NCT06357611

Brief Summary

It is known that there are studies that prove the effectiveness of muscle energy techniques and the fourth ventricle technique separately, however, information is scarce regarding the combination of the two and their effectiveness in the population. The aim of this randomized controlled study is to compare the immediate effects of the techniques compared to the muscle energy technique alone in female basketball players.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
34

participants targeted

Target at P25-P50 for not_applicable healthy

Timeline
Completed

Started Sep 2024

Shorter than P25 for not_applicable healthy

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 5, 2024

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 10, 2024

Completed
5 months until next milestone

Study Start

First participant enrolled

September 1, 2024

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2024

Completed
Last Updated

April 30, 2024

Status Verified

April 1, 2024

Enrollment Period

3 months

First QC Date

April 5, 2024

Last Update Submit

April 26, 2024

Conditions

Keywords

Fourth ventricle techniqueMuscle energy techniqueRange of motionHamstring Muscles

Outcome Measures

Primary Outcomes (1)

  • Altered range of motion of the hamstring muscles.

    The universal goniometer is a tool used to assess joint ROM.

    10 minutes after intervention.

Study Arms (3)

Control Group

PLACEBO COMPARATOR

After completing an individual questionnaire and giving informed consent, a placebo technique was performed, consisting only of contact in the area of the participant's shoulders.

Other: Simulated technique

Experimental group MET

EXPERIMENTAL

After completing an individual questionnaire and giving informed consent, the muscle energy technique was performed on the dominant hamstring muscle.

Other: Muscle energy technique

Experimental group CV-4 and MET

EXPERIMENTAL

After completing an individual questionnaire and giving informed consent, the 4th ventricle technique (CV-4) was performed, followed by the muscle energy technique on the dominant hamstring muscle.

Other: 4th ventricle technique and muscular energy technique

Interventions

The participant was in a supine position, with her upper limbs at her sides and her neck in a neutral position. The researcher sat in a cephalic position, making contact with the participant's shoulders, without any movement, until 5 minutes had elapsed.

Control Group

The participant was in a supine position, with her upper limbs alongside her body and her neck in a neutral position. The researcher adopted a position homolateral to the dominant limb, contacting the lower limb with the caudal hand in the region of the malleoli. He then helped the participant to perform the movement, which consisted of flexing the hip and extending the knee passively until the motor barrier was reached, and instructed her to perform an isometric contraction of the hamstrings. She was asked to perform three 7-second contractions with a 2 to 3-second interval, using approximately 20% of her maximum strength, gaining a new motor barrier between each set, for a total of three sets.

Experimental group MET

The participant was in a supine position, with her upper limbs alongside her body and her neck in a neutral position. For CV-4, the researcher contacted the squamous portion of the occiput laterally, bringing it close to the posterior convexity of the occiput, bringing the skull into extension, changing the compression movement with decompression, until 3 minutes had elapsed. For the MET, the researcher adopted a position homolateral to the dominant limb, contacting the lower limb with the caudal hand in the region of the malleoli. She then helped the participant to perform the movement, which consisted of flexing the hip and extending the knee passively to the motor barrier, having been instructed to perform an isometric contraction of the hamstring. A total of 3 7-second contractions with a 2-3 second interval were requested, using approximately 20% of her maximum strength, and with a new motor barrier being gained between each series, for a total of 3 series.

Experimental group CV-4 and MET

Eligibility Criteria

Age18 Years - 30 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Over 18 years old
  • Female
  • Playing federated basketball
  • Signature of informed consent documents

You may not qualify if:

  • Surgical intervention/trauma in the areas of activity (cervical-cranial and lower limb)
  • Exposure to medicinal therapy
  • Participants with hypertension
  • Participants at risk of cerebral hemorrhage (e.g. aneurysm)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Escola Superior de Saúde do Porto

Porto, 4200-072, Portugal

Location

Related Publications (19)

  • Balasubramaniam, A., Gandhi V, M., Purushothaman, V. K. (2022). Myofascial Release Theraphy versus Muscle Energy Technique on Hamstring Flexibility in Physical Inactive students - A randomized controlled trial. Universal Journal of Public Health, 299-303.

