Which Technique is More Effective for People With Hamstring Tightness in Terms of Balance, Flexibility, and Performance?
Condition: Sports Physical Therapy; Musculoskeletal Diseases or Conditions
MeSH terms: Musculoskeletal Diseases
Study type: Interventional

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. 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.
    

Intervention name(s): Percussion Massage Therapy; Graston; Dynamic Stretching
Intervention type(s): Device; Device; Other
Intervention description(s): 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.; 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 stretching exercises for the hamstring and gastrocnemius muscles will be performed in the dynamic stretching exercise group.
Other intervention name(s): IASTM
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Supportive Care
Keywords: Hamstring Tightness; Hamstring; IASTM; Graston; Percussion Massage Therapy; Vibration; Dynamic Stretching; Balance; Flexibility; Performance Parameters