跳至主要内容
临床试验/NCT06017180
NCT06017180已完成不适用

Investigation of the Effects of Myofascial Release Techniques on Shoulder-Elbow Mobility, Sensorimotor Function and Performance in Volleyball Players

Dokuz Eylul University4 个研究点 分布在 2 个国家目标入组 54 人开始时间: 2023年9月30日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
54
试验地点
4
主要终点
Muscle Strength (elbow and shoulder)

研究概览

简要总结

Sports that require overhead activities (volleyball, tennis, basketball) include components such as rapid displacement, strength and movement control.Volleyball is also called as an overhead sport in terms of the way it is played. In the realization of these sports; Sub-parameters such as proprioceptive sense, strength, throwing rate, flexibility play a role. During these activities, the shoulder and elbow joints are overloaded. To meet this load, the joint must provide the necessary mobility and stability. Proprioceptive sense in increasing the quality and width of movement as well as providing dynamic joint stability in overhead sports; Increasing the range of motion of the joint, reducing muscle stiffness and thus increasing flexibility are effective in providing mobility. That's why it's important to develop them. Likewise, muscle strength should be increased in order to maintain movement performance and prevent injuries. The use of myofascial release techniques as an exercise method has increased in recent years. Application; The effects on parameters such as strength, performance and flexibility were investigated. Studies have focused more on the lower extremities and acute effects. There is no study on the subject examining proprioceptive sensation in volleyball players in the upper extremity. Therefore, our aim is to examine the chronic effects of the application on shoulder and elbow joint mobility, sensorimotor function and performance.

详细描述

Sports that require overhead activities (volleyball, tennis, basketball) include components such as rapid displacement, strength and movement control.Volleyball is also called as an overhead sport in terms of the way it is played. In the realization of these sports; Sub-parameters such as proprioceptive sense, strength, throwing rate, flexibility play a role. During these activities, the shoulder and elbow joints are overloaded. To meet this load, the joint must provide the necessary mobility and stability. Proprioceptive sense in increasing the quality and width of movement as well as providing dynamic joint stability in overhead sports; Increasing the range of motion of the joint, reducing muscle stiffness and thus increasing flexibility are effective in providing mobility. That's why it's important to develop them. Likewise, muscle strength should be increased in order to maintain movement performance and prevent injuries. Performance is the evaluation of how much the psychological, physiological and biomechanical requirements required for a sportive activity are provided. Individual and team sports, by their very nature, result in winning and losing. In this respect, it is important that the performance is at the highest level. In addition to strength, speed is also an important parameter in performance. With the programs made by combining these parameters, sportive performance and athletic success can be increased. The ability to effectively perform parameters such as throwing, throwing and hitting the ball in overhead sports affects performance results. Athletes competing in branches where overhead movements requiring high muscle activity are used intensively; In addition to strength and flexibility, which are key components of performance, sensorimotor accuracy is also of great importance.

Fascia; It is a body network that is the continuation of the connective tissue and is shaped by stretching, and it surrounds all organs and body structures. If the fascial tissue can be trained at the appropriate level (appropriate level of flexibility and elasticity), it can be beneficial in terms of protection from injuries as well as increasing sports performance. When we look at the literature, we see that the importance of this issue has increased in recent years. Myofascial release is an up-to-date method that appears to be effective in improving joint and fascia mobility, increasing body awareness, and aiding muscle reduction. Myofascial release application has become popular around the world in recent years, and it shows itself as one of the exercise trends of athletes.The use of myofascial release techniques as an exercise method has increased in recent years. Application; The effects on parameters such as strength, performance and flexibility were investigated. Studies have focused more on the lower extremities and acute effects. There is no study on the subject examining proprioceptive sensation in volleyball players in the upper extremity. Therefore, our aim is to examine the chronic effects of the application on shoulder and elbow joint mobility, sensorimotor function and performance.

With the myofascial release application that we plan to do, we aim to improve these parameters and thus provide the athletes with an alternative application method in terms of preventing injuries and improving performance. When we review the literature, we are the first study to examine the effectiveness of myofascial release in the upper extremity and the long-term effects on athletes doing overhead activities.

For all these reasons, the aim of this study is; To examine the effect of 8-week myofascial release application to the shoulder and elbow region on mobility, muscle strength, joint position sense, force matching, performance and well-being, and to examine the effect of the application at the 4th week, 8th week (end of the application), and 6th month after the first evaluation. is to detect whether there is a change in these parameters. In this study, the effect of myofascial release on shoulder and elbow joints in overhead volleyball players will be investigated for the first time. We think that our study will shed light on the studies to be done in healthy and symptomatic individuals who are interested in sports where the upper extremity is at the forefront.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
Double (Investigator, Outcomes Assessor)

入排标准

年龄范围
13 Years 至 40 Years(Child, Adult)
性别
All
接受健康志愿者

入选标准

  • Being playing volleyball
  • Training at least two hours a week Being between the ages of 13-40
  • Full active movement of the shoulder and elbow in all directions
  • To have at least 3 years of overhead sports activity (volleyball) (Kurt, 2022)
  • Active participation in training and competitions
  • Absence of shoulder pain
  • To be able to complete all the evaluations and applications to be made in the study

排除标准

  • Not wanting to participate in the study and not being able to fulfill its requirements
  • History of upper extremity injury in the last 1 year
  • Any history of surgery or fracture in the upper extremity
  • The occurrence of pain during evaluations and applications
  • Having a diagnosed disease related to the neck and shoulder
  • Having any diagnosed systemic (rheumatological) musculoskeletal disease
  • Have a lower extremity injury (acute and/or active) in the last six months
  • Having acne and similar skin problems, open wounds that may prevent the application of rounded myofascial relaxation
  • Previous application of similar rounded myofascial relaxation
  • Diagnosis of diabetes mellitus and peripheral neuropathy
  • Having been diagnosed with osteoporosis
  • Having a diagnosis of vertigo
  • Having a cardiovascular disease
  • Being pregnant

研究组 & 干预措施

Myofascial Release Group

Experimental

54 healthy people playing volleyball will be included in our study and randomly divided into groups. In group I (myofascial release group), myofascial release will be applied to the shoulder and elbow region.

干预措施: Myofascial Release Techniques (Other)

Control Group

Sham Comparator

54 healthy people playing volleyball will be included in our study and randomly divided into groups. The sham method will be applied to the shoulder and elbow region of group II (control group).

干预措施: Sham myofascial release technique (Other)

结局指标

主要结局

Muscle Strength (elbow and shoulder)

时间窗: Baseline, after 4 and 8 weeks myofascial release techniques period and then follow up measurement 6. month.

Change of biceps brachii and shoulder internal rotation isometric strength (in kg, with hand held dynamometer).The average of three consecutive repetitions will be recorded.

Performance (Speed)

时间窗: Baseline, after 4 and 8 weeks myofascial release techniques period and then follow up measurement 6. month.

Change of shoulder and elbow performance (Dunk speed test with sportive radar). The tests will be conducted by measuring the maximum slam speed using a volleyball. The ball is thrown from a height of 2 to 3 meters by the coach. Participants dunk the ball into the net without touching the net and without occupying the opponent's court. Participants will be asked to practice 3 spikes at their maximum strength. The average of the three values will be taken. (km/h)

Proprioception (elbow and shoulder)

时间窗: Baseline, after 4 and 8 weeks myofascial release techniques period and then follow up measurement 6. month

Change of biceps brachii and shoulder internal rotation joint position sense (with digital inclinometer in degree) (Target angel:Elbow:45 degree, shoulder:45 degree). The target angles to be tested will be taught by the investigators with eyes open 3 times and eyes closed 3 times. The participant will then be asked to bring it to the target angle with their eyes closed. The deviation value from the target angle will be recorded.

Mobility (shoulder)

时间窗: Baseline, after 4 and 8 weeks myofascial release techniques period and then follow up measurement 6. month.

Change of shoulder mobility (shoulder (internal and external rotation) range of motion, Back Scratch test:The distance between the middle fingers will be recorded in cm.). Measurements will be made 3 times, the average of the measured values will be recorded.

次要结局

  • Muscle Strength(Baseline, after 4 and 8 weeks myofascial release techniques period and then follow up measurement 6. month.)
  • Performance(Baseline, after 4 and 8 weeks myofascial release techniques period and then follow up measurement 6. month.)
  • Well-Being(Baseline, after 4 and 8 weeks myofascial release techniques period and then follow up measurement 6. month.)
  • Mobility(Baseline, after 4 and 8 weeks myofascial release techniques period and then follow up measurement 6. month.)
  • Proprioception (joint position sense and force match)(Baseline, after 4 and 8 weeks myofascial release techniques period and then follow up measurement 6. month.)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Fatma Özden

Physical Therapist

Dokuz Eylul University

研究点 (4)

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