ExerciseNCT05083533
Effectiveness of Telerehabilitation on Hamstring Flexibility in Healthy Adults
A study testing tele-rehabilitation exercise and Home exercise in people with Exercise, run by Istanbul Medipol University Hospital at 1 site in Turkey (Türkiye).
Trial summary
the investigators aim is the effectiveness of the tele-rehabilitation exercise program and home exercise program applied to sedentary adults with has shortness of hamstring muscle group Read more about this study
- Who is it for?
- Ages 18 to 25 yearsHealthy volunteers can take part
- Conditions the study is for
- Exercise
- What is being tested?
- tele-rehabilitation exercise and Home exercise
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 4 Aug 2021to 15 Feb 2022
- 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 25 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Individuals with short hamstring muscle group
- Individuals between the ages of 18-25
- Being a university student
Who cannot join
- Athletes
- Individuals with orthopedic or neurological problems.
- Surgery history
- Cognitive impairment
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Bahçeşehir University
Istanbul, Istanbul Avrupa Kitasi, 34353
About this study
the investigators aim is the effectiveness of the tele-rehabilitation exercise program and home exercise program applied to sedentary adults with has shortness of hamstring muscle group
Read the detailed description
The hamstring muscle group is posterior to the femur and consists of three separate muscles. Biceps femoris long and short head, semitendinosus and semimembranosus.
Hamstring muscle group; proximally, except for the short head of the biceps femoris, the long head of the biceps femoris, semitendinosus and semimembranosus muscles originate from the tuber ischiadicum. Distally, it forms the superolateral (biceps femoris) and superomedial (semimembranosus and semitendinosus) borders of the popliteal fossa. The hamstring muscle group is a biarticular complex that crosses the femoroacetabular and tibiofemoral joints.
The biceps femoris short head is non-biarticular as it originates laterally from the femoral linea aspera distal to the femoroacetabular joint. The main functions of the hamstring muscles are to extend the thigh and flex the knee.
Flexibility is the ability of the joints to move within the range of motion they should be.
Having sufficient flexibility of the hamstring muscle group is an important parameter for an individual to have good body biomechanics and thus a healthy posture in daily life.
Since each individual has a different body biomechanical arrangement, the hamstring muscle group is also of different lengths for each individual. In order to increase the flexibility of a muscle, stretching exercises, which constitute an important part of rehabilitation, are used in the literature and scientific books. Stretching exercises; It is a type of exercise that is frequently preferred in individuals with muscle shortness in order to reduce shortness of muscles, improve flexibility and increase the quality of movement in daily activities of the individual. It is known that the muscle-tendon complex is the structure most affected by stretching exercises. It is stated that this increase in the range of motion of the joint is increased as a result of stretching exercises, and the reason for this increase is due to the characteristics of the static (viscosity and elasticity) and dynamic (neural reflex) components of the connective tissue in the muscle-tendon complex.
While many stretching techniques are used in physiotherapy clinics, static stretching exercises are a frequently used technique due to its ease of application and reliability.
Static stretching exercises; It is the position of lengthening the muscle and holding the muscle at the last tolerable length. Active static stretching exercise is a type of stretching based on voluntary contraction of the antagonist muscle. Studies have shown that active static stretching is more effective in increasing flexibility compared to passive static stretching.
Tele-rehabilitation applications; It is a low-cost, sustainable treatment approach with therapeutic potential the same as standard treatments.
- Conditions
- Exercise
- Being tested
- tele-rehabilitation exercise, Home exercise
- Medical subject headings
- Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
tele-rehabilitation exerciseBehavioural
Telerehabilitation allows patients to interact with providers remotely and can be used both to assess patients and to deliver therapy. Treatment program planned to stretch the muscles of individuals with short hamstring muscle group.
Stretching exercises for hamstring muscle group shortening were applied 4 days a week, which lasted for 8 weeks in total. For the first four weeks, 3 different stretching exercises per day were planned and performed as 10 seconds of stretching and 5 repetitions. For the last four weeks, 4 different stretching exercises were planned per day and performed with 20 seconds of stretching and 10 repetitions.
Home exerciseBehavioural
All participants received home exercise for 8 weeks. The exercise program includes stretching exercises Stretching exercises for hamstring muscle group shortening were applied 4 days a week, which lasted for 8 weeks in total. For the first four weeks, 3 different stretching exercises per day were planned and performed as 10 seconds of stretching and 5 repetitions. For the last four weeks, 4 different stretching exercises were planned per day and performed with 20 seconds of stretching and 10 repetitions.
| Study group | Role | What they receive |
|---|---|---|
| tele-rehabilitation | Experimental | For the tele-rehabilitation online group, hamstring stretching exercises were performed with cameras and mutually via online applications. Receives: Behavioral: tele-rehabilitation exercise |
| home exercise | Active comparator | The home exercise group, the exercises were conveyed in the form of a brochure, in written form, on the necessary information. It was recorded how many days the home exercise group did the exercises on a weekly basis. Receives: Behavioral: Home exercise |
What is being measured
The primary outcome is the main question the study is designed to answer.
