Clinical trial NCT05083533: Effectiveness of Telerehabilitation on Hamstring Flexibility in Healthy Adults
Official title: Effectiveness of Telerehabilitation on Hamstring Flexibility in Healthy Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Exercise
Lead sponsor: Istanbul Medipol University Hospital
Sponsor class: OTHER
First posted: 2021-10-19
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Maximum age (years): 25
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Evaluation was made before the exercise application, after the eight-week application, and at the sixth month after the exercise program.
Primary purpose: PREVENTION

Brief summary: the investigators aim is the effectiveness of the tele-rehabilitation exercise program and home exercise program applied to sedentary adults with has shortness of hamstring muscle group

Detailed description: The hamstring muscle group is posterior to the femur and consists of three separate muscles. Biceps femoris long and short head, semitendinosus and semimembranosus.

Hamstring muscle group; proximally, except for the short head of the biceps femoris, the long head of the biceps femoris, semitendinosus and semimembranosus muscles originate from the tuber ischiadicum. Distally, it forms the superolateral (biceps femoris) and superomedial (semimembranosus and semitendinosus) borders of the popliteal fossa. The hamstring muscle group is a biarticular complex that crosses the femoroacetabular and tibiofemoral joints.

The biceps femoris short head is non-biarticular as it originates laterally from the femoral linea aspera distal to the femoroacetabular joint. The main functions of the hamstring muscles are to extend the thigh and flex the knee.

Flexibility is the ability of the joints to move within the range of motion they should be.

Having sufficient flexibility of the hamstring muscle group is an important parameter for an individual to have good body biomechanics and thus a healthy posture in daily life.

Since each individual has a different body biomechanical arrangement, the hamstring muscle group is also of different lengths for each individual. In order to increase the flexibility of a muscle, stretching exercises, which constitute an important part of rehabilitation, are used in the literature and scientific books. Stretching exercises; It is a type of exercise that is frequently preferred in individuals with muscle shortness in order to reduce shortness of muscles, improve flexibility and increase the quality of movement in daily activities of the individual. It is known that the muscle-tendon complex is the structure most affected by stretching exercises. It is stated that this increase in the range of motion of the joint is increased as a result of stretching exercises, and the reason for this increase is due to the characteristics of the static (viscosity and elasticity) and dynamic (neural reflex) components of the connective tissue in the muscle-tendon complex.

While many stretching techniques are used in physiotherapy clinics, static stretching exercises are a frequently used technique due to its ease of application and reliability.

Static stretching exercises; It is the position of lengthening the muscle and holding the muscle at the last tolerable length. Active static stretching exercise is a type of stretching based on voluntary contraction of the antagonist muscle. Studies have shown that active static stretching is more effective in increasing flexibility compared to passive static stretching.

Tele-rehabilitation applications; It is a low-cost, sustainable treatment approach with therapeutic potential the same as standard treatments.

Eligibility criteria: Inclusion Criteria:

* Individuals with short hamstring muscle group
* Individuals between the ages of 18-25
* Being a university student

Exclusion Criteria:

* Athletes
* Individuals with orthopedic or neurological problems.
* Surgery history
* Cognitive impairment

Primary outcomes:
measure: Sit and Reach Test
timeFrame: 5 minutes
measure: Active Straight Leg Raise Test - Goniometer
timeFrame: 5 minutes
measure: Passive Straight Leg Raise Test - Goniometer
timeFrame: 5 minutes
Secondary outcomes:
measure: International Physical Activity Questionnaire Short Form (IPAQ-SF)
timeFrame: 10 minutes
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Bahçeşehir University
state: Istanbul Avrupa Kitasi
Study officials:
References: