Functional Effects of Tendon Neuroplastic Training in Wrestlers
10 de mayo de 2026 actualizado por: Recep Baloglu, Hacettepe University
Functional Effects of Tendon Neuroplastic Training in Wrestlers With Shoulder Tendinopathy: a Randomized Controlled Trial
ABSTRACT AIM: The term tendinopathy describes multifaceted pathologies occurring in the tendon, characterized by pain, functional impairment, and decreased exercise tolerance. The aim of this study is to use Tendon Neuroplastic Training (TNT) in Wrestlers with shoulder tendinopathy between the ages of 14-25; To investigate its effects on balance, coordination, mental performance and shoulder functionality.
METHOD: After determining the sample size of the study with the G Power (Software 3.1.9.2) program, 26 athletes were randomly divided into two groups; the study group received a 4-week TNT training protocol, while the control group received 4 weeks of standard eccentric training. Both groups were given exercises for the Supraspinatus, Infraspinatus, Subscapularis and Biceps muscles. The athletes' balance with "Upper Quarter Y Balance", coordination with "Alternate Hand Wall Toss", and mental performance with Stroop Color-Word tests were evaluated. "Kerlan-Jobe" and "Western Ontario Rotator Cuff" scales were used to evaluate shoulder functionality and pain. All assessments were administered before and after exercise training. The data were analyzed statistically with the "IBM SPSS 25" package program.
Key Words: Athlete, Mental Test, Shoulder, Tendinopathy
Descripción general del estudio
Estado
Terminado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Intervencionista
Inscripción (Actual)
26
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Kayseri
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Kayseri, Kayseri, Turquía (Türkiye), 38100
- Kayseri Youth and Sports Provincial Directorate
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
- Niño
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
No
Descripción
Inclusion Criteria:
- Being a licensed athlete for at least one year
- Having a diagnosis of tendinopathy based on clinical and radiological examination
- To positive least three of the following diagnostic tests: Neer Test, Hawkins-Kennedy Test, Jobe-Supraspinatus Test, Painful arc at 60-120 degrees of shoulder abduction
- Pain level is below 2 out of 10 at rest and below 3 out of 10 during active movement according to the visual pain scale,
- No limitation in joint range of motion (at least 85% of the healthy side).
Exclusion Criteria:
• Having any vision or hearing problems
- Previous surgery at last 6 month
- Having diagnose complete tendon rupture
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Otro
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Experimental: Tendon Neuroplastic Training Group
The Group that Perceived Tendon Neuroplastic Training
|
Tendon Neuroplastic Training can be adapted to isometric and isotonic exercises with a digital metronome program.
Tendon Neuroplastic Training has been reported to improve functionality and strength, reduce pain and cortical inhibition in athletes by generating 'adaptation' in central nervous system.
Resistance training planned with visual or auditory stimuli (externally paced), can induce changes on motor control.
the exercises paced to an external audio/visual cue on the participant's smartphone
Otros nombres:
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Otro: Control Group
The Group that Perceived Standard Eccentric Training
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Tendon Neuroplastic Training can be adapted to isometric and isotonic exercises with a digital metronome program.
Tendon Neuroplastic Training has been reported to improve functionality and strength, reduce pain and cortical inhibition in athletes by generating 'adaptation' in central nervous system.
Resistance training planned with visual or auditory stimuli (externally paced), can induce changes on motor control.
the exercises paced to an external audio/visual cue on the participant's smartphone
Otros nombres:
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Cognitive function
Periodo de tiempo: "Baseline" and "week 4"
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Cognitive function was assessed with the Stroop Test TBAG (Temel Bilimler Araştırma Grubu) Form.
The Stroop Test also referred to as the Color- Word Task, was used to assess executive abilities, selective attention, and the ability to inhibit a habitual response.
In sports psychology research, the Stroop test and its derivations are commonly used to investigate the benefits of exercise on cognitive function.
Stroop Test TBAG Form consists of five cards.
For each section, the time taken by participants during the application was measured using a 0.01-second precision smartphone chronometer.
The completion time of reading the card, the number of errors and the number of corrections (if any) for each section were recorded on an evaluation form for each participant.
There are no minimum or maximum score values for this test.
A lower score means a better result.
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"Baseline" and "week 4"
|
Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Publicaciones Generales
- 1. Singh A, Sharan L, Shankhapal VR, Shenoy S. From shoulder to ankle: A cross-sectional study of tendinopathy prevalence across the athletic population. J Sport Rehabil Sci. 2026;3(1):1-10. 2. McCausland C, Sawyer E, Eovaldi BJ, Varacallo MA. Anatomy, Shoulder and Upper Limb, Shoulder Muscles. In: StatPearls. Treasure Island (FL): StatPearls Publishing; August 8, 2023. 3. Maunder DJ, Nelson BC, Murthi AM, Hoffman RA. The Burden of Shoulder and Elbow Injuries in Wrestling: A Systematic Review of Incidence, Injury Types, and Competition-Level Comparisons. Sports Health: A Multidisciplinary Approach. 2025;0(0). 4. Goodman AD, Twomey-Kozak J, DeFroda SF, Owens BD. Epidemiology of shoulder and elbow injuries in National Collegiate Athletic Association wrestlers, 2009-2010 through 2013-2014. The Physician and Sportsmedicine. 2018;46 (3):361-366. 5. Noh, Ji-Woong & Park, Byoung-Sun & Kim, Meeyoung & Lee, Lim-Kyu & Yang, Seung-Min & Lee, Won-Deok & Shin, Yong-Sub & Kim, Ju-Hyun & Lee, Jeong-Uk & Kwak, Taek-Yong & Lee, Tae-Hyun & Kim, Ju-Young & Park, Jaehong & Kim, Junghwan. (2015). Analysis of combat sports players' injuries according to playing style for sports physiotherapy research. Journal of physical therapy science. 27. 2425-30 6. Thomas RE, Zamanpour K. Injuries in wrestling: systematic review. The Physician and Sportsmedicine. 2018;46(2):168-196 7. Millar N, Silbernagel K, Thorborg K et al. Tendinopathy. Nature Reviews Disease Primers. 2021;7(1):1 8. Reinking M. Tendinopathy in athletes. Phys Ther Sport. 2012; 13: 3-10 9. Taik, F. Z., Karkouri, S., Tahiri, L., Aachari, I., Moulay Berkchi, J., Hmamouchi, I., Abouqal, R., Rkain, H., & Allali, F. (2022). Effects of kinesiotaping on disability and pain in patients with rotator cuff tendinopathy: double-blind randomized clinical trial. BMC musculoskeletal disorders, 23(1), 90 10. Aydeniz B, Ersoy S, Çinicioğlu M, Vural M. Evaluation of Kinesiophobia, Pain and Functional Status in Adhesive Capsulitis and Rotator Cu
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio (Actual)
15 de marzo de 2024
Finalización primaria (Actual)
8 de marzo de 2025
Finalización del estudio (Actual)
22 de octubre de 2025
Fechas de registro del estudio
Enviado por primera vez
28 de abril de 2026
Primero enviado que cumplió con los criterios de control de calidad
10 de mayo de 2026
Publicado por primera vez (Actual)
14 de mayo de 2026
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
14 de mayo de 2026
Última actualización enviada que cumplió con los criterios de control de calidad
10 de mayo de 2026
Última verificación
1 de mayo de 2026
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 2022/10123
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
NO
Descripción del plan IPD
We respect the privacy of participants' data.
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
No
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
No
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