Effect of Therapeutic Techniques on Leg Stretching in Healthy Subjects

NCT ID: NCT03958084

Last Updated: 2020-04-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-20

Study Completion Date

2021-03-30

Brief Summary

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There are physiotherapy techniques, known as lumbar mobilization, proprioceptive neuromuscular facilitation, massage therapy, windsheets and foam roller that present good results in stretching the legs. This study aims to evaluate which of these techniques has a better result in leg stretching. It is believed that massage therapy and lumbar mobilization will provide better results.

Detailed Description

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A randomized clinical trial blind crossover. The aim of this study is comparing the immediate effect of five interventions on the flexibility of hamstrings in healthy individuals. Participants will be assessed pre and post intervention through the extended leg elevation test and photogrammetry. The techniques of unilateral lumbar mobilization, proprioceptive neuromuscular facilitation, massage, ventosa therapy and foam roller will be applied on different days with a 48-hour interval between interventions. The techniques will be compared using the repeated measures ANOVA after verification of normality by the Shapiro-Wilk test, adopting the significance level of 5% and 95% confidence interval.

Conditions

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Healthy Adult

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Massage group

The deep massage will be applied for three minutes in the ischiotíbial muscles, only in the left limb, towards the muscular fibers. The volunteers will be placed in a ventral decubitus position on the stretcher.

Group Type EXPERIMENTAL

Straight Leg Raise

Intervention Type DIAGNOSTIC_TEST

The assessment of the flexibility of the hamstring will be realized through the test of straight leg raise (SLR). The SLR is a passive test performed unilaterally.

Ventosa therapy group

The negative pressure ventosa therapy slide winds will be applied for three minutes in the oval direction in the posterior region of the thigh to contemplate the full extent of the ischiotíbial muscles, only in the left limb. The volunteers will be placed in a ventral decubitus position on the stretcher.

Group Type EXPERIMENTAL

Straight Leg Raise

Intervention Type DIAGNOSTIC_TEST

The assessment of the flexibility of the hamstring will be realized through the test of straight leg raise (SLR). The SLR is a passive test performed unilaterally.

Foam roller group

The foam roller is a self-applied intervention for three minutes where the volunteers will be positioned on bench press on the floor of the room, with the left thigh posteriorly on the foam roller and the leg extended, the right lower limb will be in flexion of hip and knee, only the right foot and the right and left hands will touch the ground. Volunteers will be instructed to move so that they move forward and backward, causing the roller to travel the full length of the hamstring muscles.

Group Type EXPERIMENTAL

Straight Leg Raise

Intervention Type DIAGNOSTIC_TEST

The assessment of the flexibility of the hamstring will be realized through the test of straight leg raise (SLR). The SLR is a passive test performed unilaterally.

Lumbar mobilization group

Unilateral lumbar mobilization of grade III at the frequency of 2Hz at the joint L4 / L5 of the ipsilateral side of the limb tested. The frequency was guaranteed by a metronome set at 120 beats per minute. Three sets of 1 minute of mobilization were performed with a 30 second interval, totaling a time of 4 minutes and 30 seconds of intervention. The technique was performed with the patient in the ventral decubitus position.

Group Type EXPERIMENTAL

Straight Leg Raise

Intervention Type DIAGNOSTIC_TEST

The assessment of the flexibility of the hamstring will be realized through the test of straight leg raise (SLR). The SLR is a passive test performed unilaterally.

Proprioceptive neuromuscular facilitation group

Patient in dorsal decubitus, the examiner lifted the participant's leg up to the referred maximum amplitude. He then asked the patient for an isometric contraction of the hamstring muscles against the researcher's resistance for 10 seconds. After contraction, the researcher asked the patient to relax for 10 seconds. Then the member is repositioned passively by the researcher until the new amplitude limit reached. The technique was performed in 2 sets of 4 repetitions with an interval of 1 minute, totaling in an approximate time of 4 minutes of intervention.

Group Type EXPERIMENTAL

Straight Leg Raise

Intervention Type DIAGNOSTIC_TEST

The assessment of the flexibility of the hamstring will be realized through the test of straight leg raise (SLR). The SLR is a passive test performed unilaterally.

