Self Stretching, Plantar Self Massage and Manual Stimulation on Balance and Reaction Time

NCT05313568 | Unknown

• 1 other identifier: Foot.Balance.ReactionTime.
• Study Type: interventional
• Target: 102
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to investigate the instantaneous effects of self-stretching, plantar self-massage and manual stimulation on balance and reaction time in healthy individuals. 102 individuals meeting the inclusion criteria will be included in the study. Individuals will be randomly divided into 3 groups: static stretching group (n=34), self-massage group (n=34) and manual stimulation group (n=34). Static stretching will be applied to all individuals (n=102). In addition to static stretching, self-massage will be applied to individuals in the self-massage group (n=34). Individuals in the manual stimulation group (n=34) will receive manual stimulation in addition to static stretching. Individuals will be evaluated in terms of static balance, dynamic balance, reaction time and foot functionality before and immediately after the applications.

Conditions

Healthy; Stretch

Keywords

Self Stretching, Self Massage, Manual Stimulation, Balance, Reaction Time, Healthy

Outcome Measures

Primary Outcomes (4)

• One Leg Standing Test

  It will be used to evaluate static balance. If the cut-off value is \<10 seconds, there is a balance disorder, if it is \<5 seconds, there is a risk of falling.

  change in static balance immediately after application

• Functional Reach Test

  It will be used to evaluate dynamic balance. The distance that the person can reach is measured. Higher scores mean better performance.

  change in dynamic balance immediately after application

• Y Balance Test

  It will be used to evaluate dynamic balance. The distance that the person can reach is measured. Higher scores mean better performance.

  change in dynamic balance immediately after application

• Nelson's Foot Reaction Time Test

  It will be used to evaluate reaction time. The time that the person can react is measured. Higher scores mean worse performance.

  change in reaction time immediately after application

Secondary Outcomes (5)

• Active-passive Limb Matching Test

  change in proprioception immediately after application

• Goniometer

  change in range of motion immediately after application

• Foot Posture Index

  change in foot posture immediately after application

• Thomas test

  change in hip flexor shortness immediately after application

• Pointed-blunt Test

  change in sensory immediately after application

Study Arms (3)

static stretching group

ACTIVE COMPARATOR

The stretch will be done by placing both feet on a raised platform, lowering the heel off the platform without touching the ground, and held in this position to perform a static stretch. They will perform 5 repetitions, 15 seconds of rest and 1 minute of stretching.

Other: static stretching

self massage group

EXPERIMENTAL

In addition to the self-stretching application, plantar self-massage will be applied. Plantar self massage will be shown to the participants by the physiotherapist with a 7 cm spiky massage ball. Then, participants will be asked to self-massage the plantar sole of the foot for 5 minutes with a 7 cm spiky massage ball.

Other: static stretching; Other: self massage

Manual Stimulation Group

EXPERIMENTAL

In addition to the self-stretching application, manual stimulation will be applied. Manual protocol: A) Pressure will be applied in each interdigital space and on the longitudinal arch with shear in the longitudinal direction (5 repetitions of 10 seconds each). B) Pressure with transverse shear on the metatarsal heads (5 repetitions of 5 seconds each) C) Static pressure will be applied to the first and fifth metatarsal head, center of the midfoot, and heel (5 repetitions per 10-second period each).

Other: static stretching; Other: Manual Stimulation

Interventions

static stretching OTHER

The stretch will be done by placing both feet on a raised platform, lowering the heel off the platform without touching the ground, and held in this position to perform a static stretch. They will perform 5 repetitions, 15 seconds of rest and 1 minute of stretching.

Manual Stimulation Group; self massage group; static stretching group

self massage OTHER

In addition to the self-stretching application, plantar self-massage will be applied. Plantar self massage will be shown to the participants by the physiotherapist with a 7 cm spiky massage ball. Then, participants will be asked to self-massage the plantar sole of the foot for 5 minutes with a 7 cm spiky massage ball.

self massage group

Manual Stimulation OTHER

In addition to the self-stretching application, manual stimulation will be applied. Manual protocol: A) Pressure will be applied in each interdigital space and on the longitudinal arch with shear in the longitudinal direction (5 repetitions of 10 seconds each). B) Pressure with transverse shear on the metatarsal heads (5 repetitions of 5 seconds each) C) Static pressure will be applied to the first and fifth metatarsal head, center of the midfoot, and heel (5 repetitions per 10-second period each).

Manual Stimulation Group

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• being between 18 and 50 years old
• having Body Mass Index (BMI) limit to be 20-25
• having Normal range of motion of the ankle joint
• having the score of the foot is between 0 and +5 according to the foot posture index,
• having the score 3+ on ankle muscle strength

You may not qualify if:

• being pregnant
• having undergone surgery on the foot and ankle in the last 6 months
• history of lower extremity injury with residual symptoms in the past year
• having diseases that affect the balance such as rheumatic disease, osteoarthritis, multiple sclerosis
• being professional athlete
• presence of vestibular disease (Meniere, Vertigo etc.), diabetes, neuropathy Being in
• being in the menopausal period
• having hip flexor muscle shortening
• having basal ganglia disorders such as Parkinson's disease, Huntington's disease
• having sensory problems on the sole of the foot

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

Study Sites (1)

Istanbul Medipol University

Istanbul, Beykoz, 34815, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Muscle Stretching Exercises

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Miray BUDAK, PhD

  Medipol University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 14, 2021
• First Posted: April 6, 2022
• Study Start: June 28, 2021
• Primary Completion: May 1, 2022
• Study Completion: June 1, 2022
• Last Updated: April 6, 2022

Record last verified: 2022-03

Locations

TU (1)