AzTrials
AzTrials

ArcheryNCT07835711

Strength Training in Archers

A study testing Blood Flow Restriction Biceps Curl, Isotonic Biceps Curl and Neuromuscular Electrical Stimulation in people with Archery, run by Pınar ATAK ÇAKIR at 1 site in Turkey (Türkiye).

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

The aim of this study is to compare the acute effects of blood flow restriction resistance exercise, isotonic strengthening exercise, and neuromuscular electrical stimulation applied to the biceps brachii muscle in archery athletes. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Archery
What is being tested?
Blood Flow Restriction Biceps Curl, Isotonic Biceps Curl and Neuromuscular Electrical Stimulation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteTurkey (Türkiye)
Study dates
15 Dec 2025to 1 Nov 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Aged 18-45 years
  • Having no health problems or restrictions on exercise
  • Volunteering to participate in the study
  • Having practiced archery for at least 1 year

Who cannot join

  • Experiencing an injury during the study
  • Experiencing symptoms such as dizziness or chest pain during the study
  • Hypertension (blood pressure >140/90 mmHg)
  • Obesity (BMI ≥30 kg/m²)
  • Presence of varicose veins, deep vein thrombosis, or pulmonary embolism in the participant or a family history of these conditions

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Istanbul Medipol Mega University Hospital

    Istanbul

Other trials in Turkey (Türkiye)

About this study

Official title: Acute Effects of Biceps Brachii Strengthening Training Applied to Archery Athletes Using Different Therapeutic Approaches: A Randomized Controlled Trial

The aim of this study is to compare the acute effects of blood flow restriction resistance exercise, isotonic strengthening exercise, and neuromuscular electrical stimulation applied to the biceps brachii muscle in archery athletes. Volunteer athletes aged 18-45 years, who have been practicing archery for at least one year and have no health restrictions for exercise, will be included in the study. Participants will be divided into three groups and will perform one of the following interventions: blood flow restriction biceps curl, isotonic biceps curl, or NMES.

Warm-up and flexibility exercises will be performed before the interventions. In the blood flow restriction exercise group, a 30-15-15-15 repetition protocol will be performed with a low load under the determined arterial occlusion pressure. In the isotonic exercise group, 3 sets of 12-15 repetitions of biceps curl will be performed at 60-70% of 1-RM. In the NMES group, electrical stimulation will be applied to the biceps brachii muscle for 20 minutes at a frequency of 60 Hz, a pulse duration of 100 µs, and a 5-second contraction/5-second rest protocol.

Participants will be assessed before the intervention, immediately after the intervention, and 15 minutes after the intervention. The viscoelastic properties of the biceps brachii muscle will be assessed using Myoton® PRO; upper-extremity dynamic balance using the Y-Balance Test; upper-extremity endurance using the Modified Push-Up Endurance Test; stabilization using the Upper Extremity Stability Test; and reaction time using the Ruler Drop Test. In addition, demographic characteristics, dominant side, and perceived exertion level will be recorded. The acute effects of the three different interventions on biceps brachii muscle properties and upper-extremity performance parameters will be compared based on the results obtained.

Read the detailed description

Hitting the target accurately is an indicator of athletic performance. Upper-extremity muscle strength, body position, shooting skill, hand-eye coordination, and respiratory parameters affect performance. Nishizono divided the archery shot into six phases: holding the bow, aiming, drawing, full draw, release, and follow-through. Maximum contraction of the upper-extremity muscles is required during shooting. The endurance and strength of the shoulder girdle muscles are particularly important during the aiming phase. In archery, repetitive movements place excessive loads on the upper extremities. When this sport is performed for prolonged periods with a unilateral stance, it may lead to asymmetry between the muscles on the right and left sides of the body. In addition, muscle weakness, improper technique, and overuse constitute risk factors for injuries. Strengthening exercises should therefore be an integral part of archery training programs to minimize injuries. Previous studies have reported that stronger muscle groups delay the onset of fatigue.

