

• Bleakley CM, Costello JT. Do thermal agents affect range of movement and mechanical properties in soft tissues? A systematic review. Arch Phys Med Rehabil. 2013 Jan;94(1):149-63. doi: 10.1016/j.apmr.2012.07.023. Epub 2012 Aug 7.

  PMID: 22885279 RESULT

• Burke DG, Holt LE, Rasmussen R, MacKinnon NC, Vossen JF, Pelham TW. Effects of Hot or Cold Water Immersion and Modified Proprioceptive Neuromuscular Facilitation Flexibility Exercise on Hamstring Length. J Athl Train. 2001 Mar;36(1):16-19.

  PMID: 12937509 RESULT

• Brodowicz GR, Welsh R, Wallis J. Comparison of stretching with ice, stretching with heat, or stretching alone on hamstring flexibility. J Athl Train. 1996 Oct;31(4):324-7.

  PMID: 16558418 RESULT

• Draper DO, Castro JL, Feland B, Schulthies S, Eggett D. Shortwave diathermy and prolonged stretching increase hamstring flexibility more than prolonged stretching alone. J Orthop Sports Phys Ther. 2004 Jan;34(1):13-20. doi: 10.2519/jospt.2004.34.1.13.

  PMID: 14964587 RESULT

• Herbert RD, de Noronha M, Kamper SJ. Stretching to prevent or reduce muscle soreness after exercise. Cochrane Database Syst Rev. 2011 Jul 6;(7):CD004577. doi: 10.1002/14651858.CD004577.pub3.

  PMID: 21735398 RESULT

• Konrad A, Tilp M. Increased range of motion after static stretching is not due to changes in muscle and tendon structures. Clin Biomech (Bristol). 2014 Jun;29(6):636-42. doi: 10.1016/j.clinbiomech.2014.04.013. Epub 2014 May 10.

  PMID: 24856792 RESULT

• Rosario JL, Foletto A. Comparative study of stretching modalities in healthy women: heating and application time. J Bodyw Mov Ther. 2015 Jan;19(1):3-7. doi: 10.1016/j.jbmt.2013.12.003. Epub 2013 Dec 11.

  PMID: 25603738 RESULT

• Lim KI, Nam HC, Jung KS. Effects on hamstring muscle extensibility, muscle activity, and balance of different stretching techniques. J Phys Ther Sci. 2014 Feb;26(2):209-13. doi: 10.1589/jpts.26.209. Epub 2014 Feb 28.

  PMID: 24648633 RESULT

• Goncalves R, Gurjao AL, Jambassi Filho JC, Farinatti Pde T, Gobbi LT, Gobbi S. The acute effects of static stretching on peak force, peak rate of force development and muscle activity during single- and multiple-joint actions in older women. J Sports Sci. 2013;31(7):690-8. doi: 10.1080/02640414.2012.746727. Epub 2012 Dec 12.

  PMID: 23234265 RESULT

• Umegaki H, Ikezoe T, Nakamura M, Nishishita S, Kobayashi T, Fujita K, Tanaka H, Ichihashi N. Acute effects of static stretching on the hamstrings using shear elastic modulus determined by ultrasound shear wave elastography: Differences in flexibility between hamstring muscle components. Man Ther. 2015 Aug;20(4):610-3. doi: 10.1016/j.math.2015.02.006. Epub 2015 Mar 2.

  PMID: 25795108 RESULT

• Chen CH, Nosaka K, Chen HL, Lin MJ, Tseng KW, Chen TC. Effects of flexibility training on eccentric exercise-induced muscle damage. Med Sci Sports Exerc. 2011 Mar;43(3):491-500. doi: 10.1249/MSS.0b013e3181f315ad.

  PMID: 20689450 RESULT

• Nakano J, Yamabayashi C, Scott A, Reid WD. The effect of heat applied with stretch to increase range of motion: a systematic review. Phys Ther Sport. 2012 Aug;13(3):180-8. doi: 10.1016/j.ptsp.2011.11.003. Epub 2011 Dec 29.

  PMID: 22814453 RESULT

• Atamaz FC, Durmaz B, Baydar M, Demircioglu OY, Iyiyapici A, Kuran B, Oncel S, Sendur OF. Comparison of the efficacy of transcutaneous electrical nerve stimulation, interferential currents, and shortwave diathermy in knee osteoarthritis: a double-blind, randomized, controlled, multicenter study. Arch Phys Med Rehabil. 2012 May;93(5):748-56. doi: 10.1016/j.apmr.2011.11.037. Epub 2012 Mar 28.

  PMID: 22459699 RESULT

• Cornelius WL, Hands MR. The Effects of a Warm-up on Acute Hip Joint Flexibility Using a Modified PNF Stretching Technique. J Athl Train. 1992;27(2):112-4.

  PMID: 16558145 RESULT

• Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253.

  PMID: 11234459 RESULT

• Opar DA, Williams MD, Timmins RG, Dear NM, Shield AJ. Knee flexor strength and bicep femoris electromyographical activity is lower in previously strained hamstrings. J Electromyogr Kinesiol. 2013 Jun;23(3):696-703. doi: 10.1016/j.jelekin.2012.11.004. Epub 2013 Jan 4.

  PMID: 23290179 RESULT

• Garrett CL, Draper DO, Knight KL. Heat distribution in the lower leg from pulsed short-wave diathermy and ultrasound treatments. J Athl Train. 2000 Jan;35(1):50-5.

  PMID: 16558608 RESULT

MeSH Terms

Conditions

Hyperthermia

Condition Hierarchy (Ancestors)

Body Temperature Changes; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Heat Stress Disorders; Wounds and Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor

Study Record Dates

• First Submitted: January 6, 2017
• First Posted: January 16, 2017
• Study Start: April 2, 2016
• Primary Completion: February 10, 2017
• Study Completion: July 6, 2017
• Last Updated: October 18, 2017

Record last verified: 2017-10

Locations

BR (1)