Acute Effects of Instrument-assisted Soft Tissue Mobilization in Football Players

January 22, 2025 updated by: METEHAN YANA, Karabuk University

Acute Effects of Instrument-assisted Soft Tissue Mobilization on the Flexibility, Strength, Vertical Jump, and Dynamic Balance Performances of the Plantar Flexor Muscle in Professional Football Players.

For professional footboll players, the balance, jumping, and performance capabilities of the plantar flexor muscle group are crucial on the field. Performance-enhancing interventions for these muscles are essential for improving player performance, preventing injuries, and accelerating the rehabilitation process. limitations and myofascial problems often occur in these muscles due to overuse and fatigue. Graston technique (GT), one of the instrument-assisted soft tissue mobilization techniques (IASTM), is thought to be an effective method in sports rehabilitation by accelerating relaxation and blood flow. However, this situation has not been adequately examined in the literature. Therefore, we think that the results of this study will provide an important perspective to the literature.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

The plantar flexors (PF) and the ankle joint are of great importance as they play an essential role in generating force on the ground. The ankle PF is the primary structure where energy is stored and released during movement and is the primary source of forward propulsion. This constitutes an important source of power for soccer players. Ankle flexibility is linked to dynamic balance capacity, which influences important elements such as speed, kick accuracy, ball control and agility. Muscle tension, myofascia and reduced range of motion (ROM) are frequently observed in team sports such as soccer, which increases the frequency of muscle injuries. Studies have shown that movement efficiency is reduced when movement is restricted in both the lower and upper limbs. Therefore, preservation and restoration of ROM is important to minimize injuries and improve performance, and myofascial release is often used in this context. Instrument-assisted soft tissue mobilization-Graston Technique (IASTM-GT) entails repetitive mechanical stimulation, including compression and shear stress applied to soft tissues such as muscles, deep fascia and tendons. It facilitates the healing process by creating microtrauma, disrupting collagen connections, increasing blood circulation and promoting cellular regeneration.Numerous studies have extensively investigated the flexibility effect of Graston Technique (GT) on athletes, particularly by improving ROM and accelerating the recovery process in key muscle groups such as the thighs, quadriceps and plantar flexors (PF). However, the evidence is not clear on how GT specifically affects the function of the PF muscle and its implications on the performance and health of football players. The effectiveness of facial mobilization in football players may be important for improving athlete performance and injury prevention. The results of this study may guide healthcare professionals by providing information about the effectiveness of these non-invasive techniques in athlete performance, treatment and rehabilitation process in clinical practice. In this context, the aim of this study was to investigate the acute effect of fascial release applied to the PF muscles on ROM, jumping ability and muscle strength.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
40

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
      • Karabük, Turkey, 78000
        • Karabuk University
    • Karabuk
      • Karabük, Karabuk, Turkey, 78050
        • Karabuk University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Healthy professional male football players

Exclusion Criteria:

  • Having a medical history of chronic disease (cardiopulmonary, neurological, thyroid gland diseases)
  • Having acute musculoskeletal system problems
  • No disability or surgical intervention in the lower extremity in the last year.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: Treatment Group
In the study, the Graston device will be applied to the plantar flexor muscles of the patients. The medial and lateral gastarosoleus muscles and tendon will be applied deeply for 3 minutes, and the soleus muscle will be applied deeply for 90 seconds.
Other: Instrument-assisted soft tissue mobilization
In the study, the Graston device will be applied to the plantar flexor muscles of the patients. The medial and lateral gastarosoleus muscles and tendon will be applied deeply for 3 minutes, and the soleus muscle will be applied deeply for 90 seconds.

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Range of motion
Time Frame: baseline, immediately after the intervention
Dorsiflexion Reng Of Motion tests were conducted using a handheld manual goniometer.
baseline, immediately after the intervention
Muscle strength
Time Frame: baseline, immediately after the intervention
The handheld dynamometer (Model: Activ5-M\ Activforce2) was used to measure isometric strength in the Plantar flexors of ankle.
baseline, immediately after the intervention
Balance
Time Frame: baseline, immediately after the intervention
The Y Balance Test (YBT) was employed for evaluating dynamic balance across three reach directions: anterior (ANT), posteromedial (PM), and posterolateral (PL)
baseline, immediately after the intervention
Jump Performance
Time Frame: baseline, immediately after the intervention
My Jump 2, a mobile app designed for vertical jump performance, high-speed video capture
baseline, immediately after the intervention

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Karabuk University

Collaborators

Collaborators

An organization other than the sponsor that provides support for a clinical study. This support may include activities related to funding, design, implementation, data analysis, or reporting.
The Scientific and Technological Research Council of Turkey

Investigators

Investigators

A researcher involved in a clinical study. Related terms include site principal investigator, site sub-investigator, study chair, study director, and study principal investigator.
  • Study Chair: Metehan Yana, PhD, Karabuk University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
December 5, 2023

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
March 10, 2024

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
March 10, 2024

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
January 13, 2025

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
January 22, 2025

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
March 25, 2025

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
March 25, 2025

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
January 22, 2025

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
January 1, 2025

More Information

Terms related to this study

Keywords

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • Sport health

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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