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Neural Mobilisation Effect on Calf Muscle

12 mei 2026 bijgewerkt door: NITHIYAH MARUTHEY, INTI International University

The Effect of Neural Mobilization on Calf Muscle Length and Strength in Ballet Dancers: a Randomized Controlled Trial

The purpose of this study was to investigate Neural mobilisation effects on calf muscles length and strength is crucial to optimize ballet performance and prevent injuries.

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

A randomized controlled trial is conducted with a total of 54 non-professional ballet dancers recruited from ballet studios across the Klang Valley following inclusion and exclusion criteria. Baseline measurement of calf muscle performance was conducted before randomization using knee-to-wall (KtW) test, handheld dynamometer (HHD) and Y-balance (YBT). Participants were allocated to experimental (NM and self-stretching) or control (self stretching) .

Studietype

Ingrijpend

Inschrijving (Werkelijk)

54

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

  • Maleisië
    • Negeri Sembilan
      • Seremban, Negeri Sembilan, Maleisië, 71800
        • INTI International University

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Kind
  • Volwassen

Accepteert gezonde vrijwilligers

Ja

Beschrijving

Inclusion Criteria:

  • Classical ballet trained female or male .
  • Subjects who are trained in classical ballet syllabus such as Royal Academy of Dance (RAD) Syllabus, The Classical Ballet Syllabus by Commonwealth Society of Teachers of Dancing (CSTD), Vaganova Syllabus and more.
  • Aged 13-23 years old
  • Dancers who took class/practice ballet for at least 3 times per week
  • Participated in ballet competition in recent 6 months

Exclusion Criteria:

  • Professional full time ballet dancers
  • Non-ballet dancers
  • Self-reported lower extremity injuries in the past 6 months prior to date of data collection
  • Subjects with existing musculoskeletal injuries might affect calf muscle performance
  • Involvement in other sports or physical training

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Neural mobilisation group
neural mobilisation of tibial nerve and gastrocnemius stretching
Ander: Neural mobilisation
the neural mobilisation was done with placement of participant's leg in hip flexion, knee extension, ankle dorsiflexion and eversion to load the nerve. Then leg is placed back to neutral position, with ankle naturally plantarflexed to unload the nerve. NM of tibial nerve was done in a total of 10 seconds each repetition, with 5 seconds each for loading and unloading of nerve. Then 12 repetition was done in one set, which amount to a total of 120seconds or 2 minute per set. A total of 3 sets was done on each leg, with a 1-minute resting interval after each set. NM was administered to participants in experimental group before their ballet class for 3 times a week lasting for 4 weeks.
Andere namen:
  • nerve gliding
  • nerve tensioning
Ander: Gastrocnemius stretching
Participants was instructed to perform the classic wall stretch for gastrocnemius as self-stretching for a duration of 30 seconds each leg. It was done facing the wall and one leg had knee flexed in front while the other leg had knee extended behind. A 30 second hold was maintained at maximum stretched position by leaning forward while both soles of feet remain contact on the ground. Self-stretch was performed throughout the 4-week study duration before every ballet training or class.
Andere namen:
  • calf self stretching
Actieve vergelijker: Gastrocnemius stretching group
Participants was instructed to perform the classic wall stretch for gastrocnemius as self-stretching for a duration of 30 seconds each leg. It was done facing the wall and one leg had knee flexed in front while the other leg had knee extended behind. A 30 second hold was maintained at maximum tretched position by leaning forward while both soles of feet remain contact on the round. Self-stretch was performed throughout the 4-week study duration before every ballet training or class.
Ander: Gastrocnemius stretching
Participants was instructed to perform the classic wall stretch for gastrocnemius as self-stretching for a duration of 30 seconds each leg. It was done facing the wall and one leg had knee flexed in front while the other leg had knee extended behind. A 30 second hold was maintained at maximum stretched position by leaning forward while both soles of feet remain contact on the ground. Self-stretch was performed throughout the 4-week study duration before every ballet training or class.
Andere namen:
  • calf self stretching

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
knee to wall test
Tijdsspanne: From enrollment to the end of treatment at 4 weeks
The participants placed the testing foot onto the measuring tape with foot perpendicular to the wall while lunging or bending the knee to touch the wall. Then participants slide their foot further away from the wall as much as ossible while maintaining contact of knee to the wall as well as heel of foot on the floor. The calf muscle flexibility is evaluated with the measurement of distance from the great toe to the wall will be the maximum possible ankle dorsiflexion for the individual.
From enrollment to the end of treatment at 4 weeks

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Calf muscle strength
Tijdsspanne: From enrollment to the end of treatment at 4 weeks
Calf muscle strength was measured using handheld dynamometer (HHD).The device was placed at the plantar aspect of metatarsophalangeal joint height and the body of HHD should be maintained perpendicular to the plane of ankle plantarflexion movement. Isometric contraction of ankle plantarflexor was done in maximum possible force for 5 seconds. Participant performed one trial to familiarize with the test, followed by 3 repetitions alternated on each leg with 1-minute resting interval.
From enrollment to the end of treatment at 4 weeks
Dynamic balance using Modified Star Excursion Balance Test (mSEBT)
Tijdsspanne: From enrollment to the end of treatment at 4 weeks
Participants maintained their hands on the hip and reached tip of hallux to the maximal distance. The reaching foot were to avoid touching the ground and the heel of standing foot should remain on the ground. One trial on each direction was performed to familiarize with the test, followed by three trials with 1 minute resting interval. Normalize reach distance to lower limb length and normalized composite score were calculated to ultimately evaluate dynamic balance of an individual.
From enrollment to the end of treatment at 4 weeks

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

INTI International University

Onderzoekers

  • Hoofdonderzoeker: NITHIYAH MARUTHEY, INTI International University

Publicaties en nuttige links

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Algemene publicaties

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

20 augustus 2024

Primaire voltooiing (Werkelijk)

15 januari 2026

Studie voltooiing (Werkelijk)

15 januari 2026

Studieregistratiedata

Eerst ingediend

6 mei 2026

Eerst ingediend dat voldeed aan de QC-criteria

6 mei 2026

Eerst geplaatst (Werkelijk)

13 mei 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

14 mei 2026

Laatste update ingediend die voldeed aan QC-criteria

12 mei 2026

Laatst geverifieerd

1 mei 2026

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Andere studie-ID-nummers

  • INTI-IU/FHLS-RC/BPTHI/1NY12024

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

ONBESLIST

Beschrijving IPD-plan

Upon careful consideration it will be decided to protect participants privacy

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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