HealthyNCT04324827
Investigation of the Acute Effect of Myofascial Release Techniques and Dynamic Stretch
A study testing Graston Technique and Dynamic stretch exercise in people with Healthy, run by Bahçeşehir University at 1 site in Turkey (Türkiye).
Trial summary
Fascia is a connective tissue that contains a large amount of water and contains blood vessels, nerves that surround the muscles and connect the various structures of the body. In the event of an injury, the fascia has to cause some limitations to reduce muscle spasms, neuromuscular changes and pain. Read more about this study
- Who is it for?
- Ages 18 to 35 yearsHealthy volunteers can take part
- Conditions the study is for
- Healthy
- What is being tested?
- Graston Technique and Dynamic stretch exercise
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 42 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Jun 2019to 24 Nov 2019
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 35 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- being between18-35 years old,
- being recreationally active,
- volunteering to participate in the study
- no pain complaints.
Who cannot join
- body mass index of 30 kg / m² or more,
- previous lower extremity surgery and joint,
- meniscus or ligament injury,
- chronic knee instability,
- cardiac, musculoskeletal, vestibular and neurological problems,
- long-term use of corticosteroids
- pregnancy.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Investigation of the Acute Effect of Myofascial Release Techniques and Dynamic Stretch on Vertical Jump Performance in Recreationally Active Individuals
Fascia is a connective tissue that contains a large amount of water and contains blood vessels, nerves that surround the muscles and connect the various structures of the body. In the event of an injury, the fascia has to cause some limitations to reduce muscle spasms, neuromuscular changes and pain. In order to achieve this, it can adhere to muscles and other body structures. In the physically active population, these facial adhesions may cause a decrease in performance over time, while the body heals itself after mechanical stresses and injuries. It is remarkable that various facial techniques are tried and compared with each other in order to increase performance. The most noteworthy of these techniques is foam roller (FR) and instrument-assisted soft tissue mobilization (IASTM). As well as myofascial techniques, a preferred and highly studied method for performance improvement, especially before competitions, is dynamic stretching. The aim of this study is to compare the effects of these three techniques on vertical jump performance and their advantages over each other.
Read the detailed description
Fascia is a connective tissue that contains a large amount of water and contains blood vessels, nerves that surround the muscles and connect the various structures of the body. In the event of an injury, the fascia has to cause some limitations to reduce muscle spasms, neuromuscular changes and pain. In order to achieve this, it can adhere to muscles and other body structures. In the physically active population, these facial adhesions may cause a decrease in performance over time, while the body heals itself after mechanical stresses and injuries. It is remarkable that various facial techniques are tried and compared with each other in order to increase performance. The most noteworthy of these techniques is foam roller (FR) and instrument-assisted soft tissue mobilization (IASTM).
The IASTM technique is a therapeutic approach developed by James Cyriax. There are many different instruments used for myofascial release. The most popular one is Graston Technique® (GT® ). With specially designed instruments, longitudinal pressure is applied along the fibers of the respective muscles. Damaged tissues are detected by varying tissue vibration under the instrument. The therapeutic efficacy of the instruments, in particular by microtrauma created in the damaged areas, induces local inflammation response, enhances scar tissue destruction, enhances adhesion relaxation, enhances collagen synthesis and stimulates connective tissue remodeling. In addition to its rehabilitative use, IASTM has been found to be effective as a method that stimulates the nerves in muscles and increases muscle strength, performance and endurance. In addition, as tissue mobility and range of motion increase, performance increases and shortening of the recovery period after physical activity occurs.
In addition to manual therapy methods for myofascial release techniques, there are also applications that patients can perform on their own. FR and Stick Roller are examples. The use of pre-competition FR increases joint range of motion, reduces pain and tension, increases blood flow and joint flexibility, and reduces injury rate when exercising. It also relaxes scar tissue and facial adhesions, regulates muscle tone, provides relaxation in excessively active muscles and improves movement quality.
