Sports Physical TherapyNCT05412199
Which Technique is More Effective for People With Hamstring Tightness in Terms of Balance, Flexibility, and Performance?
A study testing Percussion Massage Therapy, Graston and Dynamic Stretching in people with Sports Physical Therapy and Musculoskeletal Diseases or Conditions, run by Istanbul Medipol University Hospital at 1 site in Turkey (Türkiye).
Trial summary
Percussion massage therapy has gained popularity in the therapeutic and athletic communities over the past few years. Percussion massage therapy devices are extremely convenient to use, both for self-administration and by a physiotherapist. Read more about this study
- Who is it for?
- Ages 18 to 25 years
- Conditions the study is for
- Sports Physical Therapy, Musculoskeletal Diseases or Conditions
- What is being tested?
- Percussion Massage Therapy, Graston and Dynamic Stretching
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 45 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 13 Jun 2022to 12 Sep 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
- No healthy volunteers
- Adult
Who may be able to join
- Those who are at a level to be able to perform a performance test
- With hamstring muscle tightness
- Those who have not undergone orthopedic surgery from any region
- Individuals who do not have a professional sports background
Who cannot join
- Trauma history
- Anatomical deformities and skeletal system fractures
- Diagnosed orthopedic or rheumatological diseases
- Being included in a physiotherapy program in the last six months
- Individuals with pain in any part of the study
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Evaluation of the Acute Effects of Graston, Percussion Massage Therapy, and Dynamic Stretching on Balance, Flexibility, and Performance Parameters in Individuals With Hamstring Tightness.
Percussion massage therapy has gained popularity in the therapeutic and athletic communities over the past few years. Percussion massage therapy devices are extremely convenient to use, both for self-administration and by a physiotherapist. Percussion massage therapy in deep and superficial tissues; is used in many areas such as reducing pain, increasing blood circulation, improving scar tissue, reducing lactate level and muscle spasms, increasing lymphatic flow, inhibiting Golgi reflex, increasing range of motion, and is frequently used today. Vibratory massage techniques have been shown in many studies to improve joint range of motion and muscular strength. It has been argued that there aren't enough studies on this topic in the literature. Specially tailored treatments are utilized in the clinic to reduce injury frequency, improve muscular performance, and increase the flexibility of musculotendinous components. Various stretching methods are used to increase muscle length. Athletes use stretching exercises to improve joint range of motion and long-term performance. Furthermore, it is incorporated in the warm-up period of athletes' training plans to prepare for an activity or to cool down after an applied exercise. Many studies using the dynamic stretching approach have found that dynamic stretching exercises performed before an activity or a sport have a positive effect on performance and flexibility parameters. Instrument-assisted soft tissue mobilization (IASTM) is a treatment method used to reduce pain, improve joint range of motion, and mobilize soft tissue using specially designed stainless steel instruments based on the principles developed by James Cyriax. The removal of scar tissue is one of the most important goals of IASTM. Microvascular bleeding occurs with localized inflammation as a result of IASTM application, nutrient and oxygen flow is delivered, fibroblast migration increases and the healing process begins again. At the same time, secondary collagen synthesis begins and is rearranged, which allows the regeneration of the injured tissue. As a result, it treats scar tissue, adhesions, and adhesions in the fascia. IASTM is a very effective approach in fascia tissue and is widely used to offer a mobilizing stimulus in the treatment of myofascial problems.
Read the detailed description
However, when the literature is reviewed, studies investigating the acute effects of instrument-assisted soft tissue mobilization, percussion massage therapy, and dynamic stretching exercises on performance parameters and functionality are limited. Based on all this information, it was aimed to investigate the acute effects of percussion massage therapy, stretching exercises, and Graston soft tissue mobilization on jumping, running performance, balance, and functional reaching parameters.
- Being tested
- Percussion Massage Therapy, Graston, Dynamic Stretching
- Keywords
- Hamstring Tightness, Hamstring, IASTM, Graston, Percussion Massage Therapy, Vibration, Dynamic Stretching, Balance, Flexibility, Performance Parameters
- Medical subject headings
- Musculoskeletal Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Percussion Massage TherapyDevice
Individuals in the percussion massage therapy group will get 3 minutes of percussion massage therapy on the hamstring and gastrocnemius muscles along the origo-insertion in the mid-frequency range.
GrastonDevice
Also called IASTM
Instrument-assisted soft tissue mobilization will be used on the hamstring and gastrocnemius muscles along the 5-minute origo insertion line in the Graston group.
Dynamic StretchingOther
Dynamic stretching exercises for the hamstring and gastrocnemius muscles will be performed in the dynamic stretching exercise group.
| Study group | Role | What they receive |
|---|---|---|
| Percussion Massage Therapy Group | Experimental | The group to which percussion massage therapy will be applied to the posterior leg muscles. Receives: Device: Percussion Massage Therapy |
| Graston (IASTM) Group | Experimental | The group in which instrument-assisted soft tissue mobilization will be applied to the posterior leg muscles. Receives: Device: Graston |
| Dynamic Stretching Group | Experimental | The group to which dynamic stretching exercises will be applied to the posterior leg muscles. Receives: Other: Dynamic Stretching |
What is being measured
The primary outcome is the main question the study is designed to answer.
Sit and Reach Test
The sit and reach test is one of the linear flexibility tests that helps measure the flexibility of the hamstrings and lower back. It was first described by Wells and Dillon in 1952 and is probably the most widely used flexibility test. It has a simple procedure, is easy to administer, requires minimal skill training to perform, and costs the equipment required to perform the test. It is argued that the hamstrings and lower back should have a good level of flexibility, as they play an important role in health-related fitness. In a sitting position on the floor, the soles of the feet are placed on the sit-and-reach bench with the legs fully stretched. Without bending the legs, reach forward with the fingertips on the table and wait 2 seconds at the end point, and the score is recorded in centimeters.
Measured: from pre-interventional time to post-interventional about 1st hour
Y Balance Test
Y Balance Test (YBT) is a functional test that requires strength, flexibility, neuromuscular control, balance, stability, and range of motion (ROM). As an integral part of Functional Movement Systems (FMS), YBT is a thoroughly researched test to test and simultaneously demonstrate an individual's functional symmetry of motor control. YDT gives us the function of each central extremity that is under the weight of a quarter of the body. Six application trials are conducted before the application of this test. The maximum reach analysis in each direction is then performed using three trials in three directions for each leg. Standing on one foot on the midfoot plate with the most distal aspect of the athletic shoe at the baseline, the person being examined stands. The subject is instructed to reach anterior, posteromedial, and posterolateral directions with the free extremity relative to the stance foot while maintaining the single-leg stance, and the distance traveled is measured.
Measured: from pre-interventional time to post-interventional about 1st hour
Secondary outcomes (2)
Horizontal Jump Test
On a flat surface, a starting line is drawn. From the starting line forward, a tape measure is set on the floor, and the athletes are instructed to stand with the tips of both toes pointed towards the back of the previously decided line. The distance jumped is measured in centimeters after the athletes are instructed to bend their knees while keeping their arms parallel to the floor and knees, and to jump as far forward as possible by swinging their arms and legs fast.
Measured: from pre-interventional time to post-interventional about 1st hour
Illinois Test
A test track is set up with three cones lined up in a straight line at intervals of 5 meters(m) in width, 10m in length, and 3.3m in the middle part. The course consists of a 40m straight and a 20m slalom between cones, with 180º bends every 10 meters. Before the test, the subjects are allowed to make 3-4 attempts at low tempo after the introduction of the track and necessary explanations. After that, the subjects are made to do warm-up and stretching exercises for 5-6 minutes at a low tempo that they determine. The test subjects exit the starting line of the test track in a prone position, with their hands at shoulder level in touch with the ground. The time it takes to complete the track is measured in seconds. The test is done two times with full rest between each time, with the better value being recorded.
