Neural Mobilisation Effect on Calf Muscle

NCT07585084 | Completed

• 1 other identifier: INTI-IU/FHLS-RC/BPTHI/1NY12024
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study was to investigate Neural mobilisation effects on calf muscles length and strength is crucial to optimize ballet performance and prevent injuries.

Conditions

Calf Muscle Tightness

Keywords

neural mobilisation; calf muscle length; calf muscle strength

Outcome Measures

Primary Outcomes (1)

• knee to wall test

  The participants placed the testing foot onto the measuring tape with foot perpendicular to the wall while lunging or bending the knee to touch the wall. Then participants slide their foot further away from the wall as much as ossible while maintaining contact of knee to the wall as well as heel of foot on the floor. The calf muscle flexibility is evaluated with the measurement of distance from the great toe to the wall will be the maximum possible ankle dorsiflexion for the individual.

  From enrollment to the end of treatment at 4 weeks

Secondary Outcomes (2)

• Calf muscle strength

  From enrollment to the end of treatment at 4 weeks

• Dynamic balance using Modified Star Excursion Balance Test (mSEBT)

  From enrollment to the end of treatment at 4 weeks

Study Arms (2)

Neural mobilisation group

EXPERIMENTAL

neural mobilisation of tibial nerve and gastrocnemius stretching

Other: Neural mobilisation; Other: Gastrocnemius stretching

Gastrocnemius stretching group

ACTIVE COMPARATOR

Participants was instructed to perform the classic wall stretch for gastrocnemius as self-stretching for a duration of 30 seconds each leg. It was done facing the wall and one leg had knee flexed in front while the other leg had knee extended behind. A 30 second hold was maintained at maximum tretched position by leaning forward while both soles of feet remain contact on the round. Self-stretch was performed throughout the 4-week study duration before every ballet training or class.

Other: Gastrocnemius stretching

Interventions

Neural mobilisation OTHER

the neural mobilisation was done with placement of participant's leg in hip flexion, knee extension, ankle dorsiflexion and eversion to load the nerve. Then leg is placed back to neutral position, with ankle naturally plantarflexed to unload the nerve. NM of tibial nerve was done in a total of 10 seconds each repetition, with 5 seconds each for loading and unloading of nerve. Then 12 repetition was done in one set, which amount to a total of 120seconds or 2 minute per set. A total of 3 sets was done on each leg, with a 1-minute resting interval after each set. NM was administered to participants in experimental group before their ballet class for 3 times a week lasting for 4 weeks.

Also known as: nerve gliding, nerve tensioning

Neural mobilisation group

Gastrocnemius stretching OTHER

Participants was instructed to perform the classic wall stretch for gastrocnemius as self-stretching for a duration of 30 seconds each leg. It was done facing the wall and one leg had knee flexed in front while the other leg had knee extended behind. A 30 second hold was maintained at maximum stretched position by leaning forward while both soles of feet remain contact on the ground. Self-stretch was performed throughout the 4-week study duration before every ballet training or class.

Also known as: calf self stretching

Gastrocnemius stretching group; Neural mobilisation group

Eligibility Criteria

• Age: 13 Years - 23 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Classical ballet trained female or male .
• Subjects who are trained in classical ballet syllabus such as Royal Academy of Dance (RAD) Syllabus, The Classical Ballet Syllabus by Commonwealth Society of Teachers of Dancing (CSTD), Vaganova Syllabus and more.
• Aged 13-23 years old
• Dancers who took class/practice ballet for at least 3 times per week
• Participated in ballet competition in recent 6 months

You may not qualify if:

• Professional full time ballet dancers
• Non-ballet dancers
• Self-reported lower extremity injuries in the past 6 months prior to date of data collection
• Subjects with existing musculoskeletal injuries might affect calf muscle performance
• Involvement in other sports or physical training

Sponsors & Collaborators

• INTI International University: lead

Study Sites (1)

Inti International University

Seremban, Negeri Sembilan, 71800, Malaysia

Location

Related Publications (3)

• Cho SY, Myong Y, Park S, Cho M, Kim S. A portable articulated dynamometer for ankle dorsiflexion and plantar flexion strength measurement: a design, validation, and user experience study. Sci Rep. 2023 Dec 14;13(1):22221. doi: 10.1038/s41598-023-49263-2.

  PMID: 38097727 BACKGROUND

• Avila-Carvalho L, Conceicao F, Escobar-Alvarez JA, Gondra B, Leite I, Rama L. The Effect of 16 Weeks of Lower-Limb Strength Training in Jumping Performance of Ballet Dancers. Front Physiol. 2022 Jan 12;12:774327. doi: 10.3389/fphys.2021.774327. eCollection 2021.

  PMID: 35095553 BACKGROUND

• Alimoradi M, Sahebozamani M, Hosseini E, Konrad A, Noorian S. The Effect on Flexibility and a Variety of Performance Tests of the Addition of 4 Weeks of Soleus Stretching to a Regular Dynamic Stretching Routine in Amateur Female Soccer Players. Sports (Basel). 2023 Jul 19;11(7):138. doi: 10.3390/sports11070138.

  PMID: 37505625 BACKGROUND

Study Officials

• NITHIYAH MARUTHEY

  INTI International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle investigator

Model Details: A randomised controlled trial with one experimental group and one control group

Study Record Dates

• First Submitted: May 6, 2026
• First Posted: May 13, 2026
• Study Start: August 20, 2024
• Primary Completion: January 15, 2026
• Study Completion: January 15, 2026
• Last Updated: May 14, 2026

Record last verified: 2026-05

Locations

MY (1)