Numerous muscle groups are active during arrow shooting. Studies have investigated contraction and relaxation strategies of the forearm muscles in athletes with different skill levels using electromyographic (EMG) recordings. Ertan et al. classified muscle activation strategies into back muscles, shoulder girdle muscles, forearm muscles, and finger muscles. The deltoideus, trapezius, rhomboideus, serratus anterior, pectoralis major, triceps brachii-biceps brachii, flexor and extensor digitorum muscles, and muscles originating from the medial epicondyle have been found to be highly associated with shooting performance in previous studies. After the drawing phase begins, a large proportion of the effort is performed by the back and shoulder muscles. During the full-draw phase, the elbow of the bow arm is maintained in extension, and the elbow extensors are activated. In the drawing arm, the elbow is maintained in flexion, and the elbow flexors are activated. The biceps brachii muscle is actively involved in elbow flexion and supination during the aiming phase. Eccentric contraction of the biceps brachii muscle is a primary factor in maintaining force in the drawing arm. Throughout the aiming process, the drawing elbow is maintained in a flexed and stable position. Archers may reduce the risk of injury and improve performance by increasing the eccentric contraction strength of the biceps brachii muscle in the drawing arm.

Although archery may appear to require less effort compared with other sports, it requires prolonged high levels of concentration, postural control, strength, and endurance to meet the demands of training and competition. Strengthening exercises are exercises performed with resistance to increase muscle strength and endurance. Examples of strength-enhancing activities include carrying a weight, climbing stairs, performing push-ups for the arm muscles, performing sit-ups for the abdominal muscles, and strength training with weights. Various methods have been described in the literature for regulating muscle activation. While some of these methods target peripheral effects directly on the relevant muscle, others aim to achieve this through changes occurring in the central nervous system.

Studies investigating archery have focused on the back and shoulder girdle muscles. However, no studies specifically focusing on the biceps brachii muscle were identified. Given the importance of biceps brachii muscle strength during the full-draw phase, strengthening training programs targeting this muscle group will be implemented in our study. Through the strengthening training program, we aimed to investigate the acute effects on the viscoelastic properties of the biceps brachii muscle and on upper-extremity balance, endurance, stabilization, and reaction time.

Conditions
Archery
Being tested
Blood Flow Restriction Biceps Curl, Isotonic Biceps Curl, Neuromuscular Electrical Stimulation
Keywords
Archery, Biceps Brachii, Blood Flow Restriction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Blood Flow Restriction Biceps CurlBehavioural

    Participants will perform biceps brachii curl exercise with blood flow restriction. The exercise will consist of 30, 15, 15, and 15 repetitions at 30% of 1-RM, with 30-45 seconds of rest between sets. Blood flow restriction pressure will be determined based on arterial occlusion pressure.

  • Isotonic Biceps CurlBehavioural

    Participants will perform isotonic biceps brachii curl exercise using resistance corresponding to 60-70% of 1-RM for 3 sets of 12-15 repetitions, with 60 seconds of rest between sets.

  • Neuromuscular Electrical StimulationDevice

    Participants will receive neuromuscular electrical stimulation targeting the biceps brachii muscle at 60 Hz frequency and 100 μs pulse duration, with 5 seconds of contraction and 5 seconds of rest for a total of 20 minutes.

Study groups in NCT07835711
Study groupRoleWhat they receive
Blood Flow Restriction ExerciseExperimentalParticipants will perform biceps brachii curl exercise with blood flow restriction. The exercise will consist of 30, 15, 15, and 15 repetitions at 30% of 1-RM, with 30-45 seconds of rest between sets. Blood flow restriction pressure will be determined based on arterial occlusion pressure.
Receives: Behavioral: Blood Flow Restriction Biceps Curl
Isotonic Strengthening ExerciseActive comparatorParticipants will perform isotonic biceps brachii curl exercise using resistance corresponding to 60-70% of 1-RM for 3 sets of 12-15 repetitions, with 60 seconds of rest between sets.
Receives: Behavioral: Isotonic Biceps Curl
Neuromuscular Electrical StimulationActive comparatorParticipants will receive neuromuscular electrical stimulation targeting the biceps brachii muscle at 60 Hz frequency and 100 μs pulse duration, with 5 seconds of contraction and 5 seconds of rest for a total of 20 minutes.
Receives: Device: Neuromuscular Electrical Stimulation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Biceps Brachii Muscle Stiffness

    Biceps brachii muscle stiffness will be assessed using the MyotonPRO device. Measurements will be obtained at baseline, immediately after the intervention, and 15 minutes after the intervention. Muscle stiffness will be expressed in N/m.

