Clinical trial NCT05130372: Comparison of The Acute Effects of Different Stretching Methods on Ankle Joint Range In Healty Older Adults
Official title: Comparison of The Acute Effects of Different Stretching Techniques on Ankle Joint Range of Motion In Healthy Older Adults: A Randomised Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Older Adults
Range of Motion
Ankle Injuries
Keywords: older adults
ankle joint range of motion
roller massage
static stretching
PNF stretching
Lead sponsor: Hacettepe University
Sponsor class: OTHER
Collaborators: name: Nursen İlçin
name: Ceren Devrim Şahin
First posted: 2021-11-23
Enrollment: 78
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Arm 1:Static Stretching Group Arm 2: PNF Stretching Method Group Arm 3:Roller Massager Group
Primary purpose: TREATMENT

Brief summary: Introduction: To compare the acute effects of different stretching methods on ankle joint range of motion (ROM) in older adults.

Methods: A total of 78 subjects aged 65 years and older were randomly divided into three groups. After the 5-minute walk, the randomly assigned method was applied. Static Stretching Group; static stretching in 3x30sec, PNF Stretching Group; PNF contract-relax in 3x30sec and Roller Massage Group; roller massage in 3x30sec was performed. Immediately after the application, 10 minutes and 20 minutes after application, the range of motion of the ankle joint was measured in the weight-bearing lunge position.

Detailed description: It is planned to single-blind, randomized controlled study with before-after measurements. Considering the acute effects of stretching exercise for ankle dorsiflexion in older women, the effect size was calculated as 1.02. According to this effect size, it was planned to recruit 26 people to each group with 95% confidence level and 95% power, and 78 people in total would participate in the study. Ethics committee approval of the study was received from Dokuz Eylul University Non-Interventional Research Ethics Committee (with the decision number 2017/17-39 in the meeting dated 22.06.2017). The study was conducted under the Declaration of Helsinki standards. The participants were informed about the study by the physiotherapist and all the participants provided written informed consent to participate in the study. The study included healthy and voluntary older adults aged 65 and over who were able to walk without using an assistive device, independent in their daily life activities, and scored 23 and above according to the mini-mental state test in the study. The exclusion criteria of the study were the presence of a neurological, orthopedic or cardiovascular disease affecting the lower extremity, pain or limitation of movement in the ankle joint, skin diseases, history of falling in the last 1 year, any problem that may prevent lying prone and participation in a regular exercise program. Individuals meeting the inclusion criteria were randomly assigned to one of two different groups with the help of the Random Numbers Table. The study was terminated when the target number of participants (n=78) was reached. Static stretching was applied to the first group (n=26), PNF stretching to the second group (n=26), and roller massage to the third group (n=26). Individuals meeting the inclusion criteria were randomly assigned to one of two different groups with the help of the Random Numbers Table. The study was terminated when the target number of participants (n=78) was reached. Static stretching was applied to the first group (n=26), PNF stretching to the second group (n=26), and roller massage to the third group (n=26). (Figure 1) After the stretching method to be applied was determined randomly, the participants were asked to walk for 5 minutes in a 50-meter corridor. After warming up with this light-paced walking, applied one of the three methods. Immediately after the application, 10 minutes and 20 minutes after application, the range of motion of the ankle joint was measured in the weight-bearing lunge position.

Eligibility criteria: Inclusion Criteria:

* Healthy and voluntary older adults aged 65 and over
* Who were able to walk without using an assistive device,
* Independent in their daily life activities
* Who scored 23 and above according to the mini-mental state test.

Exclusion Criteria:

* Presence of a neurological, orthopedic or cardiovascular disease affecting the lower extremity,
* Pain or limitation of movement in the ankle joint,
* Skin diseases,
* History of falling in the last 1 year,
* Any problem that may prevent lying prone
* participation in a regular exercise program.

Primary outcomes:
measure: Range of motion
timeFrame: Baseline
measure: Range of motion
timeFrame: Immediately after application
measure: Range of motion
timeFrame: 10 minutes after application
measure: Range of motion
timeFrame: 20 minutes after application
Secondary outcomes:
Other outcomes:
Locations:
city: İzmir
country: Turkey
facility: Izmir Provincial Health Directorate State Hospital
state: Urla
city: İzmir
country: Turkey
facility: Izmir Provincial Health Directorate Urla State Hospital
state: Urla
Study officials:
affiliation: Dokuz Eylul University
name: Ceren Devrim Şahin, MSc
role: STUDY_DIRECTOR
affiliation: Dokuz Eylul University
name: Nursen İlçin, Assoc. prof.
role: STUDY_CHAIR
affiliation: Çankırı Karatekin University
name: Kutay Kaşlı, MSc
role: PRINCIPAL_INVESTIGATOR
References: