Which Technique is More Effective for People With Hamstring Tightness in Terms of Balance, Flexibility, and Performance?

NCT05412199 | Completed

• 1 other identifier: E-10840098-772.02-2867
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Percussion massage therapy has gained popularity in the therapeutic and athletic communities over the past few years. Percussion massage therapy devices are extremely convenient to use, both for self-administration and by a physiotherapist. Percussion massage therapy in deep and superficial tissues; is used in many areas such as reducing pain, increasing blood circulation, improving scar tissue, reducing lactate level and muscle spasms, increasing lymphatic flow, inhibiting Golgi reflex, increasing range of motion, and is frequently used today. Vibratory massage techniques have been shown in many studies to improve joint range of motion and muscular strength. It has been argued that there aren't enough studies on this topic in the literature. Specially tailored treatments are utilized in the clinic to reduce injury frequency, improve muscular performance, and increase the flexibility of musculotendinous components. Various stretching methods are used to increase muscle length. Athletes use stretching exercises to improve joint range of motion and long-term performance. Furthermore, it is incorporated in the warm-up period of athletes' training plans to prepare for an activity or to cool down after an applied exercise. Many studies using the dynamic stretching approach have found that dynamic stretching exercises performed before an activity or a sport have a positive effect on performance and flexibility parameters. Instrument-assisted soft tissue mobilization (IASTM) is a treatment method used to reduce pain, improve joint range of motion, and mobilize soft tissue using specially designed stainless steel instruments based on the principles developed by James Cyriax. The removal of scar tissue is one of the most important goals of IASTM. Microvascular bleeding occurs with localized inflammation as a result of IASTM application, nutrient and oxygen flow is delivered, fibroblast migration increases and the healing process begins again. At the same time, secondary collagen synthesis begins and is rearranged, which allows the regeneration of the injured tissue. As a result, it treats scar tissue, adhesions, and adhesions in the fascia. IASTM is a very effective approach in fascia tissue and is widely used to offer a mobilizing stimulus in the treatment of myofascial problems.

Conditions

Sports Physical Therapy; Musculoskeletal Diseases or Conditions

Keywords

Hamstring Tightness; Hamstring; IASTM; Graston; Percussion Massage Therapy; Vibration; Dynamic Stretching; Balance; Flexibility; Performance Parameters

Outcome Measures

Primary Outcomes (2)

• Sit and Reach Test

  The sit and reach test is one of the linear flexibility tests that helps measure the flexibility of the hamstrings and lower back. It was first described by Wells and Dillon in 1952 and is probably the most widely used flexibility test. It has a simple procedure, is easy to administer, requires minimal skill training to perform, and costs the equipment required to perform the test. It is argued that the hamstrings and lower back should have a good level of flexibility, as they play an important role in health-related fitness. In a sitting position on the floor, the soles of the feet are placed on the sit-and-reach bench with the legs fully stretched. Without bending the legs, reach forward with the fingertips on the table and wait 2 seconds at the end point, and the score is recorded in centimeters.

  from pre-interventional time to post-interventional about 1st hour

• Y Balance Test

  Y Balance Test (YBT) is a functional test that requires strength, flexibility, neuromuscular control, balance, stability, and range of motion (ROM). As an integral part of Functional Movement Systems (FMS), YBT is a thoroughly researched test to test and simultaneously demonstrate an individual's functional symmetry of motor control. YDT gives us the function of each central extremity that is under the weight of a quarter of the body. Six application trials are conducted before the application of this test. The maximum reach analysis in each direction is then performed using three trials in three directions for each leg. Standing on one foot on the midfoot plate with the most distal aspect of the athletic shoe at the baseline, the person being examined stands. The subject is instructed to reach anterior, posteromedial, and posterolateral directions with the free extremity relative to the stance foot while maintaining the single-leg stance, and the distance traveled is measured.

  from pre-interventional time to post-interventional about 1st hour

Secondary Outcomes (2)

• Horizontal Jump Test

  from pre-interventional time to post-interventional about 1st hour

• Illinois Test

  from pre-interventional time to post-interventional about 1st hour

Study Arms (3)

Percussion Massage Therapy Group

EXPERIMENTAL

The group to which percussion massage therapy will be applied to the posterior leg muscles.

Device: Percussion Massage Therapy

Graston (IASTM) Group

EXPERIMENTAL

The group in which instrument-assisted soft tissue mobilization will be applied to the posterior leg muscles.

Device: Graston

Dynamic Stretching Group

EXPERIMENTAL

The group to which dynamic stretching exercises will be applied to the posterior leg muscles.

Other: Dynamic Stretching

Interventions

Percussion Massage Therapy DEVICE

Individuals in the percussion massage therapy group will get 3 minutes of percussion massage therapy on the hamstring and gastrocnemius muscles along the origo-insertion in the mid-frequency range.

Percussion Massage Therapy Group

Graston DEVICE

Instrument-assisted soft tissue mobilization will be used on the hamstring and gastrocnemius muscles along the 5-minute origo insertion line in the Graston group.

Also known as: IASTM

Graston (IASTM) Group

Dynamic Stretching OTHER

Dynamic stretching exercises for the hamstring and gastrocnemius muscles will be performed in the dynamic stretching exercise group.

Dynamic Stretching Group

Eligibility Criteria

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

You may qualify if:

• Those who are at a level to be able to perform a performance test
• With hamstring muscle tightness
• Those who have not undergone orthopedic surgery from any region
• Individuals who do not have a professional sports background

You may not qualify if:

• Trauma history
• Anatomical deformities and skeletal system fractures
• Diagnosed orthopedic or rheumatological diseases
• Being included in a physiotherapy program in the last six months
• Individuals with pain in any part of the study

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

Study Sites (1)

Istanbul Medipol University

Istanbul, 34820, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Musculoskeletal Diseases

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

• BURAK MENEK, PhD

  Medipol University

  PRINCIPAL INVESTIGATOR

• UMUT İSLAM TAYBOĞA, RA

  Medipol University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: June 6, 2022
• First Posted: June 9, 2022
• Study Start: June 13, 2022
• Primary Completion: August 20, 2022
• Study Completion: September 12, 2022
• Last Updated: September 13, 2022

Record last verified: 2022-09

Locations

TU (1)