Clinical trial NCT03958084: Effect of Therapeutic Techniques on Leg Stretching in Healthy Subjects
Official title: Effect of Different Therapeutic Techniques on the Flexibility of ischiotíbial in Healthy Individuals
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Healthy
Adult
Keywords: Lower Extremity
Musculoskeletal Manipulations
Range of motion
Hamstring Muscles
Lead sponsor: Universidade Federal de Santa Catarina
Sponsor class: OTHER
Collaborators: name: Santa Catarina Federal University
First posted: 2019-05-21
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: TREATMENT

Brief summary: There are physiotherapy techniques, known as lumbar mobilization, proprioceptive neuromuscular facilitation, massage therapy, windsheets and foam roller that present good results in stretching the legs. This study aims to evaluate which of these techniques has a better result in leg stretching. It is believed that massage therapy and lumbar mobilization will provide better results.

Detailed description: A randomized clinical trial blind crossover. The aim of this study is comparing the immediate effect of five interventions on the flexibility of hamstrings in healthy individuals. Participants will be assessed pre and post intervention through the extended leg elevation test and photogrammetry. The techniques of unilateral lumbar mobilization, proprioceptive neuromuscular facilitation, massage, ventosa therapy and foam roller will be applied on different days with a 48-hour interval between interventions. The techniques will be compared using the repeated measures ANOVA after verification of normality by the Shapiro-Wilk test, adopting the significance level of 5% and 95% confidence interval.

Eligibility criteria: Inclusion Criteria:

* 18 to 35 years of age.
* No pain in the posterior thigh.

Exclusion Criteria:

* Volunteers who present deep venous thrombosis.
* Cutaneous allergy.
* Cutaneous lesion.
* Posterior thigh edema.
* Lower limb prosthesis.
* Shoulder or wrist injuries.
* Phobia of the techniques.
* Scarring in the posterior region of the thigh
* Have performed myofacial release or stretches during the days of intervention.
* Pilates and yoga practitioners
* No attend every day intervention.
* Injury of hamstrings in the last year.
* Previous injuries to the spine or lower limbs in the last 6 months.
* Symptoms of low back pain or hip joint.
* Diabetes mellitus, since people with diabetes have limited responses in the elevated leg elevation test.

Primary outcomes:
measure: Range of motion
timeFrame: 10 minutes
Secondary outcomes:
Other outcomes:
Locations:
city: Araranguá
country: Brazil
facility: Santa Catarina Federal University
state: SC
Study officials:
affiliation: Santa Catarina Federal University
name: Alessandro Haupenthal, Teacher
role: PRINCIPAL_INVESTIGATOR
References:
citation: AGOSTINHO, A. et al. Vacuoterapia: influência no aumento da flexibilidade muscular dos isquiotíbiais. Saúde & Tecnologia .16, p.38-43, 2016.
citation: CASSAR, Paul Mario. Manual de massagem terapêutica : um guia completo de massoterapia para o estudante e para o terapeuta. São Paulo: Manole, 1ª ed, p.231, 2001.
citation: Mohr AR, Long BC, Goad CL. Effect of foam rolling and static stretching on passive hip-flexion range of motion. J Sport Rehabil. 2014 Nov;23(4):296-9. doi: 10.1123/jsr.2013-0025. Epub 2014 Jan 21.
citation: CHESTERTON et al. The Effect of Mobilising the Lumbar 4/5 Zygapophyseal Joint on Hamstring Extensibility in Elite Soccer Players. International Journal of Physiotherapy and Rehabilitation, 2016;
citation: Puentedura EJ, Huijbregts PA, Celeste S, Edwards D, In A, Landers MR, Fernandez-de-Las-Penas C. Immediate effects of quantified hamstring stretching: hold-relax proprioceptive neuromuscular facilitation versus static stretching. Phys Ther Sport. 2011 Aug;12(3):122-6. doi: 10.1016/j.ptsp.2011.02.006. Epub 2011 Apr 15.
citation: Shankar Ganesh G, Mohanty P, Smita Pattnaik S. The immediate and 24-hour follow-up effect of unilateral lumbar Z-joint mobilisation on posterior chain neurodynamics. J Bodyw Mov Ther. 2015 Apr;19(2):226-31. doi: 10.1016/j.jbmt.2014.04.009. Epub 2014 Apr 18.
citation: Boyd BS, Wanek L, Gray AT, Topp KS. Mechanosensitivity of the lower extremity nervous system during straight-leg raise neurodynamic testing in healthy individuals. J Orthop Sports Phys Ther. 2009 Nov;39(11):780-90. doi: 10.2519/jospt.2009.3002.