Control group

The patient remained lying down in the ventral position for 4 minutes. the patient remained lying down in the ventral position for 4 minutes.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Straight Leg Raise

The assessment of the flexibility of the hamstring will be realized through the test of straight leg raise (SLR). The SLR is a passive test performed unilaterally.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* 18 to 35 years of age.
* No pain in the posterior thigh.

Exclusion Criteria

* Volunteers who present deep venous thrombosis.
* Cutaneous allergy.
* Cutaneous lesion.
* Posterior thigh edema.
* Lower limb prosthesis.
* Shoulder or wrist injuries.
* Phobia of the techniques.
* Scarring in the posterior region of the thigh
* Have performed myofacial release or stretches during the days of intervention.
* Pilates and yoga practitioners
* No attend every day intervention.
* Injury of hamstrings in the last year.
* Previous injuries to the spine or lower limbs in the last 6 months.
* Symptoms of low back pain or hip joint.
* Diabetes mellitus, since people with diabetes have limited responses in the elevated leg elevation test.
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Santa Catarina Federal University

OTHER

Sponsor Role collaborator

Alessandro Haupenthal

OTHER

Sponsor Role lead

Responsible Party

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Alessandro Haupenthal

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Alessandro Haupenthal, Teacher

Role: PRINCIPAL_INVESTIGATOR

Santa Catarina Federal University

Locations

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Santa Catarina Federal University

Araranguá, Santa Catarina, Brazil

Site Status

Countries

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Brazil

Central Contacts

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Alessandro Haupenthal, Teacher

Role: CONTACT

55(48)99028190

Cassia Rodrigues Schuster, Student

Role: CONTACT

55(48)996390975

Facility Contacts

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Alessandro Haupenthal, Doctorate

Role: primary

55 48 999028190

Cassia Rodrigues Schuster, Student

Role: backup

55 48 996390975

References

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AGOSTINHO, A. et al. Vacuoterapia: influência no aumento da flexibilidade muscular dos isquiotíbiais. Saúde & Tecnologia .16, p.38-43, 2016.

Reference Type BACKGROUND

CASSAR, Paul Mario. Manual de massagem terapêutica : um guia completo de massoterapia para o estudante e para o terapeuta. São Paulo: Manole, 1ª ed, p.231, 2001.

Reference Type BACKGROUND

Mohr AR, Long BC, Goad CL. Effect of foam rolling and static stretching on passive hip-flexion range of motion. J Sport Rehabil. 2014 Nov;23(4):296-9. doi: 10.1123/jsr.2013-0025. Epub 2014 Jan 21.

Reference Type BACKGROUND
PMID: 24458506 (View on PubMed)

CHESTERTON et al. The Effect of Mobilising the Lumbar 4/5 Zygapophyseal Joint on Hamstring Extensibility in Elite Soccer Players. International Journal of Physiotherapy and Rehabilitation, 2016;

Reference Type BACKGROUND

Puentedura EJ, Huijbregts PA, Celeste S, Edwards D, In A, Landers MR, Fernandez-de-Las-Penas C. Immediate effects of quantified hamstring stretching: hold-relax proprioceptive neuromuscular facilitation versus static stretching. Phys Ther Sport. 2011 Aug;12(3):122-6. doi: 10.1016/j.ptsp.2011.02.006. Epub 2011 Apr 15.

Reference Type BACKGROUND
PMID: 21802038 (View on PubMed)

Shankar Ganesh G, Mohanty P, Smita Pattnaik S. The immediate and 24-hour follow-up effect of unilateral lumbar Z-joint mobilisation on posterior chain neurodynamics. J Bodyw Mov Ther. 2015 Apr;19(2):226-31. doi: 10.1016/j.jbmt.2014.04.009. Epub 2014 Apr 18.

Reference Type BACKGROUND
PMID: 25892376 (View on PubMed)

Boyd BS, Wanek L, Gray AT, Topp KS. Mechanosensitivity of the lower extremity nervous system during straight-leg raise neurodynamic testing in healthy individuals. J Orthop Sports Phys Ther. 2009 Nov;39(11):780-90. doi: 10.2519/jospt.2009.3002.

Reference Type BACKGROUND
PMID: 19881004 (View on PubMed)

Other Identifiers

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1;771;454

Identifier Type: -

Identifier Source: org_study_id

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