    Measured: Baseline, immediately after intervention, and 15 minutes after intervention

Secondary outcomes (7)
  1. Biceps Brachii Muscle Tone

    Biceps brachii muscle tone will be assessed using the MyotonPRO device. The measurement will be performed at the standardized measurement point on the biceps brachii muscle. Muscle tone will be expressed as the natural oscillation frequency in Hz.

    Measured: Baseline, immediately after intervention, and 15 minutes after intervention.

  2. Biceps Brachii Muscle Elasticity

    The elasticity of the biceps brachii muscle will be assessed using the MyotonPRO device. Elasticity will be determined based on the logarithmic decrement of the natural oscillation and recorded as the MyotonPRO elasticity parameter.

    Measured: Baseline, immediately after the intervention, and 15 minutes after the intervention.

  3. Upper Extremity Dynamic Balance

    Upper extremity dynamic balance will be assessed using the Upper Quarter Y-Balance Test. Participants will perform reaching tasks in the medial, superolateral, and inferolateral directions. The normalized composite score will be calculated based on the maximum reach distances and limb length. Higher scores indicate better dynamic balance performance.

    Measured: Baseline, immediately after the intervention, and 15 minutes after the intervention.

  4. Upper Extremity Muscular Endurance

    Upper extremity muscular endurance will be assessed using the Modified Push-Up Endurance Test. Participants will perform as many correctly executed push-ups as possible during 30 seconds. The test will be performed three times with 45 seconds of rest between trials, and the mean number of repetitions will be recorded. A higher number of repetitions indicates better muscular endurance.

    Measured: Baseline, immediately after the intervention, and 15 minutes after the intervention.

  5. Upper Extremity Stabilization

    Upper extremity stabilization will be assessed using the Upper Extremity Stabilization Test. Participants will perform repeated hand touches between two parallel lines positioned 90 cm apart during 15 seconds. The test will be repeated three times, and the mean number of correctly performed touches will be recorded. A higher score indicates better upper extremity stabilization performance.

    Measured: Baseline, immediately after the intervention, and 15 minutes after the intervention.

  6. Upper Extremity Reaction Time

    Reaction time will be assessed using the Ruler Drop Test. Participants will catch a vertically released ruler as quickly as possible using the thumb and index finger. The distance traveled by the ruler before being caught will be recorded in centimeters. Reaction time will be calculated from the falling distance using the standardized gravitational acceleration formula. Lower reaction time indicates better performance.

    Measured: Baseline, immediately after the intervention, and 15 minutes after the intervention.

  7. Rating of Perceived Exertion

    Perceived exertion during the intervention will be assessed using the Borg CR10 scale. Participants will rate how difficult the intervention felt immediately after completing the exercise or stimulation protocol, with scores ranging from 0 to 10. Higher scores indicate greater perceived exertion.

    Measured: Immediately after the intervention.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Sep 2026
  2. Study start15 Dec 2025
  3. Primary completion1 Nov 2026 (estimated)
  4. Study completion1 Nov 2026 (estimated)

Resources

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomly allocated to one of three parallel intervention groups: blood flow restriction exercise, isotonic strengthening exercise, or neuromuscular electrical stimulation targeting the biceps brachii. Acute changes in muscle viscoelastic properties and upper extremity functional performance will be assessed before and after the intervention.
Masking
None (open label)
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07835711
Sponsor's protocol ID
E-10840098-202.3.02-8589
Status last verified
Sep 2026
First submitted
16 Sep 2026
Last updated
23 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: It is not yet known if there will be a plan to make IPD available.

Questions about this trial

What is this clinical trial studying?

A study testing Blood Flow Restriction Biceps Curl, Isotonic Biceps Curl and Neuromuscular Electrical Stimulation in people with Archery, run by Pınar ATAK ÇAKIR 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: under way, not looking for participants, as of the sponsor's last update on 23 Sep 2026. 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?

This study is still under way. Results are not available in the source record yet.

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?

Biceps Brachii Muscle Stiffness (time frame: Baseline, immediately after intervention, and 15 minutes after intervention). 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 23 Sep 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in