Functional Effects of Tendon Neuroplastic Training in Wrestlers
10 mei 2026 bijgewerkt door: 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
Studie Overzicht
Toestand
Voltooid
Conditie
Interventie / Behandeling
Studietype
Ingrijpend
Inschrijving (Werkelijk)
26
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
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Kayseri
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Kayseri, Kayseri, Turkije (Türkiye), 38100
- Kayseri Youth and Sports Provincial Directorate
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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
- Oudere volwassene
Accepteert gezonde vrijwilligers
Nee
Beschrijving
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
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: Ander
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: Tendon Neuroplastic Training Group
The Group that Perceived Tendon Neuroplastic 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
Andere namen:
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Ander: 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
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Cognitive function
Tijdsspanne: "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"
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
Algemene publicaties
- 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
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)
15 maart 2024
Primaire voltooiing (Werkelijk)
8 maart 2025
Studie voltooiing (Werkelijk)
22 oktober 2025
Studieregistratiedata
Eerst ingediend
28 april 2026
Eerst ingediend dat voldeed aan de QC-criteria
10 mei 2026
Eerst geplaatst (Werkelijk)
14 mei 2026
Updates van studierecords
Laatste update geplaatst (Werkelijk)
14 mei 2026
Laatste update ingediend die voldeed aan QC-criteria
10 mei 2026
Laatst geverifieerd
1 mei 2026
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 2022/10123
Plan Individuele Deelnemersgegevens (IPD)
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NEE
Beschrijving IPD-plan
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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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