FR application is carried out with a foam roller which can vary in size, shape and density. It has become popular in clinics and athletic training halls because of their ease of use and versatility. They are available in different lengths, making them easier to move and easier to maneuver in different parts of the body. Best used in the treatment of large muscle groups. Each muscle group has a defined position and protocol with different starting and ending points. Individuals with poor collagen load ability and individuals new to FR studies often have to spend more time on the cylinder to achieve the best results. Foam roller sessions can be held once or twice a day and can be used as a warm-up tool before a training session or as a regeneration option after training. It increases tissue extensibility by opening both IASTM and FR adhesions.
A preferred and highly studied method for performance improvement, especially before competitions, is dynamic stretching. Dynamic stretching (DS) exercises are used for warm-up and relaxation before and after sports exercises. It is one of the common applications used for preparation before physical exercise. Dynamic stretching exercises are a series of exercises to prepare the muscles and joints in the body for the activity to be done, to reduce the incidence of possible injuries and to accelerate the regeneration process after sports. In addition, there are studies showing that dynamic stretching exercises affect performance positively and it has been found to give better results in areas such as jump and sprint compared to static stretching exercises.
The aim of this study is to compare the effects of these three techniques on vertical jump performance and their advantages over each other.
- Conditions
- Healthy
- Being tested
- Graston Technique, Dynamic stretch exercise
- Keywords
- Graston Technique®, Dynamic Stretching, Foam Roller, Jumping Performance, Soft Tissue Mobilization
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Graston TechniqueDevice
Also called Foam Roller
FR is a dense foam cylinder that the person rolls before using the body weight to warm up and increase their ROM. There are different types that vary in size, shape and density.
Dynamic stretch exerciseOther
Dynamic stretch includes controlled movements in the active ROM for a joint. This type of exercise is actually the basis of sports movements used in training or competition.
| Study group | Role | What they receive |
|---|---|---|
| Graston Technique® Group | Experimental | The application was applied by a GT® certified therapist with 12 years of experience in orthopedic rehabilitation and soft tissue treatments. Hamstring, gastrosoleus and plantar fascia were scanned with GT® instruments and the treated soft tissue was treated. The instruments used differ according to the application protocol and regions are determined with reference to the GT® manual. The treatment lasted 8 minutes for each leg and was applied to both legs equally and by the same person for a total of 16 minutes. Receives: Device: Graston Technique |
| Foam Roller Group | Experimental | FR was applied to gastrosoleus and hamstring muscle groups and plantar fascia. TriggerPoint Grid X Foam Roller and Nano Foot X Roller were used in the application. Hamstring, gastrosoleus and plantar fascia for 3 minutes were performed for a single leg. The treatment lasted 8 minutes on one leg and was applied equally to both legs for a total of 16 minutes. Before the application, the participants were informed with verbal and visual warnings about how to do the applications. During the application, the participant was instructed about the time with a stopwatch. The patient himself regulated the pressure applied to the FR; however, the participant was instructed to apply FR as much body weight as possible. The frequency of application was about 0.5 Hz (ie, each rolling cycle lasted for about 2 seconds). Receives: Device: Graston Technique |
| Dynamic Stretch | Experimental | DS protocol was prepared with reference to the work of Faigenbaum et al 2005. The protocol consists of 10 dynamic exercises of 10 minutes of medium and high intensity. Each dynamic stretching exercise was performed at a distance of 13 meters. The participants were given a 10-second rest period between each exercise. The participants were given verbal feedback about their postures during the exercises and the video of the exercises was shown to the participant. Receives: Other: Dynamic stretch exercise |
What is being measured
The primary outcome is the main question the study is designed to answer.
