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IRCT20240521061862N1 IRCT 2024-07-02 Faculty of Physical Education, University of Tehran Immediate effect of self-release on neck range of motion and proprioception Comparison of the immediate effect of self-release, static stretching and Graston technique in the Iliotibial band and tibialis anterior muscle on the range of motion and proprioception of the neck of athletes 2024-07-20 anticipated 100 Complete https://irct.ir/trial/77156 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Used, Assignment: Parallel, Purpose: Prevention, Randomization description: After identifying the people to participate in the research, a simple randomization method was used. In such a way that the selection of participants was completely based on chance and probability and every participant had the same chance to enter the sample. The main factor for us was that each participant had an equal chance of being placed in each group. Then, with the lottery method, the names of the people were written on paper and placed in a container, and someone other than the researchers randomly picked the names, and the names that were the first to leave the intervention group and the rest of the control group. In the randomization process, the researchers had no involvement and this work was done by an uninformed person. 2-3 Limitation of neck range of motion. Intervention 1: Intervention group 1: self-release of the tibialis anterior muscle and iliotibial band using a foam roller and a massage ball by the person himself in such a way that the person, while sitting on the floor, places the ball under the anterior part of the leg of one of the legs and puts pressure on the leg with the opposite hand. Slowly move the leg up and down and release the muscle and finally do the opposite side. To release the iliotibial band, the person is asked to lie on his side and place the foam roller under the outer part of the femur of the lower leg, in the path of the iliotibial band, and transfer his weight to the elbow and the point of contact with the foam roller, and place both legs in stick together in a completely flat position and slowly move up and down, if the person is unable to perform this movement due to pain, a modified method is used in such a way that the person puts the upper leg on the sole of the foot while doing it. The ground rests in front of the body and transfers some of its weight on it. In this study, release is done for each member for 2 minutes. Intervention 2: Intervention group 2: static stretching of the tibialis anterior muscle and iliotibial band will be done passively by the researcher, to stretch the tibialis anterior muscle, the person is asked to lie on the bed, the researcher takes the person's ankle to plantar flexion and places his palm on the participant finger and presses down with the ankle, pauses for 40 seconds, and after 10 seconds rest, repeats this three times. To stretch the iliotibial band, the person is asked to lie on his side next to the edge of the bed and bring his upper leg back a little, and the researcher slowly, without allowing the knee flexion and the lumbar spine to move out of the normal position, put the leg to the person, take the side down and stretch the iliotibial band for 3 sets of 40 seconds, stretching exercises for both sides. Intervention 3: Intervention group 3: The Graston technique on the tibialis anterior muscle and the iliotibial band will be performed by the researcher who has been trained in this method in the offline courses of the rehabilitation site and has three years of experience working with this tool. The method of execution is that the person lies on the bed with shorts or a bathing suit on his side, bends his knees at a 90 degree angle, and the examiner with the Graston metal after sliding the outer part of the thigh at an angle of 30 degrees from the proximal part to the distal part will perform the release. To release the anterior calf muscle, the person lies on the bed in the supine position and stretches the legs, and the tester slides the surface at an angle of 30 degrees from the proximal to the distal direction. The release time for each part will be 2 minutes. The technique is performed in 8 minutes for each person. Intervention 4: Control group: ride a stationary bike at a speed of 6-8 for ten minutes. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is According to the publication of the article, a decision will be made on this matter
public Behrouz Jafari
No. 195, Valiasr alley, Ghari street, Heydari street, Sabalan
Tehran Iran (Islamic Republic of) 1636818665 009821860120153 jaffari_behroz@yahoo.com Faculty of Physical Education, University of Tehran scientific Behrouz Jafari
No. 195, Valiasr alley, Ghari street, Heydari street, Sabalan
Tehran Iran (Islamic Republic of) 1636818665 009821860120153 jaffari_behroz@yahoo.com Faculty of Physical Education, University of Tehran Iran (Islamic Republic of) Being male Age range from 18 to 40 years People who want to take the test and complete the consent form. 18 years 40 years Male Hypermobility (Beton test score 4 and more) Using flexibility and yoga exercise programs for more than 6 months Severe orthopedic problem 6 months history of back pain, neck pain and soft tissue damage Fibromyalgia and other mental problems (using the GHQ-12 general health questionnaire) Having a history of surgery History of musculoskeletal pain in the last two weeks M54.2 Cervicalgia Prevention Prevention Prevention Prevention Intervention group 1: self-release of the tibialis anterior muscle and iliotibial band using a foam roller and a massage ball by the person himself in such a way that the person, while sitting on the floor, places the ball under the anterior part of the leg of one of the legs and puts pressure on the leg with the opposite hand. Slowly move the leg up and down and release the muscle and finally do the opposite side. To release the iliotibial band, the person is asked to lie on his side and place the foam roller under the outer part of the femur of the lower leg, in the path of the iliotibial band, and transfer his weight to the elbow and the point of contact with the foam roller, and place both legs in stick together in a completely flat position and slowly move up and down, if the person is unable to perform this movement due to pain, a modified method is used in such a way that the person puts the upper leg on the sole of the foot while doing it. The ground rests in front of the body and transfers some of its weight on it. In this study, release is done for each member for 2 minutes Intervention group 2: static stretching of the tibialis anterior muscle and iliotibial band will be done passively by the researcher, to stretch the tibialis anterior muscle, the person is asked to lie on the bed, the researcher takes the person's ankle to plantar flexion and places his palm on the participant finger and presses down with the ankle, pauses for 40 seconds, and after 10 seconds rest, repeats this three times. To stretch the iliotibial band, the person is asked to lie on his side next to the edge of the bed and bring his upper leg back a little, and the researcher slowly, without allowing the knee flexion and the lumbar spine to move out of the normal position, put the leg to the person, take the side down and stretch the iliotibial band for 3 sets of 40 seconds, stretching exercises for both sides Intervention group 3: The Graston technique on the tibialis anterior muscle and the iliotibial band will be performed by the researcher who has been trained in this method in the offline courses of the rehabilitation site and has three years of experience working with this tool. The method of execution is that the person lies on the bed with shorts or a bathing suit on his side, bends his knees at a 90 degree angle, and the examiner with the Graston metal after sliding the outer part of the thigh at an angle of 30 degrees from the proximal part to the distal part will perform the release. To release the anterior calf muscle, the person lies on the bed in the supine position and stretches the legs, and the tester slides the surface at an angle of 30 degrees from the proximal to the distal direction. The release time for each part will be 2 minutes. The technique is performed in 8 minutes for each person Control group: ride a stationary bike at a speed of 6-8 for ten minutes. Neck range of motion including flexion, extension, lateral flexion and rotation. Timepoint: Before and immediately after intervention. Method of measurement: Using the Measure Angles Bubble Level protractor and protractor version 3.99.92 application on the iPhone 13 Pro Max smartphone. Neck proprioception. Timepoint: Before and immediately after intervention. Method of measurement: Angle reconstruction error method to check the proprioceptive condition using laser pen and graduated plate. Faculty of Physical Education, University of Tehran Approved 2024-03-03 Ethics committee in Research, Faculty of Sports and Health Sciences, University of Tehran No. 195, Valiasr alley, Ghari street, Heydari street, Sabalan Tehran Tehran Iran (Islamic Republic of)