Effect of Therapeutic Techniques on Leg Stretching in Healthy Subjects

NCT03958084 | Unknown

• 1 other identifier: 1;771;454
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

There are physiotherapy techniques, known as lumbar mobilization, proprioceptive neuromuscular facilitation, massage therapy, windsheets and foam roller that present good results in stretching the legs. This study aims to evaluate which of these techniques has a better result in leg stretching. It is believed that massage therapy and lumbar mobilization will provide better results.

Conditions

Healthy; Adult

Keywords

Lower Extremity; Musculoskeletal Manipulations; Range of motion; Hamstring Muscles

Outcome Measures

Primary Outcomes (1)

• Range of motion

  The study has as main variable the range of motion of the hamstrings measured in degrees, through the test of the Elevation of the Extended Leg. The amplitude reached in the pre- and post-test was recorded by means of a photogrammetry and analyzed by a free postural evaluation program that provides the researcher with calculating linear and angular measurements through spatially defined anatomical points.

  10 minutes

Study Arms (6)

Massage group

EXPERIMENTAL

The deep massage will be applied for three minutes in the ischiotíbial muscles, only in the left limb, towards the muscular fibers. The volunteers will be placed in a ventral decubitus position on the stretcher.

Diagnostic Test: Straight Leg Raise

Ventosa therapy group

EXPERIMENTAL

The negative pressure ventosa therapy slide winds will be applied for three minutes in the oval direction in the posterior region of the thigh to contemplate the full extent of the ischiotíbial muscles, only in the left limb. The volunteers will be placed in a ventral decubitus position on the stretcher.

Diagnostic Test: Straight Leg Raise

Foam roller group

EXPERIMENTAL

The foam roller is a self-applied intervention for three minutes where the volunteers will be positioned on bench press on the floor of the room, with the left thigh posteriorly on the foam roller and the leg extended, the right lower limb will be in flexion of hip and knee, only the right foot and the right and left hands will touch the ground. Volunteers will be instructed to move so that they move forward and backward, causing the roller to travel the full length of the hamstring muscles.

Diagnostic Test: Straight Leg Raise

Lumbar mobilization group

EXPERIMENTAL

Unilateral lumbar mobilization of grade III at the frequency of 2Hz at the joint L4 / L5 of the ipsilateral side of the limb tested. The frequency was guaranteed by a metronome set at 120 beats per minute. Three sets of 1 minute of mobilization were performed with a 30 second interval, totaling a time of 4 minutes and 30 seconds of intervention. The technique was performed with the patient in the ventral decubitus position.

Diagnostic Test: Straight Leg Raise

Proprioceptive neuromuscular facilitation group

EXPERIMENTAL

Patient in dorsal decubitus, the examiner lifted the participant's leg up to the referred maximum amplitude. He then asked the patient for an isometric contraction of the hamstring muscles against the researcher's resistance for 10 seconds. After contraction, the researcher asked the patient to relax for 10 seconds. Then the member is repositioned passively by the researcher until the new amplitude limit reached. The technique was performed in 2 sets of 4 repetitions with an interval of 1 minute, totaling in an approximate time of 4 minutes of intervention.

Diagnostic Test: Straight Leg Raise

Control group

NO INTERVENTION

The patient remained lying down in the ventral position for 4 minutes. the patient remained lying down in the ventral position for 4 minutes.

Interventions

Straight Leg Raise DIAGNOSTIC_TEST

The assessment of the flexibility of the hamstring will be realized through the test of straight leg raise (SLR). The SLR is a passive test performed unilaterally.

Foam roller group; Lumbar mobilization group; Massage group; Proprioceptive neuromuscular facilitation group; Ventosa therapy group

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• to 35 years of age.
• No pain in the posterior thigh.

You may not qualify if:

• Volunteers who present deep venous thrombosis.
• Cutaneous allergy.
• Cutaneous lesion.
• Posterior thigh edema.
• Lower limb prosthesis.
• Shoulder or wrist injuries.
• Phobia of the techniques.
• Scarring in the posterior region of the thigh
• Have performed myofacial release or stretches during the days of intervention.
• Pilates and yoga practitioners
• No attend every day intervention.
• Injury of hamstrings in the last year.
• Previous injuries to the spine or lower limbs in the last 6 months.
• Symptoms of low back pain or hip joint.
• Diabetes mellitus, since people with diabetes have limited responses in the elevated leg elevation test.

Sponsors & Collaborators

• Alessandro Haupenthal: lead
• Santa Catarina Federal University: collaborator

Study Sites (1)

Santa Catarina Federal University

Araranguá, Santa Catarina, 88.906-072, Brazil

Location

Related Publications (7)

• AGOSTINHO, A. et al. Vacuoterapia: influência no aumento da flexibilidade muscular dos isquiotíbiais. Saúde & Tecnologia .16, p.38-43, 2016.

  BACKGROUND

• CASSAR, Paul Mario. Manual de massagem terapêutica : um guia completo de massoterapia para o estudante e para o terapeuta. São Paulo: Manole, 1ª ed, p.231, 2001.

  BACKGROUND

• Mohr AR, Long BC, Goad CL. Effect of foam rolling and static stretching on passive hip-flexion range of motion. J Sport Rehabil. 2014 Nov;23(4):296-9. doi: 10.1123/jsr.2013-0025. Epub 2014 Jan 21.

  PMID: 24458506 BACKGROUND

• CHESTERTON et al. The Effect of Mobilising the Lumbar 4/5 Zygapophyseal Joint on Hamstring Extensibility in Elite Soccer Players. International Journal of Physiotherapy and Rehabilitation, 2016;

  BACKGROUND

• Puentedura EJ, Huijbregts PA, Celeste S, Edwards D, In A, Landers MR, Fernandez-de-Las-Penas C. Immediate effects of quantified hamstring stretching: hold-relax proprioceptive neuromuscular facilitation versus static stretching. Phys Ther Sport. 2011 Aug;12(3):122-6. doi: 10.1016/j.ptsp.2011.02.006. Epub 2011 Apr 15.

  PMID: 21802038 BACKGROUND

• Shankar Ganesh G, Mohanty P, Smita Pattnaik S. The immediate and 24-hour follow-up effect of unilateral lumbar Z-joint mobilisation on posterior chain neurodynamics. J Bodyw Mov Ther. 2015 Apr;19(2):226-31. doi: 10.1016/j.jbmt.2014.04.009. Epub 2014 Apr 18.

  PMID: 25892376 BACKGROUND

• Boyd BS, Wanek L, Gray AT, Topp KS. Mechanosensitivity of the lower extremity nervous system during straight-leg raise neurodynamic testing in healthy individuals. J Orthop Sports Phys Ther. 2009 Nov;39(11):780-90. doi: 10.2519/jospt.2009.3002.

  PMID: 19881004 BACKGROUND

Study Officials

• Alessandro Haupenthal, Teacher

  Santa Catarina Federal University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Alessandro Haupenthal, Teacher

CONTACT

55(48)99028190; alessandro.haupenthal@ufsc.br

Cassia Rodrigues Schuster, Student

CONTACT

55(48)996390975; cassiarschuster@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: May 17, 2019
• First Posted: May 21, 2019
• Study Start: July 20, 2020
• Primary Completion: December 15, 2020
• Study Completion: March 30, 2021
• Last Updated: April 24, 2020

Record last verified: 2020-04

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)