Efficacy of the Most Commonly Used Physiotherapeutic Treatments for Acute Lower Limb Fatigue in Athletes

NCT05167162 | Completed

• 1 other identifier: ART-GLB-ACUTE FATIGUE
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Acute fatigue is the inability to generate a required or expected level of force or exercise intensity, whether or not preceded by previous exercise. It is an important risk factor in overuse injuries. It is multifactorial in nature and its mechanisms of formation are imprecise. This type of fatigue can affect both the peripheral level, generating neuromuscular or peripheral fatigue, and the central level, generating central fatigue Objective: To study several physiotherapeutic protocols, analyzing the degree of effectiveness of each one for the recovery of acute fatigue in athletes. Design: Prospective randomized experimental study with 4 groups of physiotherapeutic protocols suitable in acute fatigue recovery. Participants: Presentation of 80 patients treated with 4 therapeutic protocols, equally divided and purposely sexed. The four protocols were divided into: Active recovery (n=20) hydrotherapy (n=20) massage (n=20) and compression (n=20) for 4 weeks of treatment. Intervention: Active recovery protocols (group 1) hydrotherapy protocol (group 2) massage protocol (group 3) and comprehension protocol (group 4). Keywords: Lower limbs, physiotherapy, athlete, biomechanics, protocol.

Conditions

Lower Limb Injury

Keywords

Lower limbs; Physiotherapy; Athlete; Biomechanics; Protocol

Outcome Measures

Primary Outcomes (3)

• State-Trait Anxiety Questionnaire (STAI)

  The range or index of anxiety perceived during the exam and the ability to tolerate anxious moments are evaluated.

  five months

• Rating of Perceived Exertion (RPE)

  The range or rate of perceived exertion during the scan is evaluated.

  five months

• Scale Countermovement jump (CMJ)

  The range or index of neuromuscular performance during the scan is evaluated.

  five months

Secondary Outcomes (1)

• Number of participants in each physical therapy application

  five months

Study Arms (4)

Group 1: Compression technique

ACTIVE COMPARATOR

20 participants make up the compression technique group.

Diagnostic Test: State-Trait Anxiety Questionnaire; Diagnostic Test: Rating of Perceived Exertion; Diagnostic Test: Motor coordination tests; Procedure: Physiotherapeutic intervention; Other: Data Analysis

Group 2: Massage techniques

ACTIVE COMPARATOR

20 participants make up the massage technique group.

Diagnostic Test: State-Trait Anxiety Questionnaire; Diagnostic Test: Rating of Perceived Exertion; Diagnostic Test: Motor coordination tests; Procedure: Physiotherapeutic intervention; Other: Data Analysis

Group 3: Hydromassage

ACTIVE COMPARATOR

20 participants make up the hydromassage technique group.

Diagnostic Test: State-Trait Anxiety Questionnaire; Diagnostic Test: Rating of Perceived Exertion; Diagnostic Test: Motor coordination tests; Procedure: Physiotherapeutic intervention; Other: Data Analysis

Group 4: Active recovery technique.

ACTIVE COMPARATOR

20 participants make up the active recovery technique group.

Diagnostic Test: State-Trait Anxiety Questionnaire; Diagnostic Test: Rating of Perceived Exertion; Diagnostic Test: Motor coordination tests; Procedure: Physiotherapeutic intervention; Other: Data Analysis

Interventions

State-Trait Anxiety Questionnaire DIAGNOSTIC_TEST

The scale measures ordinally (1 to 5) the values observed during exposure to anxiety patterns during exercise, such as higher repetitions, greater weight gain or longer exercise duration, as follows: 1. Not at all 2. Little 3. Sometimes 4. Almost always 5. Always

Also known as: STAI

Group 1: Compression technique; Group 2: Massage techniques; Group 3: Hydromassage; Group 4: Active recovery technique.

Rating of Perceived Exertion DIAGNOSTIC_TEST

The scale measures in ordinal form (1 to 6) the perceived effort during the exercise as follows: 1. No pain 2. Little pain 3. Moderate 4. Severe 5. Very strong 6. Unbearable

Also known as: RPE

Group 1: Compression technique; Group 2: Massage techniques; Group 3: Hydromassage; Group 4: Active recovery technique.