Measured: from pre-interventional time to post-interventional about 1st hour
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jun 2022
- Study start13 Jun 2022
- Primary completion20 Aug 2022
- Study completion12 Sep 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Sports Physical TherapyStudies 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
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 45 participants (actual)
Sponsor and investigators
- Lead sponsor
- Istanbul Medipol University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, burak menek, Istanbul Medipol University Hospital
- Investigators
- BURAK MENEK, PhD, Principal investigator, Medipol UniversityUMUT İSLAM TAYBOĞA, RA, Principal investigator, Medipol University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05412199
- Sponsor's protocol ID
- E-10840098-772.02-2867
- Status last verified
- Sep 2022
- First submitted
- 6 Jun 2022
- Last updated
- 13 Sep 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 13 Sep 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of the Acute Effects of Graston, Percussion Massage Therapy, and Dynamic Stretching on Balance, Flexibility, and Performance Parameters in Individuals With Hamstring Tightness.
- ClinicalTrials.gov ID
- NCT05412199
- Acronym / sponsor ID
- E-10840098-772.02-2867
- Keywords
- Hamstring Tightness, Hamstring, IASTM, Graston, Percussion Massage Therapy, Vibration, Dynamic Stretching, Balance
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 45 participants (actual)
- Lead sponsor
- Istanbul Medipol University HospitalUniversity, hospital or other
- Study start
- 13 Jun 2022 (actual)
- Primary completion
- 20 Aug 2022 (actual)
- Study completion
- 12 Sep 2022 (actual)
- First posted
- 9 Jun 2022 (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.
Percussion massage therapy has gained popularity in the therapeutic and athletic communities over the past few years. Percussion massage therapy devices are extremely convenient to use, both for self-administration and by a physiotherapist. Percussion massage therapy in deep and superficial tissues; is used in many areas such as reducing pain, increasing blood circulation, improving scar tissue, reducing lactate level and muscle spasms, increasing lymphatic flow, inhibiting Golgi reflex, increasing range of motion, and is frequently used today. Vibratory massage techniques have been shown in many studies to improve joint range of motion and muscular strength. It has been argued that there aren't enough studies on this topic in the literature. Specially tailored treatments are utilized in the clinic to reduce injury frequency, improve muscular performance, and increase the flexibility of musculotendinous components. Various stretching methods are used to increase muscle length. Athletes use stretching exercises to improve joint range of motion and long-term performance. Furthermore, it is incorporated in the warm-up period of athletes' training plans to prepare for an activity or to cool down after an applied exercise. Many studies using the dynamic stretching approach have found that dynamic stretching exercises performed before an activity or a sport have a positive effect on performance and flexibility parameters. Instrument-assisted soft tissue mobilization (IASTM) is a treatment method used to reduce pain, improve joint range of motion, and mobilize soft tissue using specially designed stainless steel instruments based on the principles developed by James Cyriax. The removal of scar tissue is one of the most important goals of IASTM. Microvascular bleeding occurs with localized inflammation as a result of IASTM application, nutrient and oxygen flow is delivered, fibroblast migration increases and the healing process begins again. At the same time, secondary collagen synthesis begins and is rearranged, which allows the regeneration of the injured tissue. As a result, it treats scar tissue, adhesions, and adhesions in the fascia. IASTM is a very effective approach in fascia tissue and is widely used to offer a mobilizing stimulus in the treatment of myofascial problems.
