Effectiveness of a Proprioceptive Neuromuscular Proprioceptive Neuromuscular Facilitation

Study Overview
=================
Brief Summary
-----------------
Introduction: Paddle tennis is a popular sport which can cause lower limb injuries due to impaired flexibility, such as ankle dorsiflexion. To improve this, methods such as proprioceptive neuromuscular facilitation (PNF), eccentric exercises and electrical stimulation (NMES) can be used. Objective: To compare the effectiveness of a PNF program with one of eccentric exercise plus NMES in the weight bearing lunge, lateral step down and drop jump test in amateur paddle tennis players. Methods: Pilot randomized clinical trial involving 20 male amateur paddle tennis players. Participants were randomly divided into two groups of ten. One group received a PNF protocol, while the another group was given an Eccentric+ NMES exercise protocol. During the study, range of dorsal ankle flexion (ROMDf) was measured, as well as the vertical jump and lateral step down capacity of the participants.

Official Title
-----------------
Effectiveness of a Proprioceptive Neuromuscular With One of Eccentric Exercise Plus Acute Electrostimulation in the Eccentric Exercise Plus Acute Electrostimulation on the Weight Bearing Weight Bearing Lunge, Lateral Step Down and Drop Jump Tests in Drop Jump Test, in Professional Paddle Tennis Players

Conditions
-----------------
Proprioceptive Neuromuscular Facilitation

Intervention / Treatment
-----------------
* Other: eccentric exercises and electrical stimulation
* Other: proprioceptive neuromuscular facilitation


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Be a professional padel player. Be over 18 years of age. Sign the informed consent to participate in the study. Completion of the IPAQ physical activity questionnaire (Annex 1) to assess the level of physical activity of the participants and to ensure that they meet the physical activity level of the participants and to ensure that they meet the requirements for requirements for participation in the study. Exclusion Criteria: Traumatic or musculoskeletal history that may affect the performance of the study exercises, as determined in the exercises of the study. A neurological history that may cause impairment in the performance of the exercises. Use of orthoses that may generate alterations in the result. Difficulty in performing exercises as determined by the Physical Activity Readiness Questionnaire (PAR-Q)

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

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

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: proprioceptive neuromuscular facilitation group.<br>Proprioception protocol for ankle dorsiflexion. | Other: proprioceptive neuromuscular facilitation<br>* proprioceptive neuromuscular facilitation to improve ankle dorsiflexion in professional padel players.<br>|
| Experimental: Eccentric exercises and electrical stimulation group.<br>Eccentric exercises and strengthening currents for ankle dorsiflexion. | Other: eccentric exercises and electrical stimulation<br>* Eccentric exercises and strengthening currents to improve ankle dorsiflexion in professional padel players.<br>|

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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Vertical jump | The protocol for the drop jump test proposes different heights ranging from 20 to 100 cm. cm to 100 cm. In our study, there is a height of 25 cm to assess knee valgus, which is considered optimal according to the literature. knee valgus, which is considered optimal according to the literature. The athlete, once on the The athlete, once on the box, should place his hands on his hips and drop from the top of the bench, cushion the impact and, once in the jumping position, perform a maximum vertical jump. | 1 month | 
| range of flexion ankle dorsiflexion | using the weight bearing lunge test. Once the maximum distance has been reached, we perform the measurement with the clinometer application, we calibrate the the inclinometer at the verticality of your tibia, precisely at the proximal third and measure the range of motion of the ankle, not the position reached. | 1 month | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Proprioceptive neuromuscular facilitation;, Paddle tennis, Ankle dorsiflexion range, Eccentric exercise, Neuromuscular electrostimulation