Investigation of the Effectiveness of Myofascial Release Technique in Young Basketball Players

Study Overview
=================
Brief Summary
-----------------
In this study, it is aimed to remove the limitations that cause asymmetry and weak connections in functional movement patterns with myofascial relaxation method to be applied to certain muscles and to remove the obstacles in front of the power factor as a result of its application, to reach the highest efficiency of the athlete's performance and to reduce the risk of injury in the musculoskeletal system.Study; It was planned as a control group (n:30) and an intervention group (n:30). Apart from routine training, the intervention group will be treated twice a week for 6 weeks before the training. On the other hand, no application will be made to the control group other than routine training. The evaluations are; It will be done at the beginning of the study and after the 6-week period.

Detailed Description
-----------------
The study will be randomly divided into two groups and it is planned to include 30 people in each group. After evaluations (demographic information, functional movement screening test (FMS), t agility test, vertical jump test, muscle strength test, muscle viscoelasticity and star balance test) were made at the beginning of the study in the intervention group (n=30), twice a week for 6 weeks. Myofascial release technique will be performed before the training. Final evaluations will be made 6 weeks after starting the intervention. The control group (n=30) was excluded from the routine training period for 6 weeks after evaluations (demographic information, functional movement screening test (FMS), T agility test, vertical jump test, muscle strength test, muscle viscoelasticity and star balance test) were made at the beginning of the study. No action will be taken. At the end of 6 weeks, evaluations will be made again.

Official Title
-----------------
Investigation of the Effectiveness of Myofascial Release Technique on Performance Parameters and Injury Risk in Young Basketball: A Randomized Controlled Study

Conditions
-----------------
Sports Physical Therapy, Myofascial Release Technique, Performance Enhancement, Basketball Players

Intervention / Treatment
-----------------
* Other: Myofascial Release Therapy


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: To be playing basketball for at least 6 months Being between the ages of 10-16 Being a man Exclusion Criteria: Having had any surgical operation in the last 6 months. Having had a lower/upper extremity injury in the last 3 months. A history of anterior cruciate ligament repair History of meniscus repair History of Achilles tendon repair Evaluation intervals to coincide with the pre-season period

Ages Eligible for Study
-----------------
Minimum Age: 10 Years
Maximum Age: 16 Years

Sexes Eligible for Study
-----------------
Male

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participants will be randomized with the randomization program called Calculator Soup® (Ashland Global, USA) and divided into 2 groups as intervention and control groups. The intervention group; (n=30) at the beginning of the study, after the initial evaluations (demographic information, functional movement screening test (FMS), t agility test, vertical jump test, muscle strength test, muscle viscoelasticity and star balance test) were made, twice a week for 6 weeks, pre-training myofascial release technique will be applied. Final evaluations will be made when the intervention period is over. The control group; (n=30) will do their routine training for 6 weeks after the first evaluations (demographic information, FMS, t agility test, vertical jump test, muscle strength test, muscle viscoelasticity and star balance test) and no application will be made. Final evaluations will be made at the end of 6 weeks.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: İntervention Group<br>The intervention group; (n=30) at the beginning of the study, after the initial evaluations (demographic information, functional movement screening test (FMS), t agility test, vertical jump test, muscle strength test, muscle viscoelasticity and star balance test) were made, twice a week for 6 weeks, pre-training myofascial release technique will be applied. Final evaluations will be made when the intervention period is over. | Other: Myofascial Release Therapy<br>* The increasing number of basketball players also increases the risk of sports-related injuries. Basketball has the highest injury risk of all sports because the game is so powerful and fast moving. Myofascial release therapy; ıt is a form of manual therapy applied on the muscle fascia complex to restore optimal length, reduce pain and improve functions. It is known to be effective in providing rapid relief of pain and tissue sensitivity. By restoring the length and health of the restricted connective tissue with the myofascial release therapy, it aims to relieve pressure on pain sensitive structures such as nerves and blood vessels, as well as improves sports performance.<br>|
| No Intervention: Control Group<br>The control group; (n=30) will do their routine training for 6 weeks after initial evaluations (demographic information, FMS, t agility test, vertical jump test, muscle strength test, muscle viscoelasticity and star balance test).No action will be taken. Final evaluations will be made at the end of 6 weeks. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional Movement Screen (FMS) | The Functional Movement Screen (FMS) was designed to identify functional movement deficits and asymmetries that may be predictive of general musculoskeletal conditions and injuries, with an ultimate goal of being able to modify the identified movement deficits through individualized exercise prescription | Change from Baseline FMS score at 6 weeks. | 
| Vertical Jump Test ( the app My Jump 2) | The MyJump 2 smartphone application is an application that calculates the vertical jump height after determining the time the athlete stays in the air during the jump using the notation method. | Change from Baseline jump height score at 6 weeks. | 
| Star Excursion Balance Test | Designed to evaluate the dynamic balance in the lower extremity; It is used to monitor progress in rehabilitation, to predict athletes with a high risk of lower extremity injury, and to evaluate deficits that develop after injury. | Change from Baseline star excursion balance score at 6 weeks. | 
| Muscle Strength Test | It is planned to use a digital dynamometer for strength measurements of lower extremity muscles. The dynamometer, whose measurement parameter is set as kilograms of force, is tested with a plastic unit with a force indicator. In the evaluations, the subjects are asked to maintain their test positions and to maintain their maximum muscle strength for 3 seconds until they equalize with the opposite force applied by the practitioner. | Change from Baseline muscle strength test at 6 weeks. | 
| Agility T Test | This test is applied to determine the speed of athletes covering distance by changing direction such as forward sprinting, right-left sliding and backward running. The time to finish the test of the athletes is measured with a stopwatch. Each athlete repeats the test twice; The time it takes best will be recorded in seconds. | Change from Baseline agility t test score at 6 weeks. | 
| Muscle Viscoelasticity | The MyotonPro™ device measures the deformation properties of naturally damped oscillations that occur after mechanical impact on the skin surface (15ms). With this evaluation method; It is possible to measure and evaluate the biomechanical properties of skeletal muscles (muscle tone, stiffness, elasticity) separately from each other in real time with objective, complementary, non-invasive, safe, portable and economical technology. | Change from Baseline muscle viscoelasticity values at 6 weeks. | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Myofascial Release, Balance, Functional Movement Screen, Performance, Fascia, İnjury Risk