The Optojump system (Microgate, Bolzano, Italy)
Vertical Jump Performance evaluation with The countermovement jump without armswing test
Measured: Pre evaluation before the intervention
The Optojump system (Microgate, Bolzano, Italy)
Vertical Jump Performance evaluation with The countermovement jump without armswing test
Measured: post evaluation right after the intervention.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Mar 2020
- Study start1 Jun 2019
- Primary completion5 Jun 2019
- Study completion24 Nov 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HealthyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 42 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bahçeşehir University
- Sponsor type
- University, hospital or other
- Collaborators
- Medipol University
- Responsible party
- Principal investigator, Pelin Pişirici, Bahçeşehir University
- Investigators
- Mert Batuhan Ekiz, PT, Study chair, Bahçeşehir University Health Sciences Facultyİlhan Can Kulak, PT, Study chair, Bahçeşehir University Health Sciences Faculty
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04324827
- Sponsor's protocol ID
- Jump.2019-07.19
- Status last verified
- Nov 2024
- First submitted
- 25 Mar 2020
- Last updated
- 26 Nov 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 26 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigation of the Acute Effect of Myofascial Release Techniques and Dynamic Stretch on Vertical Jump Performance in Recreationally Active Individuals
- ClinicalTrials.gov ID
- NCT04324827
- Acronym / sponsor ID
- Jump.2019-07.19
- Conditions
- Healthy
- Keywords
- Graston Technique®, Dynamic Stretching, Foam Roller, Jumping Performance, Soft Tissue Mobilization
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 42 participants (actual)
- Lead sponsor
- Bahçeşehir UniversityUniversity, hospital or other
- Collaborators
- Medipol University
- Study start
- 1 Jun 2019 (actual)
- Primary completion
- 5 Jun 2019 (actual)
- Study completion
- 24 Nov 2019 (actual)
- First posted
- 27 Mar 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Fascia is a connective tissue that contains a large amount of water and contains blood vessels, nerves that surround the muscles and connect the various structures of the body. In the event of an injury, the fascia has to cause some limitations to reduce muscle spasms, neuromuscular changes and pain. In order to achieve this, it can adhere to muscles and other body structures. In the physically active population, these facial adhesions may cause a decrease in performance over time, while the body heals itself after mechanical stresses and injuries. It is remarkable that various facial techniques are tried and compared with each other in order to increase performance. The most noteworthy of these techniques is foam roller (FR) and instrument-assisted soft tissue mobilization (IASTM). As well as myofascial techniques, a preferred and highly studied method for performance improvement, especially before competitions, is dynamic stretching. The aim of this study is to compare the effects of these three techniques on vertical jump performance and their advantages over each other.
Detailed description
Fascia is a connective tissue that contains a large amount of water and contains blood vessels, nerves that surround the muscles and connect the various structures of the body. In the event of an injury, the fascia has to cause some limitations to reduce muscle spasms, neuromuscular changes and pain. In order to achieve this, it can adhere to muscles and other body structures. In the physically active population, these facial adhesions may cause a decrease in performance over time, while the body heals itself after mechanical stresses and injuries. It is remarkable that various facial techniques are tried and compared with each other in order to increase performance. The most noteworthy of these techniques is foam roller (FR) and instrument-assisted soft tissue mobilization (IASTM).
The IASTM technique is a therapeutic approach developed by James Cyriax. There are many different instruments used for myofascial release. The most popular one is Graston Technique® (GT® ). With specially designed instruments, longitudinal pressure is applied along the fibers of the respective muscles. Damaged tissues are detected by varying tissue vibration under the instrument. The therapeutic efficacy of the instruments, in particular by microtrauma created in the damaged areas, induces local inflammation response, enhances scar tissue destruction, enhances adhesion relaxation, enhances collagen synthesis and stimulates connective tissue remodeling. In addition to its rehabilitative use, IASTM has been found to be effective as a method that stimulates the nerves in muscles and increases muscle strength, performance and endurance. In addition, as tissue mobility and range of motion increase, performance increases and shortening of the recovery period after physical activity occurs.
In addition to manual therapy methods for myofascial release techniques, there are also applications that patients can perform on their own. FR and Stick Roller are examples. The use of pre-competition FR increases joint range of motion, reduces pain and tension, increases blood flow and joint flexibility, and reduces injury rate when exercising. It also relaxes scar tissue and facial adhesions, regulates muscle tone, provides relaxation in excessively active muscles and improves movement quality.
FR application is carried out with a foam roller which can vary in size, shape and density. It has become popular in clinics and athletic training halls because of their ease of use and versatility. They are available in different lengths, making them easier to move and easier to maneuver in different parts of the body. Best used in the treatment of large muscle groups. Each muscle group has a defined position and protocol with different starting and ending points. Individuals with poor collagen load ability and individuals new to FR studies often have to spend more time on the cylinder to achieve the best results. Foam roller sessions can be held once or twice a day and can be used as a warm-up tool before a training session or as a regeneration option after training. It increases tissue extensibility by opening both IASTM and FR adhesions.
