Comparison of The Acute Effects of Different Stretching Methods on Ankle Joint Range In Healty Older Adults

NCT05130372 | Completed

• 1 other identifier: 2017/17-39
• Study Type: interventional
• Target: 78
• Locations: 1 country
• Sites: 2

Brief Summary

Introduction: To compare the acute effects of different stretching methods on ankle joint range of motion (ROM) in older adults. Methods: A total of 78 subjects aged 65 years and older were randomly divided into three groups. After the 5-minute walk, the randomly assigned method was applied. Static Stretching Group; static stretching in 3x30sec, PNF Stretching Group; PNF contract-relax in 3x30sec and Roller Massage Group; roller massage in 3x30sec was performed. Immediately after the application, 10 minutes and 20 minutes after application, the range of motion of the ankle joint was measured in the weight-bearing lunge position.

Conditions

Older Adults; Range of Motion; Ankle Injuries

Keywords

older adults; ankle joint range of motion; roller massage; static stretching; PNF stretching

Outcome Measures

Primary Outcomes (4)

• Range of motion

  The ankle ROM measurement made in the standing load-bearing position and the measurement made in the weight-bearing position.

  Baseline

• Range of motion

  The ankle ROM measurement made in the standing load-bearing position and the measurement made in the weight-bearing position.

  Immediately after application

• Range of motion

  The ankle ROM measurement made in the standing load-bearing position and the measurement made in the weight-bearing position.

  10 minutes after application

• Range of motion

  The ankle ROM measurement made in the standing load-bearing position and the measurement made in the weight-bearing position.

  20 minutes after application

Study Arms (3)

Static Stretching Group

ACTIVE COMPARATOR

The static stretching method was actively applied while standing.The person was positioned facing the wall, supporting the wall with both hands, with the dominant foot behind. The point where a feeling of tension in the plantar flexor muscles was created and held in this position for 30 seconds. Afterward, a 15-second rest break was given. After completing 3 repetitions (3x30sec) in total, measurements were started.

Other: Static Stretching Method Group

PNF Stretching Method Group

ACTIVE COMPARATOR

The person was positioned supine, and the ankle joint was dorsiflexed by the physiotherapist to the point where the tension was felt. Then, while the person was trying to push the foot towards the plantarflexion direction for 10 seconds, the movement was prevented by the physiotherapist and isometric contraction was achieved at 20% of the maximum voluntary contraction. After 10 seconds, the person was asked to relax slowly and passive stretching was applied to the plantar flexors for 20 seconds. The contract-relax technique was applied for 30 seconds and completed with 3 repetitions (3x30sec) with 15-second rest intervals.

Other: PNF Stretching Method Group

Myofascial Relaxation Method Group

ACTIVE COMPARATOR

A comfortable position was achieved by placing a rolled towel on the front of the ankle. The roller was massaged along with the plantar flexors for 30 seconds. The movement of the cylinder from bottom to top and from top to bottom was done for a second. Three repetitions were completed (3x30sec) with a 15-second rest break. For the pressure of the roller to be stable during the application, the numbered pain scale was shown to the participants, and attention was paid to ensure that the perceived severity was 7/10 according to the numbered pain scale. Participants with dry skin in the application area were asked to moisturize with cream beforehand to avoid complications.

Other: Myofascial Relaxation Method Group- Roller Massage

Interventions

Static Stretching Method Group OTHER

Static stretching has been the most common stretching method applied to the ankle in healthy older adults, and different protocols have proven to increase ankle range of motion. In this study, the static stretching method was actively applied while standing.

Static Stretching Group

PNF Stretching Method Group OTHER

The contract-relax technique was used in the PNF stretching method.

PNF Stretching Method Group

Myofascial Relaxation Method Group- Roller Massage OTHER

A theraband roller massager (Theraband®, The Hygenic Corporation, Akron, OH) was used for the myofascial relaxation method.

Myofascial Relaxation Method Group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Healthy and voluntary older adults aged 65 and over
• Who were able to walk without using an assistive device,
• Independent in their daily life activities
• Who scored 23 and above according to the mini-mental state test.

You may not qualify if:

• Presence of a neurological, orthopedic or cardiovascular disease affecting the lower extremity,
• Pain or limitation of movement in the ankle joint,
• Skin diseases,
• History of falling in the last 1 year,
• Any problem that may prevent lying prone
• participation in a regular exercise program.

Sponsors & Collaborators

• Hacettepe University: lead
• Nursen İlçin: collaborator
• Ceren Devrim Şahin: collaborator

Study Sites (2)

Izmir Provincial Health Directorate State Hospital

Izmir, Urla, Turkey (Türkiye)

Location

Izmir Provincial Health Directorate Urla State Hospital

Izmir, Urla, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Ankle Injuries

Condition Hierarchy (Ancestors)

Leg Injuries; Wounds and Injuries

Study Officials

• Ceren Devrim Şahin, MSc

  Dokuz Eylul University

  STUDY DIRECTOR

• Nursen İlçin, Assoc. prof.

  Dokuz Eylul University

  STUDY CHAIR

• Kutay Kaşlı, MSc

  Çankırı Karatekin University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: A single-blind, assessor-blinded, randomized controlled study.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Kutay Kaşlı

Model Details: Arm 1:Static Stretching Group Arm 2: PNF Stretching Method Group Arm 3:Roller Massager Group

Study Record Dates

• First Submitted: November 8, 2021
• First Posted: November 23, 2021
• Study Start: October 1, 2017
• Primary Completion: February 27, 2018
• Study Completion: February 27, 2018
• Last Updated: November 23, 2021

Record last verified: 2021-11

Locations

TU (2)