Recovery of Heart Rate Variability in Handball Players (HRV-HANDBAll)
30 de agosto de 2026 actualizado por: Ramiz ARABACI, Uludag University
Effects of Manual Massage and Foam Rolling on Heart Rate Variability Following 20m-Shuttle Run Test in Elite Male Handball Players
This study aimed to compare the acute effects of manual massage (MM) and foam rolling (FR) on heart rate variability (HRV) following a 20 m shuttle run test (20m-SRT) in elite male handball players.
It was hypothesized that MM and FR would produce differential acute effects on HRV responses during
Descripción general del estudio
Estado
Terminado
Intervención / Tratamiento
Descripción detallada
The aim of present study was to compare the acute effects of manual massage (MM) and foam rolling (FR) on time-domain and frequency-domain HRV parameters following a 20 m shuttle run test (20m-SRT) in elite male handball players. It was hypothesized that MM and FR would produce differential acute effects on HRV responses during. Fifteen elite male handball players voluntarilly participated in present study.
The research utilized a randomized cross-over design. All participants provided written informed consent after being briefed about the aims, procedures, benefits, and risks. Study was conducted in three sessions in onwe week. Fırst session is familiarization, other two sessions are experimental: MM and FR sessions. Participants were instructed to maintain their normal diet, refrain from intense exercise for at least 48 hours before study sessions, avoid alcohol and caffeine intake for 24 hours prior, and consume their last meal at least 3 hours before sessions. In familiarization session, subjects fulfilled Exercise Readiness Questionnaire (EGZ+), measured body composition, after warm-up 20m-SRT, and recovery interventions (MM and FR). Before warm-up - pre-test, during 20-m shuttle run test - test and after recovery - post-test HRV were recorded. In experimental session, after the 20 min standard warm-up including jogging, jumping and stretching volunteers performed 20m-SRT and immediately one of two different recovery interventions. Recovery interventions are MM and FR applied on the lower extremities. All procedures were conducted at the same time of day (14:00-16:00) to minimize circadian rhythm effects. To determine differences in HRV and heart rate across recovery methods and time points, a Two Way Repeated Measures ANOVA was used: 2 Intervention (MM and FR) × 3 Time (Pre-test, Test, Post-test). Bonferroni-adjusted pairwise comparisons performed to identify differences between specific time points and interventions.
Tipo de estudio
Intervencionista
Inscripción (Actual)
15
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
-
-
-
Bursa, Turquía (Türkiye), 16059
- Bursa uludag University, Faculty of Sport Sciences
-
-
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
Acepta Voluntarios Saludables
Sí
Descripción
Inclusion Criteria:
- Male handball players competing in the Turkish Handball Super League
- At least 5 years of regular handball training experience
- Participation in at least 10 official matches during the previous 12 months
- Minimum 1 year of playing experience in the Turkish Handball Super League
- No injury resulting in an interruption of training or competition for more than 2 weeks during the previous 6 months
- No use of stimulants, ergogenic aids, or prohibited performance-enhancing substances
Exclusion Criteria:
- Current musculoskeletal injury or pain affecting training or match participation
- History of surgery to the lower or upper extremities within the previous 12 months
- Presence of cardiovascular, neurological, or metabolic disorders
- Use of medications that may affect physical performance or neuromuscular function
- Inability to complete the study procedures or testing protocol
- Withdrawal of informed consent
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 cruzada
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Experimental: Manual Massage (MM)
After the 20 minute standard warm-up including jogging, jumping and stretching participant performed 20 m Shuttle Run Test (20m-SRT), subsequently legs Manual Massage (MM) recovery intervention lasted 20 minutes.
Before warm-up, during 20m-SRT and MM HRV was recorded.
|
MM protocol employed Swedish massage techniques (Hemmings, 2001; Tessier, 2005), including effleurage (light stroking), friction, petrissage (kneading and rolling), vibration and tapotement (light percussion).
Massage was applied for 20 minutes total, distributed as: 10 minutes on the right and 10 minutes on the left lower extremity.
Posterior lower-extremity massage included the gluteal region, posterior thigh, and calf muscles.
Anterior lower-extremity massage included only the quadriceps.
Applications were performed from distal to proximal direction using baby oil by certified masseur.
Anterior leg massage in a supine position and posterior leg massage in a prone position was applied
|
|
Experimental: Foam Rolling (FR)
After the 20 minute standard warm-up including jogging, jumping and stretching participant performed 20 m Shuttle Run Test (20m-SRT), subsequently legs Foam Rolling (FR) recovery intervention lasted 20 minutes.
Before warm-up, during 20m-SRT and FR HRV was recorded.
|
A medium density, grid structured foam roller (Blackroll Standard, 33×15×14 cm, PVC polypropylene, Bottighofen, Switzerland) was used.
Participants performed self-myofascial release by placing the lower extremities on the foam roller and rolling forward and backward to relax fascia surrounding the muscle with medium pressure.
Total duration of FR lasted 20 minutes: 10 minutes left and 10 minutes right lower extremity.
