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Recovery of Heart Rate Variability in Handball Players (HRV-HANDBAll)

30 augustus 2026 bijgewerkt door: 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

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

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.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

15

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

  • Turkije (Türkiye)
      • Bursa, Turkije (Türkiye), 16059
        • Bursa uludag University, Faculty of Sport Sciences

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:

  • 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

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: Crossover-opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: 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.
Ander: Manul Massage (MM)
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
Experimenteel: 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.
Ander: Foam Rolling (FR)
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.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Heart Rate Variability (HRV)
Tijdsspanne: 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)
Tijdsspanne: 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

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Height
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 1 minute during familiarisation session
Weight and height will be combined to report BMI in kg/m^2
1 minute during familiarisation session

Medewerkers en onderzoekers

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

Sponsor

Uludag University

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

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)

1 mei 2025

Primaire voltooiing (Werkelijk)

30 juni 2025

Studie voltooiing (Werkelijk)

31 juli 2025

Studieregistratiedata

Eerst ingediend

3 juni 2026

Eerst ingediend dat voldeed aan de QC-criteria

9 juni 2026

Eerst geplaatst (Werkelijk)

15 juni 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

2 september 2026

Laatste update ingediend die voldeed aan QC-criteria

30 augustus 2026

Laatst geverifieerd

1 augustus 2026

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Andere studie-ID-nummers

  • 2023-20/71014

Plan Individuele Deelnemersgegevens (IPD)

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

NEE

Beschrijving IPD-plan

only IPD used in the results publication

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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