Sit and Reach Test
The test was performed with the sit and reach test box, which is used to measure hamstring muscle group shortness. Individuals were asked to sit on a flat surface, put their hands on top of each other with their palms facing the ground, and advance the indicator in the box to the last point they could advance, and perform the test without flexing their knees. The value obtained with Scala C-AAHPERD (Centimeteres) as a result of the measurement of the sit and reach test was recorded in the files of the individuals. Measurements were repeated three times. The averages were calculated and recorded.
Measured: 5 minutes
Active Straight Leg Raise Test - Goniometer
In order to measure the hamstring muscle group shortness, individuals were asked to take the supine position on the bobath bed and raise their legs straight to the last point they could lift. physiotherapists positioned the goniometer on the pivot point, the trochanter major. Individuals were asked to keep their actively raised leg straight and not to cut off the contact of their passive leg from the bed. The goniometric measurement was repeated for both the right and left legs, and the goniometric measurement results were recorded in the files of the individuals. Measurements were repeated three times. The averages were calculated and recorded
Measured: 5 minutes
Passive Straight Leg Raise Test - Goniometer
In order to measure the shortness of the hamstring muscle group, the goniometric measurement was made by passively lifting the leg of the individual in the supine position of the physiotherapist and positioning the goniometer on the trochanter major, which is the pivot point. The goniometric measurement was repeated for both the right and left legs, and the goniometric measurement results were recorded in the files of the individuals. Measurements were repeated three times. The averages were calculated and recorded
Measured: 5 minutes
Secondary outcomes (1)
International Physical Activity Questionnaire Short Form (IPAQ-SF)
The International Physical Activity Questionnaires (IPAQ) comprises a set of 4 questionnaires.
Long (5 activity domains asked independently) and short (4 generic items) versions for use by either telephone or self-administered methods are available
Measured: 10 minutes
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Oct 2021
- Study start4 Aug 2021
- Primary completion10 Feb 2022
- Study completion15 Feb 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for ExerciseStudies 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Evaluation was made before the exercise application, after the eight-week application, and at the sixth month after the exercise program.
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Istanbul Medipol University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05083533
- Sponsor's protocol ID
- hazalgenc1
- Status last verified
- Jul 2021
- First submitted
- 6 Oct 2021
- Last updated
- 7 Apr 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 Apr 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of Telerehabilitation on Hamstring Flexibility in Healthy Adults
- ClinicalTrials.gov ID
- NCT05083533
- Acronym / sponsor ID
- hazalgenc1
- Conditions
- Exercise
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Istanbul Medipol University HospitalUniversity, hospital or other
- Study start
- 4 Aug 2021 (actual)
- Primary completion
- 10 Feb 2022 (actual)
- Study completion
- 15 Feb 2022 (actual)
- First posted
- 19 Oct 2021 (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.
the investigators aim is the effectiveness of the tele-rehabilitation exercise program and home exercise program applied to sedentary adults with has shortness of hamstring muscle group
Detailed description
The hamstring muscle group is posterior to the femur and consists of three separate muscles. Biceps femoris long and short head, semitendinosus and semimembranosus.
Hamstring muscle group; proximally, except for the short head of the biceps femoris, the long head of the biceps femoris, semitendinosus and semimembranosus muscles originate from the tuber ischiadicum. Distally, it forms the superolateral (biceps femoris) and superomedial (semimembranosus and semitendinosus) borders of the popliteal fossa. The hamstring muscle group is a biarticular complex that crosses the femoroacetabular and tibiofemoral joints.
The biceps femoris short head is non-biarticular as it originates laterally from the femoral linea aspera distal to the femoroacetabular joint. The main functions of the hamstring muscles are to extend the thigh and flex the knee.
Flexibility is the ability of the joints to move within the range of motion they should be.
Having sufficient flexibility of the hamstring muscle group is an important parameter for an individual to have good body biomechanics and thus a healthy posture in daily life.
Since each individual has a different body biomechanical arrangement, the hamstring muscle group is also of different lengths for each individual. In order to increase the flexibility of a muscle, stretching exercises, which constitute an important part of rehabilitation, are used in the literature and scientific books. Stretching exercises; It is a type of exercise that is frequently preferred in individuals with muscle shortness in order to reduce shortness of muscles, improve flexibility and increase the quality of movement in daily activities of the individual. It is known that the muscle-tendon complex is the structure most affected by stretching exercises. It is stated that this increase in the range of motion of the joint is increased as a result of stretching exercises, and the reason for this increase is due to the characteristics of the static (viscosity and elasticity) and dynamic (neural reflex) components of the connective tissue in the muscle-tendon complex.
