Effectiveness of a Proprioceptive Neuromuscular Proprioceptive Neuromuscular Facilitation

NCT05872802 | Completed

• 1 other identifier: 15/05/2023
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: Paddle tennis is a popular sport which can cause lower limb injuries due to impaired flexibility, such as ankle dorsiflexion. To improve this, methods such as proprioceptive neuromuscular facilitation (PNF), eccentric exercises and electrical stimulation (NMES) can be used. Objective: To compare the effectiveness of a PNF program with one of eccentric exercise plus NMES in the weight bearing lunge, lateral step down and drop jump test in amateur paddle tennis players. Methods: Pilot randomized clinical trial involving 20 male amateur paddle tennis players. Participants were randomly divided into two groups of ten. One group received a PNF protocol, while the another group was given an Eccentric+ NMES exercise protocol. During the study, range of dorsal ankle flexion (ROMDf) was measured, as well as the vertical jump and lateral step down capacity of the participants.

Conditions

Proprioceptive Neuromuscular Facilitation

Keywords

Proprioceptive neuromuscular facilitation;; Paddle tennis; Ankle dorsiflexion range; Eccentric exercise; Neuromuscular electrostimulation

Outcome Measures

Primary Outcomes (2)

• Vertical jump

  The protocol for the drop jump test proposes different heights ranging from 20 to 100 cm. cm to 100 cm. In our study, there is a height of 25 cm to assess knee valgus, which is considered optimal according to the literature. knee valgus, which is considered optimal according to the literature. The athlete, once on the The athlete, once on the box, should place his hands on his hips and drop from the top of the bench, cushion the impact and, once in the jumping position, perform a maximum vertical jump.

  1 month

• range of flexion ankle dorsiflexion

  using the weight bearing lunge test. Once the maximum distance has been reached, we perform the measurement with the clinometer application, we calibrate the the inclinometer at the verticality of your tibia, precisely at the proximal third and measure the range of motion of the ankle, not the position reached.

  1 month

Study Arms (2)

proprioceptive neuromuscular facilitation group.

ACTIVE COMPARATOR

Proprioception protocol for ankle dorsiflexion.

Other: proprioceptive neuromuscular facilitation

Eccentric exercises and electrical stimulation group.

EXPERIMENTAL

Eccentric exercises and strengthening currents for ankle dorsiflexion.

Other: eccentric exercises and electrical stimulation

Interventions

eccentric exercises and electrical stimulation OTHER

Eccentric exercises and strengthening currents to improve ankle dorsiflexion in professional padel players.

Eccentric exercises and electrical stimulation group.

proprioceptive neuromuscular facilitation OTHER

proprioceptive neuromuscular facilitation to improve ankle dorsiflexion in professional padel players.

proprioceptive neuromuscular facilitation group.

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Be a professional padel player.
• Be over 18 years of age.
• Sign the informed consent to participate in the study.
• Completion of the IPAQ physical activity questionnaire (Annex 1) to assess the level of physical activity of the participants and to ensure that they meet the physical activity level of the participants and to ensure that they meet the requirements for requirements for participation in the study.

You may not qualify if:

• Traumatic or musculoskeletal history that may affect the performance of the study exercises, as determined in the exercises of the study.
• A neurological history that may cause impairment in the performance of the exercises.
• Use of orthoses that may generate alterations in the result.
• Difficulty in performing exercises as determined by the Physical Activity Readiness Questionnaire (PAR-Q)

Sponsors & Collaborators

• Universidad Católica de Ávila: lead

Study Sites (1)

Jorge Velázquez Saornil

Ávila, 05005, Spain

Location

Related Publications (8)

• Osawa Y, Oguma Y. Effects of vibration on flexibility: a meta-analysis. J Musculoskelet Neuronal Interact. 2013 Dec;13(4):442-53.

  PMID: 24292614 BACKGROUND

• Sams L, Langdown BL, Simons J, Vseteckova J. The Effect Of Percussive Therapy On Musculoskeletal Performance And Experiences Of Pain: A Systematic Literature Review. Int J Sports Phys Ther. 2023 Apr 1;18(2):309-327. doi: 10.26603/001c.73795. eCollection 2023.

  PMID: 37020441 BACKGROUND

• Moreno-Perez V, Soler A, Ansa A, Lopez-Samanes A, Madruga-Parera M, Beato M, Romero-Rodriguez D. Acute and chronic effects of competition on ankle dorsiflexion ROM in professional football players. Eur J Sport Sci. 2020 Feb;20(1):51-60. doi: 10.1080/17461391.2019.1611930. Epub 2019 May 9.

  PMID: 31072261 RESULT

• Moreno-Perez V, Del Coso J, Raya-Gonzalez J, Nakamura FY, Castillo D. Effects of basketball match-play on ankle dorsiflexion range of motion and vertical jump performance in semi-professional players. J Sports Med Phys Fitness. 2020 Jan;60(1):110-118. doi: 10.23736/S0022-4707.19.09918-3. Epub 2019 Oct 16.

  PMID: 31640316 RESULT

• Rabin A, Kozol Z, Moran U, Efergan A, Geffen Y, Finestone AS. Factors associated with visually assessed quality of movement during a lateral step-down test among individuals with patellofemoral pain. J Orthop Sports Phys Ther. 2014 Dec;44(12):937-46. doi: 10.2519/jospt.2014.5507. Epub 2014 Oct 27.

  PMID: 25347229 RESULT

• Rabin A, Portnoy S, Kozol Z. The Association of Ankle Dorsiflexion Range of Motion With Hip and Knee Kinematics During the Lateral Step-down Test. J Orthop Sports Phys Ther. 2016 Nov;46(11):1002-1009. doi: 10.2519/jospt.2016.6621. Epub 2016 Sep 29.

  PMID: 27686412 RESULT

• Reiner M, Tilp M, Guilhem G, Morales-Artacho A, Nakamura M, Konrad A. Effects of a Single Proprioceptive Neuromuscular Facilitation Stretching Exercise With and Without Post-stretching Activation on the Muscle Function and Mechanical Properties of the Plantar Flexor Muscles. Front Physiol. 2021 Sep 14;12:732654. doi: 10.3389/fphys.2021.732654. eCollection 2021.

  PMID: 34594241 RESULT

• Wilczynski B, Zorena K, Slezak D. Dynamic Knee Valgus in Single-Leg Movement Tasks. Potentially Modifiable Factors and Exercise Training Options. A Literature Review. Int J Environ Res Public Health. 2020 Nov 6;17(21):8208. doi: 10.3390/ijerph17218208.

  PMID: 33172101 RESULT

MeSH Terms

Interventions

Electric Stimulation; Muscle Stretching Exercises

Intervention Hierarchy (Ancestors)

Physical Stimulation; Investigative Techniques; 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 Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: May 15, 2023
• First Posted: May 24, 2023
• Study Start: February 1, 2023
• Primary Completion: March 1, 2023
• Study Completion: May 15, 2023
• Last Updated: May 26, 2023

Record last verified: 2023-05

Locations

ES (1)