Improving Flexibility With a Mindbody Approach

Study Overview
=================
Brief Summary
-----------------
The objectives of this study are to investigate if Neuro Emotional Technique (NET) will impact back and leg flexibility over both the short-term and the long-term. It is hypothesized that NET will improve flexibility and that these changes are durable.

Detailed Description
-----------------
General flexibility is a key component of health, wellbeing and general physical conditioning. In fact, lack of flexibility has been associated with an increased risk of developing musculoskeletal injuries and underperformance. It has been previously shown that a regular stretching routine will improve flexibility relatively quickly. However, when the routine is discontinued or when stretching is not performed regularly, flexibility is also quickly lost. Therefore, an alternative intervention with longer retention would be desirable. The reason for reduced flexibility, or a shortened muscle length, can be multifactorial. Reduced flexibility can be due to physical causes, such as an acute injury or strength training. Likewise, mental factors, such as anxiety and stress, can also significantly contribute to muscle tension, thereby reducing flexibility. It has been previously shown that somatic symptoms of anxiety can be lessened by treating the psychological symptoms of anxiety. It has also been previously shown that Neuro Emotional Technique® (NET), a chiropractic stress-reduction technique, is effective at reducing stress. Therefore, I hypothesize that NET may be effective at improving general flexibility. Therefore, the aim of this study is to investigate if NET can improve flexibility in the short-term, and if so, if these changes are durable in the long term. Participants of this study will be randomly divided into three arms: (1) Experimental Arm - which will receive two 20-minute sessions of NET, (2) Active Controls - which will receive two 20-minute sessions of stretching instructions, and (3) Inactive Control - which will receive no intervention or instruction, but simply be assessed.

Official Title
-----------------
Improving Flexibility With a Mindbody Approach

Conditions
-----------------
General Low Back Hip and Hamstring Flexibility

Intervention / Treatment
-----------------
* Behavioral: Neuro Emotional Technique
* Other: Stretching Instruction


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Healthy adults aged 18 to 45 years. Exclusion Criteria: A currently diagnosed physical or mental health problem Pain on forward bending Pregnancy NOTE: For this study, no compensation is possible.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
-----------------
Female

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

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

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: NET<br>This arm will receive two 20-minutes sessions of NET 1 week apart. NET (Neuro Emotional Technique) is a non-invasive stress reduction technique. | Behavioral: Neuro Emotional Technique<br>* NET is considered an alternative stress-reduction technique. Its aim is to remove neurological abnormalities which have a specified physiopathological pattern. The goal of NET is to normalize the aberrant patterns through a physical correction. During the NET procedure, various psychological components of the anxious state are considered: cognitions, emotions, and behaviours. These various components are explored for a physiological reaction in the participant. Once a physiological reaction is found, the practitioner helps the participant identify the specific emotion. The procedure is concluded when the patient no longer feels distress or discomfort. Following the intervention, patients frequently report feeling subjective relief.<br>|
| Active Comparator: Active Controls<br>This arm will receive two 20-minute sessions of stretching instructions 1 week apart. | Other: Stretching Instruction<br>* This arm is the Active Control Arm and will receive two 20-minute sessions of Stretching Instructions. During these instructions, participants will hold stretches for not longer than 5 seconds, which in not likely to have any therapeutic effect.<br>|
| No Intervention: Inactive Controls<br>This arm will receive no intervention and no instructions. | |

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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Sit-n-Reach Test Scores (cm) |  | weeks 0, 3 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Depression, Anxiety and Stress Scales (DASS) score - change |  | weeks 0, 3 | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Sit-n-Reach Test, Flexibility, Hamstring, Mindbody, Complementary and Alternative Medicine, Neuro Emotional Technique (NET)