Rolling was performed at a controlled cadence (~30 cycles/min) guided by a metronome with moderate pressure.
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Heart Rate Variability (HRV)
Periodo de tiempo: From enrollment to the end of treatment at 60 minutes
|
HRV was recorded by Polar V800 (Polar Electro, Kempele, Finland) heart rate monitor and chest strap of Polar H10 transmitter.
HRV time-domain (RR, RMSSD, SDNN) and frequency-domain (VLF, LF, HF) markers and heart rate (HR) were recorded and transferred in Polar Flow.
Data set normalized by adopting artefact methodology using Kubios HRV Scientific (Tarvainen et al., 2014).
Power values were calculated in normalized units (n.u.).
HRV recordings were obtained during three phases: pre exercise (10 min supine rest), during exercise and post exercise recovery phases (10 min supine rest.
Participants were instructed to maintain spontaneous but stable breathing during recordings.
|
From enrollment to the end of treatment at 60 minutes
|
|
20 m Shuttle Run Test (VO2max)
Periodo de tiempo: After warm-up 20m-SRT lasted approximately 12-15 minute
|
20m-SRT was administered following the protocol of Leger and Lambert (1982).
The running pace was controlled by "beep test" audio signals.
The test started at a speed of 8.5 km·h-¹, increasing by 0.5 km·h-¹ every minute.
Participants were required to cover 20 m at each signal.
The test ended when a participant failed to complete the 20 m distance three consecutive times.
Estimated VO2max values were calculated using the Leger et al. (1988) formula.
|
After warm-up 20m-SRT lasted approximately 12-15 minute
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Height
Periodo de tiempo: 1 minute during familiarisation session
|
Standing height was measured with a SECA 216 digital stadiometer with a precision of 0.01 m.
|
1 minute during familiarisation session
|
|
Weight
Periodo de tiempo: 1 minute during familiarisation session
|
Body weight (kg) were measured using a TANITA BC 418MA Segmental Body Composition Analyzer (±0.50 kg accuracy).
|
1 minute during familiarisation session
|
|
Total Body Fat
Periodo de tiempo: 1 minute during familiarisation session
|
Total body fat (%) were measured using a TANITA BC 418MA Segmental Body Composition Analyzer (±0.50 kg accuracy).
|
1 minute during familiarisation session
|
|
Body Mass Index
Periodo de tiempo: 1 minute during familiarisation session
|
Weight and height will be combined to report BMI in kg/m^2
|
1 minute during familiarisation session
|
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
- Yoshimura A, Sekine Y, Schleip R, Furusyo A, Yamazaki K, Inami T, Murayama M, Hirose N. The acute mechanism of the self-massage-induced effects of using a foam roller. J Bodyw Mov Ther. 2021 Jul;27:103-112. doi: 10.1016/j.jbmt.2021.02.012. Epub 2021 Mar 4.
- Wang W, Shao M, Du W, Xu Y. Impact of exhaustive exercise on autonomic nervous system activity: insights from HRV analysis. Front Physiol. 2024 Dec 3;15:1462082. doi: 10.3389/fphys.2024.1462082. eCollection 2024.
- Wagner H, Finkenzeller T, Wurth S, von Duvillard SP. Individual and team performance in team-handball: a review. J Sports Sci Med. 2014 Dec 1;13(4):808-16. eCollection 2014 Dec.
- Rey E, Padron-Cabo A, Costa PB, Barcala-Furelos R. Effects of Foam Rolling as a Recovery Tool in Professional Soccer Players. J Strength Cond Res. 2019 Aug;33(8):2194-2201. doi: 10.1519/JSC.0000000000002277.
- Kaikkonen P, Rusko H, Martinmaki K. Post-exercise heart rate variability of endurance athletes after different high-intensity exercise interventions. Scand J Med Sci Sports. 2008 Aug;18(4):511-9. doi: 10.1111/j.1600-0838.2007.00728.x. Epub 2007 Dec 7.
- Bechke E, Kliszczewicz B, McLester C, Tillman M, Esco M, Lopez R. An examination of single day vs. multi-day heart rate variability and its relationship to heart rate recovery following maximal aerobic exercise in females. Sci Rep. 2020 Sep 8;10(1):14760. doi: 10.1038/s41598-020-71747-8.
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)
1 de mayo de 2025
Finalización primaria (Actual)
30 de junio de 2025
Finalización del estudio (Actual)
31 de julio de 2025
Fechas de registro del estudio
Enviado por primera vez
3 de junio de 2026
Primero enviado que cumplió con los criterios de control de calidad
9 de junio de 2026
Publicado por primera vez (Actual)
15 de junio de 2026
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
2 de septiembre de 2026
Última actualización enviada que cumplió con los criterios de control de calidad
30 de agosto de 2026
Última verificación
1 de agosto de 2026
Más información
Términos relacionados con este estudio
Palabras clave
Otros números de identificación del estudio
- 2023-20/71014
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
NO
Descripción del plan IPD
only IPD used in the results publication
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
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .