Determining the Most Efficient Techniques of Gain of Range of Motion in Function of the Type of Limitation in Asymptomatic Subjects.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 188
- 试验地点
- 1
- 主要终点
- Change of limitation type of during the Straight leg raising test (SLR) after 31 days
研究概览
简要总结
First, this study aims to use the straight leg raising test (SLR) and the knee angle extension test (KEA) test associated to a structural differentiation to determine the limitation of the lower limb (muscular or nervous) in asymptomatic subjects.
Second, this study will try to determine the most efficient exercice to increase range of motion of the lower limb in function of subjects limitation type (muscular, nervous,) using neural mobilization (sliders or tensioners) and muscle stretching.
Two groups will be constituted for each test (SLR and KEA) based on the limitation defined during the test:
Group 1: Muscle limitation Group 2: Neural limitation
Each group will be subdivided in four subgroups depending on the intervention participants will receive:
- subgroup 1: Muscle stretching group
- subgroup 2: Neural tensioner group
- subgroup 3: Neural slider group
- subgroup 4: Control group
Participants from groups 1,2 and 3 will be asked to do an exercice every day during 31 days, independently of their subgroup allocation.
Participants from group 1 will perform a muscle stretching technique during 20 second twice a day.
Participants from group 2 will do 10 repetitions of tensioner twice a day. Participants from group 3 will do 10 repetitions of a slider twice a day.
Subgroup comparisons of the evolution of the range of motion during SLR and KEA before and after the month of exercice will determine which technique is the most efficient for a specific type of limitation.
详细描述
Objectives:
First, this study aims to use the straight leg raising test (SLR) and the knee angle extension test (KEA) test associated to a structural differentiation to determine the limitation of the lower limb (muscular or nervous) in asymptomatic subjects.
Second, this study will try to determine the most efficient exercice to increase range of motion of the lower limb in function of subjects limitation type (muscular, nervous,) using neural mobilization (sliders or tensioners) and muscle stretching.
Procedures:
All the participants will attend two assessment sessions i.e., at baseline and after 31 days, expect for participants allocate in the control group, who will be also tested 48 to 72 hours after the first evaluation in order to determine the test/retest reliability of the structural differentiation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
Outcomes assessor is blind to participant group allocation. After the first evaluation participant are conduct in another room where a second investigator allocate them to a subgroup and give them instructions concerning the intervention. After a month the re-avaluation takes place and patient are told to keep secret their affiliation group until the end of the re-evaluation in order to keep the outcomes assessor blind.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Asymptomatic subject
排除标准
- •Mutiple Sclerosis
- •Neuropathy
- •Lumbar pain during the last 6 month
- •Lumbosacral radicular pain
- •Meningitis
- •Sequelae of hamstring, gluteal or sural triceps tear
- •Sequelae of Achilles tendon section
- •Guillain-Barré Syndrom
- •hip and Knee replacement
研究组 & 干预措施
Muscle limitation subgroup receiving muscle stretching exercice
This subgroup of participants will have to perform 2 muscle stretching exercices every day during a month and to report the frequency of realisation on a smartphone or a web application.
干预措施: muscle streching exercice (Other)
Muscle limitation subgroup receiving a slider exercice
This subgroup of participants will have to perform two series of ten repetitions of a slider exercice every day during a month and to report the frequency of realisation on a smartphone or a web application.
干预措施: Slider (Other)
Muscle limitation subgroup receiving a tensioner exercice
This subgroup of participants will have to perform two series of ten repetitions of a tensioner exercice every day during a month and to report the frequency of realisation on a smartphone or a web application.
干预措施: Tensioner (Other)
Neural limitation subgroup receiving a muscle stretching exercice
This subgroup of participants will have to perform 2 muscle stretching exercices every day during a month and to report the frequency of realisation on a smartphone or a web application.
干预措施: muscle streching exercice (Other)
Neural limitation subgroup receiving a slider exercice
This subgroup of participants will have to perform two series of ten repetitions of a slider exercice every day during a month and to report the frequency of realisation on a smartphone or a web application.
干预措施: Slider (Other)
Neural limitation subgroup receiving a tensioner exercice
This subgroup of participants will have to perform two series of ten repetitions of a tensioner exercice every day during a month and to report the frequency of realisation on a smartphone or a web application.
干预措施: Tensioner (Other)
Neural limitation Control subgroup
Participants in this subgroup will not receive an intervention.
Muscle limitation Control subgroup
Participants in this subgroup will not receive an intervention.
结局指标
主要结局
Change of limitation type of during the Straight leg raising test (SLR) after 31 days
时间窗: After 31 days
This outcome will be definfed as a muscle limitation or as a nerve limitation using the structural differentiation.
Change of Hip flexion range of motion during the Straight leg raising test after 31 days
时间窗: After 31 days
This outcome corresponds to angle of hip flexion measured during SLR test which induced a discomfort or an unpleasant feeling at the posterior part of the buttock, the thigh, the leg or in the foot reported by the participant. An electronical inclinometer will be used for the measurement of this angle, placed on the tibial bone using the anterior tibial tuberosity as a reference point.
Change of Knee extension range of motion during KEA after 31 days
时间窗: After 31 days
This outcome corresponds to the angle of Knee extension mesured during the KEA which induced a discomfort or an unpleasant feeling at the posterior part of the buttock, the thigh, the leg or in the foot reported by the participant. An electronical inclinometer will be used for the measurement of this angle, placed on the tibial bone using the anterior tibial tuberosity as a reference point.
Change of the limitation type during the Knee extension angle test (KEA) after 31 days
时间窗: After 31 days
This outcome will be definfed as a muscle limitation or as a nerve limitation using the structural differentiation.
次要结局
未报告次要终点
研究者
Pesesse Pierre
Physiopherapist PHD student
University of Liege