Electrical Stimulation vs. Static Stretching in the Leg Muscles

NCT ID: NCT06626698

Last Updated: 2025-12-19

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

COMPLETED

Clinical Phase

NA

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-01

Study Completion Date

2024-07-31

Brief Summary

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The retraction of the posterior leg muscles consists of a shortening of the muscle fibers that limits ankle dorsiflexion. The objective of this randomized controlled clinical trial (RCT) with a double-blind technique and longitudinal chronology is to evaluate the short-term effect of electrostimulation associated with muscle stretching (electrical muscle elongation technique or EME) compared to static stretching in adult subjects with shortening of the posterior leg muscles.

The main questions it seeks to answer are:

* Are there significant differences in the short-term effect of electrical muscle elongation versus static stretching exercises on the gastrocnemius complex and Achilles tendon in young adults?
* Does the ankle\'s range of motion increase in both weight-bearing and non-weight-bearing positions?
* Does muscle strength increase in ankle plantar flexion?

The researchers will compare the group receiving electrical muscle elongation with interferential current to the group receiving passive static stretching to assess whether there are significant differences in the effects on the ankle\'s range of motion and the muscle strength of the posterior leg muscles.

Participants in this study will perform the following tasks:

* Receive a session of electrical muscle elongation with TENS and static stretching performed by the researcher.
* Follow the instructions during the intervention.
* Undergo evaluations of ankle range of motion and plantar flexor muscle strength
* Record their level of satisfaction after the study.

Detailed Description

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Conditions

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Muscle Fatigue

Keywords

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Achilles tendon gastrocnemius muscle electric stimulation static stretching articular Range of Motion randomized Clinical trial Longitudinal muscle shortening Session duration Comparision group Electric muscle elongation triceps surae

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants were randomly assigned to either the Experimental Group (Electrical Muscle Elongation, EME) or the Control Group (Static Stretching, SS) to compare the immediate and short-term effects of the interventions.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
This was a single-blind study. The Participants were blinded to the specific intervention they received, as both the Electrical Muscle Elongation (EME) technique and the Static Stretching (SS) technique involved similar positioning and physical manipulation of the ankle, making it challenging for them to distinguish the exact treatment modality.

However, the Investigator (A.C-M, responsible for allocation and data recording) and the Care Provider (L.R-F, the podiatrist who applied the corresponding technique) were not blinded to the group assignment due to the distinct nature of the two interventions (one involving electrotherapy equipment and the other not).

Study Groups

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Experimental: static stretching

Passive static stretching of the posterior leg muscles. Single session of 30 seconds per 4 sets with 30 seconds of rest

Group Type EXPERIMENTAL

Static stretching

Intervention Type OTHER

A passive static stretch of the posterior leg muscles will be performed with the subject in a supine position and knees extended, starting with the ankle at 90º and continuing until reaching the maximum tolerated dorsiflexion.

Experimental: EME

Electrical muscle elongation with interferential current. Dosage: 4kHz frequency and 100Hz frequency modulation amplitude. Self-adhesive surface electrodes (50x90 mm) and SONOPULS-492 equipment. Single session of 30 seconds per 4 sets with 30 seconds of rest.

Group Type EXPERIMENTAL

Electrical muscle elongation

Intervention Type DEVICE

The intervention will be performed with the subject in a supine position with knees extended. Electrodes will be placed on the gastrocnemius muscles of the leg being assessed. The parameters will be selected. Static stretching will begin until resistance is felt, at which point the intensity of the electrical current will be increased to induce a visible and tolerable contraction. Simultaneously, the subject will be asked to perform an isometric contraction of the antagonist muscles, resisted by the investigator. When the subject feels the stretch again, the intensity of the current will be increased once more until a new movement barrier is reached.

Interventions

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Static stretching

A passive static stretch of the posterior leg muscles will be performed with the subject in a supine position and knees extended, starting with the ankle at 90º and continuing until reaching the maximum tolerated dorsiflexion.

Intervention Type OTHER

Electrical muscle elongation

The intervention will be performed with the subject in a supine position with knees extended. Electrodes will be placed on the gastrocnemius muscles of the leg being assessed. The parameters will be selected. Static stretching will begin until resistance is felt, at which point the intensity of the electrical current will be increased to induce a visible and tolerable contraction. Simultaneously, the subject will be asked to perform an isometric contraction of the antagonist muscles, resisted by the investigator. When the subject feels the stretch again, the intensity of the current will be increased once more until a new movement barrier is reached.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subjects affiliated with or related to the University of Seville.
* Those with muscular shortening of the posterior chain of the limb.

Exclusion Criteria

* Subjects who engage in sports activity above the average of the sample or who follow an organized stretching program for the posterior leg muscles.
* Hyperlaxity
* History of musculoskeletal, neuromuscular injuries, joint disease, surgery on the lower leg, or serious illness.
Minimum Eligible Age

18 Years

Maximum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Seville

OTHER

Sponsor Role lead

Responsible Party

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Aurora Castro Mendez

Principal Investigator. Aurora Castro-Méndez.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Aurora Castro PhD

Role: PRINCIPAL_INVESTIGATOR

University of Seville

Locations

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Área Clínica de Podología

Seville, , Spain

Site Status

Countries

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Spain

References

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Mizuno T. Combined Effects of Static Stretching and Electrical Stimulation on Joint Range of Motion and Muscle Strength. J Strength Cond Res. 2019 Oct;33(10):2694-2703. doi: 10.1519/JSC.0000000000002260.

Reference Type RESULT
PMID: 29023326 (View on PubMed)

Espejo-Antunez L, Lopez-Minarro PA, Garrido-Ardila EM, Castillo-Lozano R, Dominguez-Vera P, Maya-Martin J, Albornoz-Cabello M. A comparison of acute effects between Kinesio tape and electrical muscle elongation in hamstring extensibility. J Back Musculoskelet Rehabil. 2015;28(1):93-100. doi: 10.3233/BMR-140496.

Reference Type RESULT
PMID: 25061028 (View on PubMed)

Espejo-Antúnez L, López-Miñarro PA, Albornoz-Cabello M, Garrido-Ardila EM. Acute effect of electrical muscle elongation and static stretching in hamstring muscle extensibility. Science & Sports. 1 de febrero de 2016;31(1):e1-7.

Reference Type RESULT

Espejo Antúnez L, Maya Martín J, Cardero Durán MA, Albornoz Cabello M. Aumento de la extensibilidad isquiotibial tras aplicar elongación muscular eléctrica. Fisioterapia. 1 de mayo de 2012;34(3):112-7.

Reference Type RESULT

Other Identifiers

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US-elect26

Identifier Type: -

Identifier Source: org_study_id