    BACKGROUND
  • Barroso, G. C., & Thiele, E. S. (2011, Junho 28). Lesão Muscular nos Atletas.

    BACKGROUND
  • Bonorino, D. S. (2017). Efeitos da técnica CV-4 para o tratamento da enxaqueca.

    BACKGROUND
  • Chaitow, L. (2013). Muscle Energy Techniques.

    BACKGROUND
  • Chaitow, L. (2023). Muscle Energy Techniques (Fifth Edition ed.). Elsevier.

    BACKGROUND
  • DeLucia, R. (2016). Farmacologia Integrada: Uso Racional de Medicamentos.

    BACKGROUND
  • DeStefano, L. (2011). Principales of Manual Medicine. Wolters Kluwer.

    BACKGROUND
  • E. de Gray, L., & Seth, B. (2020). Drugs used to treat joint and muscle disease.

    BACKGROUND
  • Favareto, R. M. (2019). Influência da manipulação osteopática craniana, sobre o sistema nervoso autônomo mensurado pela neurometria funcional em pacientes com fibromialgia. Revista Científica de Neurometria, 5.

    BACKGROUND
  • Fryer, G., Fleischmann, M., & Vaughan, B. (2021). Use of muscle energy technique amongst a nationally representative sample of Australian Osteopaths. International Journal of Osteopathic Medicine, 5.

    BACKGROUND
  • Jakel A, von Hauenschild P. Therapeutic effects of cranial osteopathic manipulative medicine: a systematic review. J Am Osteopath Assoc. 2011 Dec;111(12):685-93.

    PMID: 22182954BACKGROUND
  • Kang YH, Ha WB, Geum JH, Woo H, Han YH, Park SH, Lee JH. Effect of Muscle Energy Technique on Hamstring Flexibility: Systematic Review and Meta-Analysis. Healthcare (Basel). 2023 Apr 11;11(8):1089. doi: 10.3390/healthcare11081089.

    PMID: 37107922BACKGROUND
  • Laurino, C., Murer, F., & Iglesias, R. (2018, Julho 19). Tratamento cirurgico das lesões dos músculos isquiotibiais da coxa.

    BACKGROUND
  • Liem, T. (2004). Cranial Osteopathy: principles and practice. Elsevier.

    BACKGROUND
  • Nicholas, A. N. (2016). Atlas of Osteopathic Techniques (3 ed.). Wolters Kluwer Editora.

    BACKGROUND
  • Parsons, J., & Marcer, N. (2008). Osteopathy: Models for Diagnosis, Treatment and Practice. Elsevier.

    BACKGROUND
  • Ricard, F., & Sallé, J.-L. (2010). Tratado de Osteopatía.

    BACKGROUND
  • Smith M, Fryer G. A comparison of two muscle energy techniques for increasing flexibility of the hamstring muscle group. J Bodyw Mov Ther. 2008 Oct;12(4):312-7. doi: 10.1016/j.jbmt.2008.06.011. Epub 2008 Aug 6.

    PMID: 19083689BACKGROUND
  • Upledger, J. E., & Vredevoogd, J. D. (1983). Craniosacral therapy (Vol. 236). Seattle: Eastland press.

    BACKGROUND

Study Officials

  • Natália MO Campelo, PhD

    Escola Superior de Saúde do Politecnico do Porto

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Natália MO Campelo, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: In order to allocate each participant to an intervention group, each voluntary participation questionnaire was assigned a number. Subsequently, all the numbers of the participants in the sample were randomly distributed among the 3 groups by the principal investigator.
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Profesor

Study Record Dates

First Submitted

April 5, 2024

First Posted

April 10, 2024

Study Start

September 1, 2024

Primary Completion

December 1, 2024

Study Completion

December 1, 2024

Last Updated

April 30, 2024

Record last verified: 2024-04

Locations