Motor coordination tests DIAGNOSTIC_TEST

The motor coordination tests are divided into three: 1. Jumping with 2 feet together. 2. Throwing 2 balls from a given distance and space. 3. Proprioception turns

Group 1: Compression technique; Group 2: Massage techniques; Group 3: Hydromassage; Group 4: Active recovery technique.

Physiotherapeutic intervention PROCEDURE

Participants received one session per week, until a total of 20 sessions were completed: Group 1 (n=20) received the muscle compression treatment. Group 2 (n=20) received the manual massage treatment. Group 3 (n=20) received the hydrotherapy treatment and group 4 (n=20) received the active recovery treatment.

Group 1: Compression technique; Group 2: Massage techniques; Group 3: Hydromassage; Group 4: Active recovery technique.

Data Analysis OTHER

The usual descriptive parameters (mean and standard deviation) of the sample were calculated. The distribution and analysis of the other data were performed by means of a nonparametric test (Mann-Whitney U test) comparing the groups. A confidence level of 95% was established, considering a value of p\<0.05 as statistically significant.

Group 1: Compression technique; Group 2: Massage techniques; Group 3: Hydromassage; Group 4: Active recovery technique.

Eligibility Criteria

• Age: 20 Years - 25 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Active athletes
• Presentation of typical clinical signs of acute fatigue in one of the two lower limbs
• Positive diagnosis of acute fatigue

You may not qualify if:

• Not compatible with age range
• Healthy athletes
• Diagnosed injuries other than acute fatigue

Sponsors & Collaborators

• Clinica Gema Leon: lead

Study Sites (1)

Gema León Physiotherapy and Rehabilitation Clinic

Córdoba, Andalusia, 14011, Spain

Location

Related Publications (16)

• Benjaminse A, Webster KE, Kimp A, Meijer M, Gokeler A. Revised Approach to the Role of Fatigue in Anterior Cruciate Ligament Injury Prevention: A Systematic Review with Meta-Analyses. Sports Med. 2019 Apr;49(4):565-586. doi: 10.1007/s40279-019-01052-6.

  PMID: 30659497 BACKGROUND

• Guan Y, Bredin S, Jiang Q, Taunton J, Li Y, Wu N, Wu L, Warburton D. The effect of fatigue on asymmetry between lower limbs in functional performances in elite child taekwondo athletes. J Orthop Surg Res. 2021 Jan 9;16(1):33. doi: 10.1186/s13018-020-02175-7.

  PMID: 33422109 BACKGROUND

• Burton I. Autoregulation in Resistance Training for Lower Limb Tendinopathy: A Potential Method for Addressing Individual Factors, Intervention Issues, and Inadequate Outcomes. Front Physiol. 2021 Aug 5;12:704306. doi: 10.3389/fphys.2021.704306. eCollection 2021.

  PMID: 34421641 BACKGROUND

• Trojian T, Driban J, Nuti R, Distefano L, Root H, Nistler C, LaBella C. Osteoarthritis action alliance consensus opinion - best practice features of anterior cruciate ligament and lower limb injury prevention programs. World J Orthop. 2017 Sep 18;8(9):726-734. doi: 10.5312/wjo.v8.i9.726. eCollection 2017 Sep 18.

  PMID: 28979857 BACKGROUND

• Franke TPC, Backx FJG, Huisstede BMA. Lower extremity compression garments use by athletes: why, how often, and perceived benefit. BMC Sports Sci Med Rehabil. 2021 Mar 24;13(1):31. doi: 10.1186/s13102-020-00230-8.

  PMID: 33761989 BACKGROUND

• Ghram A, Young JD, Soori R, Behm DG. Unilateral Knee and Ankle Joint Fatigue Induce Similar Impairment to Bipedal Balance in Judo Athletes. J Hum Kinet. 2019 Mar 27;66:7-18. doi: 10.2478/hukin-2018-0063. eCollection 2019 Mar.

  PMID: 30988836 BACKGROUND

• Cejudo A, Sainz de Baranda P, Ayala F, De Ste Croix M, Santonja-Medina F. Assessment of the Range of Movement of the Lower Limb in Sport: Advantages of the ROM-SPORT I Battery. Int J Environ Res Public Health. 2020 Oct 19;17(20):7606. doi: 10.3390/ijerph17207606.