While many stretching techniques are used in physiotherapy clinics, static stretching exercises are a frequently used technique due to its ease of application and reliability.
Static stretching exercises; It is the position of lengthening the muscle and holding the muscle at the last tolerable length. Active static stretching exercise is a type of stretching based on voluntary contraction of the antagonist muscle. Studies have shown that active static stretching is more effective in increasing flexibility compared to passive static stretching.
Tele-rehabilitation applications; It is a low-cost, sustainable treatment approach with therapeutic potential the same as standard treatments.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (investigator)
- Number of arms
- 2
- Model description
- Evaluation was made before the exercise application, after the eight-week application, and at the sixth month after the exercise program.
| Arm | Type | Receives |
|---|---|---|
| tele-rehabilitation | Experimental | Behavioral: tele-rehabilitation exerciseFor the tele-rehabilitation online group, hamstring stretching exercises were performed with cameras and mutually via online applications. |
| home exercise | Active comparator | Behavioral: Home exerciseThe home exercise group, the exercises were conveyed in the form of a brochure, in written form, on the necessary information. It was recorded how many days the home exercise group did the exercises on a weekly basis. |
Who may qualify
- Ages
- 18 to 25 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Individuals with short hamstring muscle group
- Individuals between the ages of 18-25
- Being a university student
Key exclusion criteria (4 listed)
- Athletes
- Individuals with orthopedic or neurological problems.
- Surgery history
- Cognitive impairment
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 |
|---|---|---|
| tele-rehabilitation exerciseTelerehabilitation allows patients to interact with providers remotely and can be used both to assess patients and to deliver therapy. Treatment program planned to stretch the muscles of individuals with short hamstring muscle group. Stretching exercises for hamstring muscle group shortening were applied 4 days a week, which lasted for 8 weeks in total. For the first four weeks, 3 different stretching exercises per day were planned and performed as 10 seconds of stretching and 5 repetitions. For the last four weeks, 4 different stretching exercises were planned per day and performed with 20 seconds of stretching and 10 repetitions. | Behavioural | tele-rehabilitation |
| Home exerciseAll participants received home exercise for 8 weeks. The exercise program includes stretching exercises Stretching exercises for hamstring muscle group shortening were applied 4 days a week, which lasted for 8 weeks in total. For the first four weeks, 3 different stretching exercises per day were planned and performed as 10 seconds of stretching and 5 repetitions. For the last four weeks, 4 different stretching exercises were planned per day and performed with 20 seconds of stretching and 10 repetitions. | Behavioural | home exercise |
Primary outcome
Sit and Reach Test
Time frame: 5 minutes
The test was performed with the sit and reach test box, which is used to measure hamstring muscle group shortness. Individuals were asked to sit on a flat surface, put their hands on top of each other with their palms facing the ground, and advance the indicator in the box to the last point they could advance, and perform the test without flexing their knees. The value obtained with Scala C-AAHPERD (Centimeteres) as a result of the measurement of the sit and reach test was recorded in the files of the individuals. Measurements were repeated three times. The averages were calculated and recorded.
Active Straight Leg Raise Test - Goniometer
Time frame: 5 minutes
In order to measure the hamstring muscle group shortness, individuals were asked to take the supine position on the bobath bed and raise their legs straight to the last point they could lift. physiotherapists positioned the goniometer on the pivot point, the trochanter major. Individuals were asked to keep their actively raised leg straight and not to cut off the contact of their passive leg from the bed. The goniometric measurement was repeated for both the right and left legs, and the goniometric measurement results were recorded in the files of the individuals. Measurements were repeated three times. The averages were calculated and recorded
Passive Straight Leg Raise Test - Goniometer
Time frame: 5 minutes
In order to measure the shortness of the hamstring muscle group, the goniometric measurement was made by passively lifting the leg of the individual in the supine position of the physiotherapist and positioning the goniometer on the trochanter major, which is the pivot point. The goniometric measurement was repeated for both the right and left legs, and the goniometric measurement results were recorded in the files of the individuals. Measurements were repeated three times. The averages were calculated and recorded
1 secondary outcome
International Physical Activity Questionnaire Short Form (IPAQ-SF)
Time frame: 10 minutes
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 7 Apr 2022.
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing tele-rehabilitation exercise and Home exercise in people with Exercise, run by Istanbul Medipol University Hospital 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 3 inclusion and 4 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 7 Apr 2022. 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?
Sit and Reach Test (time frame: 5 minutes). The study lists 3 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 7 Apr 2022.