Detailed description
However, when the literature is reviewed, studies investigating the acute effects of instrument-assisted soft tissue mobilization, percussion massage therapy, and dynamic stretching exercises on performance parameters and functionality are limited. Based on all this information, it was aimed to investigate the acute effects of percussion massage therapy, stretching exercises, and Graston soft tissue mobilization on jumping, running performance, balance, and functional reaching parameters.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Percussion Massage Therapy Group | Experimental | Device: Percussion Massage TherapyThe group to which percussion massage therapy will be applied to the posterior leg muscles. |
| Graston (IASTM) Group | Experimental | Device: GrastonThe group in which instrument-assisted soft tissue mobilization will be applied to the posterior leg muscles. |
| Dynamic Stretching Group | Experimental | Other: Dynamic StretchingThe group to which dynamic stretching exercises will be applied to the posterior leg muscles. |
Who may qualify
- Ages
- 18 to 25 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Those who are at a level to be able to perform a performance test
- With hamstring muscle tightness
- Those who have not undergone orthopedic surgery from any region
- Individuals who do not have a professional sports background
Key exclusion criteria (5 listed)
- Trauma history
- Anatomical deformities and skeletal system fractures
- Diagnosed orthopedic or rheumatological diseases
- Being included in a physiotherapy program in the last six months
- Individuals with pain in any part of the study
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 |
|---|---|---|
| Percussion Massage TherapyIndividuals in the percussion massage therapy group will get 3 minutes of percussion massage therapy on the hamstring and gastrocnemius muscles along the origo-insertion in the mid-frequency range. | Device | Percussion Massage Therapy Group |
| GrastonAlso: IASTMInstrument-assisted soft tissue mobilization will be used on the hamstring and gastrocnemius muscles along the 5-minute origo insertion line in the Graston group. | Device | Graston (IASTM) Group |
| Dynamic StretchingDynamic stretching exercises for the hamstring and gastrocnemius muscles will be performed in the dynamic stretching exercise group. | Other | Dynamic Stretching Group |
Primary outcome
Sit and Reach Test
Time frame: from pre-interventional time to post-interventional about 1st hour
The sit and reach test is one of the linear flexibility tests that helps measure the flexibility of the hamstrings and lower back. It was first described by Wells and Dillon in 1952 and is probably the most widely used flexibility test. It has a simple procedure, is easy to administer, requires minimal skill training to perform, and costs the equipment required to perform the test. It is argued that the hamstrings and lower back should have a good level of flexibility, as they play an important role in health-related fitness. In a sitting position on the floor, the soles of the feet are placed on the sit-and-reach bench with the legs fully stretched. Without bending the legs, reach forward with the fingertips on the table and wait 2 seconds at the end point, and the score is recorded in centimeters.
Y Balance Test
Time frame: from pre-interventional time to post-interventional about 1st hour
Y Balance Test (YBT) is a functional test that requires strength, flexibility, neuromuscular control, balance, stability, and range of motion (ROM). As an integral part of Functional Movement Systems (FMS), YBT is a thoroughly researched test to test and simultaneously demonstrate an individual's functional symmetry of motor control. YDT gives us the function of each central extremity that is under the weight of a quarter of the body. Six application trials are conducted before the application of this test. The maximum reach analysis in each direction is then performed using three trials in three directions for each leg. Standing on one foot on the midfoot plate with the most distal aspect of the athletic shoe at the baseline, the person being examined stands. The subject is instructed to reach anterior, posteromedial, and posterolateral directions with the free extremity relative to the stance foot while maintaining the single-leg stance, and the distance traveled is measured.
2 secondary outcomes
Horizontal Jump Test
Time frame: from pre-interventional time to post-interventional about 1st hour
Illinois Test
Time frame: from pre-interventional time to post-interventional about 1st hour
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 13 Sep 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.
BURAK MENEK, PhD principal investigator
Medipol University
UMUT İSLAM TAYBOĞA, RA principal investigator
Medipol University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Percussion Massage Therapy, Graston and Dynamic Stretching in people with Sports Physical Therapy and Musculoskeletal Diseases or Conditions, 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 4 inclusion and 5 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 13 Sep 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: from pre-interventional time to post-interventional about 1st hour). 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 13 Sep 2022.