  PMID: 33086605 BACKGROUND

• DeLang MD, Salamh PA, Farooq A, Tabben M, Whiteley R, van Dyk N, Chamari K. The dominant leg is more likely to get injured in soccer players: systematic review and meta-analysis. Biol Sport. 2021 Sep;38(3):397-435. doi: 10.5114/biolsport.2021.100265. Epub 2020 Oct 28.

  PMID: 34475623 BACKGROUND

• Gilbert FC, Burdette GT, Joyner AB, Llewellyn TA, Buckley TA. Association Between Concussion and Lower Extremity Injuries in Collegiate Athletes. Sports Health. 2016 Nov/Dec;8(6):561-567. doi: 10.1177/1941738116666509. Epub 2016 Sep 20.

  PMID: 27587598 BACKGROUND

• Drury B, Ratel S, Clark CCT, Fernandes JFT, Moran J, Behm DG. Eccentric Resistance Training in Youth: Perspectives for Long-Term Athletic Development. J Funct Morphol Kinesiol. 2019 Nov 28;4(4):70. doi: 10.3390/jfmk4040070.

  PMID: 33467385 BACKGROUND

• Mang CS, Whitten TA, Cosh MS, Dukelow SP, Benson BW. Assessment of Postural Stability During an Upper Extremity Rapid, Bimanual Motor Task After Sport-Related Concussion. J Athl Train. 2020 Nov 1;55(11):1160-1173. doi: 10.4085/1062-6050-378-19.

  PMID: 33064821 BACKGROUND

• Avedesian JM, Covassin T, Dufek JS. The Influence of Sport-Related Concussion on Lower Extremity Injury Risk: A Review of Current Return-to-Play Practices and Clinical Implications. Int J Exerc Sci. 2020 Aug 1;13(3):873-889. doi: 10.70252/WVYL1782. eCollection 2020.

  PMID: 32922630 BACKGROUND

• Frutuoso AS, Diefenthaeler F, Vaz MA, Freitas Cde L. LOWER LIMB ASYMMETRIES IN RHYTHMIC GYMNASTICS ATHLETES. Int J Sports Phys Ther. 2016 Feb;11(1):34-43.

  PMID: 26900498 BACKGROUND

• Siupsinskas L, Garbenyte-Apolinskiene T, Salatkaite S, Gudas R, Trumpickas V. Association of pre-season musculoskeletal screening and functional testing with sports injuries in elite female basketball players. Sci Rep. 2019 Jun 26;9(1):9286. doi: 10.1038/s41598-019-45773-0.

  PMID: 31243317 BACKGROUND

• Dubose DF, Herman DC, Jones DL, Tillman SM, Clugston JR, Pass A, Hernandez JA, Vasilopoulos T, Horodyski M, Chmielewski TL. Lower Extremity Stiffness Changes after Concussion in Collegiate Football Players. Med Sci Sports Exerc. 2017 Jan;49(1):167-172. doi: 10.1249/MSS.0000000000001067.

  PMID: 27501359 BACKGROUND

• Beck B, Drysdale L. Risk Factors, Diagnosis and Management of Bone Stress Injuries in Adolescent Athletes: A Narrative Review. Sports (Basel). 2021 Apr 16;9(4):52. doi: 10.3390/sports9040052.

  PMID: 33923520 BACKGROUND

MeSH Terms

Conditions

Leg Injuries

Condition Hierarchy (Ancestors)

Wounds and Injuries

Study Officials

• Gema León Bravo, Physiotherap

  Gema León Physiotherapy and Rehabilitation Clinic

  PRINCIPAL INVESTIGATOR

• Rafael Arenas Quiles, Physiotherap

  Universidad de Córdoba

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: 80 patients divided into 4 groups of equal size and randomly selected. The 4 treatment methods used will be as follows: Group 1: Compression techniques (n=20). Group 2: Massage techniques (n=20) Group 3: Hydrotherapy (n=20) Group 4: Active recovery technique (n=20)

Study Record Dates

• First Submitted: November 6, 2021
• First Posted: December 22, 2021
• Study Start: November 6, 2021
• Primary Completion: April 21, 2022
• Study Completion: April 30, 2022
• Last Updated: August 12, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)