A preferred and highly studied method for performance improvement, especially before competitions, is dynamic stretching. Dynamic stretching (DS) exercises are used for warm-up and relaxation before and after sports exercises. It is one of the common applications used for preparation before physical exercise. Dynamic stretching exercises are a series of exercises to prepare the muscles and joints in the body for the activity to be done, to reduce the incidence of possible injuries and to accelerate the regeneration process after sports. In addition, there are studies showing that dynamic stretching exercises affect performance positively and it has been found to give better results in areas such as jump and sprint compared to static stretching exercises.
The aim of this study is to compare the effects of these three techniques on vertical jump performance and their advantages over each other.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Graston Technique® Group | Experimental | Device: Graston TechniqueThe application was applied by a GT® certified therapist with 12 years of experience in orthopedic rehabilitation and soft tissue treatments. Hamstring, gastrosoleus and plantar fascia were scanned with GT® instruments and the treated soft tissue was treated. The instruments used differ according to the application protocol and regions are determined with reference to the GT® manual. The treatment lasted 8 minutes for each leg and was applied to both legs equally and by the same person for a total of 16 minutes. |
| Foam Roller Group | Experimental | Device: Graston TechniqueFR was applied to gastrosoleus and hamstring muscle groups and plantar fascia. TriggerPoint Grid X Foam Roller and Nano Foot X Roller were used in the application. Hamstring, gastrosoleus and plantar fascia for 3 minutes were performed for a single leg. The treatment lasted 8 minutes on one leg and was applied equally to both legs for a total of 16 minutes. Before the application, the participants were informed with verbal and visual warnings about how to do the applications. During the application, the participant was instructed about the time with a stopwatch. The patient himself regulated the pressure applied to the FR; however, the participant was instructed to apply FR as much body weight as possible. The frequency of application was about 0.5 Hz (ie, each rolling cycle lasted for about 2 seconds). |
| Dynamic Stretch | Experimental | Other: Dynamic stretch exerciseDS protocol was prepared with reference to the work of Faigenbaum et al 2005. The protocol consists of 10 dynamic exercises of 10 minutes of medium and high intensity. Each dynamic stretching exercise was performed at a distance of 13 meters. The participants were given a 10-second rest period between each exercise. The participants were given verbal feedback about their postures during the exercises and the video of the exercises was shown to the participant. |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- being between18-35 years old,
- being recreationally active,
- volunteering to participate in the study
- no pain complaints.
Key exclusion criteria (7 listed)
- body mass index of 30 kg / m² or more,
- previous lower extremity surgery and joint,
- meniscus or ligament injury,
- chronic knee instability,
- cardiac, musculoskeletal, vestibular and neurological problems,
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Graston TechniqueAlso: Foam RollerFR is a dense foam cylinder that the person rolls before using the body weight to warm up and increase their ROM. There are different types that vary in size, shape and density. | Device | Foam Roller Group, Graston Technique® Group |
| Dynamic stretch exerciseDynamic stretch includes controlled movements in the active ROM for a joint. This type of exercise is actually the basis of sports movements used in training or competition. | Other | Dynamic Stretch |
Primary outcome
The Optojump system (Microgate, Bolzano, Italy)
Time frame: Pre evaluation before the intervention
Vertical Jump Performance evaluation with The countermovement jump without armswing test
The Optojump system (Microgate, Bolzano, Italy)
Time frame: post evaluation right after the intervention.
Vertical Jump Performance evaluation with The countermovement jump without armswing test
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Nov 2024.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Mert Batuhan Ekiz, PT study chair
Bahçeşehir University Health Sciences Faculty
İlhan Can Kulak, PT study chair
Bahçeşehir University Health Sciences Faculty
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Graston Technique and Dynamic stretch exercise in people with Healthy, run by Bahçeşehir University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The Optojump system (Microgate, Bolzano, Italy) (time frame: Pre evaluation before the intervention). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Nov 2024.