Effectiveness of Telerehabilitation on Hamstring Flexibility in Healthy Adults
Condition: Exercise
Study type: Interventional

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
    

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.
    

Intervention name(s): tele-rehabilitation exercise; Home exercise
Intervention type(s): Behavioral; Behavioral
Intervention description(s): 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.; 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.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention 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 (Investigator)
Primary purpose: Prevention