Neural Mobilization After Upper Extremity Fatigue in Amateur Athletes
27 juni 2026 bijgewerkt door: Selim Mahmut GÜNAY, Uludag University
Acute Effects of Neural Mobilization After Physical Fatigue on Upper Extremity Performance and Hand-Eye Coordination in Amateur Athletes: A Randomized Controlled Trial
This randomized controlled trial evaluated the acute effects of neural mobilization and dynamic stretching after upper extremity fatigue on upper extremity performance and hand-eye coordination in amateur athletes.
Participants were amateur athletes aged 18 to 25 years who regularly participated in sports involving active use of the upper extremity.
After baseline assessment, all participants completed a standardized upper extremity fatigue protocol.
They were then randomly allocated to one of three groups: neural mobilization, dynamic stretching, or passive rest.
Outcomes were assessed at baseline, immediately after fatigue, and after the assigned recovery intervention or rest period.
The study aimed to determine whether active recovery strategies, particularly neural mobilization, provide greater short-term recovery of upper extremity performance and hand-eye coordination compared with passive rest.
Studie Overzicht
Toestand
Voltooid
Interventie / Behandeling
Studietype
Ingrijpend
Inschrijving (Werkelijk)
45
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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Antakya
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Hatay, Antakya, Turkije (Türkiye)
- Hatay Mustafa Kemal University
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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
- Volwassen
Accepteert gezonde vrijwilligers
Ja
Beschrijving
Inclusion Criteria:
- Aged between 18 and 25 years
- Amateur athlete participating in a sport requiring active use of the upper extremity, such as basketball, volleyball, tennis, or table tennis
- Able to understand and perform the fatigue protocol, recovery intervention, and outcome assessments
- Volunteered to participate and provided written informed consent
Exclusion Criteria:
- Current upper extremity, cervical, or trunk pain or injury that could affect test performance
- History of upper extremity surgery, fracture, or major musculoskeletal trauma that could limit participation
- Neurological, vestibular, or systemic condition affecting upper extremity function, balance, coordination, or exercise tolerance
- Any cardiovascular, respiratory, or medical condition contraindicating participation in fatiguing upper extremity exercise
- Inability to complete the fatigue protocol or outcome assessments safely
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: Neural Mobilization
Participants assigned to this arm received upper extremity neural mobilization after completion of the standardized upper extremity fatigue protocol.
Neural mobilization techniques targeted the median, radial, and ulnar nerves and were applied during the recovery period before post-intervention outcome assessment.
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Upper extremity neural mobilization was applied after the standardized fatigue protocol.
The intervention targeted the median, radial, and ulnar nerves using non-painful mobilization techniques.
Each technique was performed for 2 sets of 20 repetitions, with each repetition lasting approximately 1 to 3 seconds
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Experimenteel: Dynamic Stretching
Participants assigned to this arm performed a structured dynamic stretching protocol after completion of the standardized upper extremity fatigue protocol.
The protocol included dynamic upper and lower body movements performed during the recovery period before post-intervention outcome assessment.
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A structured dynamic stretching protocol was performed after the standardized fatigue protocol.
The protocol lasted approximately 10 minutes and included dynamic upper extremity and whole-body movements such as arm swings, arm crossovers, walking lunges with trunk rotation, lateral shuffling, heel kicks, inchworms, and modified shuttle movements.
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Geen tussenkomst: Control
Participants assigned to this control arm rested passively after completion of the standardized upper extremity fatigue protocol.
No active recovery intervention was administered during the recovery period before post-intervention outcome assessment.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Alternate Hand Wall Toss Test
Tijdsspanne: Baseline, immediately after the fatigue protocol, and after the 15-minute recovery period
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Hand-eye coordination was assessed using the Alternate Hand Wall Toss Test.
Participants stood 2 meters from a wall and repeatedly threw a ball against the wall, catching it with the opposite hand.
The number of successful catches completed within 30 seconds was recorded.
Higher scores indicate better hand-eye coordination performance.
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Baseline, immediately after the fatigue protocol, and after the 15-minute recovery period
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Upper Quarter Y Balance Test
Tijdsspanne: Baseline, immediately after the fatigue protocol, and after the 15-minute recovery period
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Upper quarter dynamic balance was assessed using the Upper Quarter Y Balance Test.
Participants maintained a push-up position and reached with the free hand in the medial, superolateral, and inferolateral directions.
Reach distances were recorded and used to calculate a composite score normalized to upper limb length.
Higher scores indicate better upper quarter dynamic balance performance.
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Baseline, immediately after the fatigue protocol, and after the 15-minute recovery period
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Closed Kinetic Chain Upper Extremity Stability Test
Tijdsspanne: Baseline, immediately after the fatigue protocol, and after the 15-minute recovery period
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Upper extremity functional performance was assessed using the Closed Kinetic Chain Upper Extremity Stability Test.
Participants performed alternating hand touches across two marked lines while maintaining a push-up position.
The number of touches completed within 15 seconds was recorded.
Higher scores indicate better upper extremity functional performance.
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Baseline, immediately after the fatigue protocol, and after the 15-minute recovery period
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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
- Kim MK, Cha HG, Ji SG. The initial effects of an upper extremity neural mobilization technique on muscle fatigue and pressure pain threshold of healthy adults: a randomized control trial. J Phys Ther Sci. 2016 Mar;28(3):743-6. doi: 10.1589/jpts.28.743. Epub 2016 Mar 31.
- Hodgetts CJ, McLeish T, Thomas E, Walker BF. Association Between Chiropractic Students' Hand-Eye Coordination or General Self-efficacy and Their Performance on a Spinal Manipulative Therapy Examination: A Cross-sectional Study. J Chiropr Med. 2021 Dec;20(4):183-190. doi: 10.1016/j.jcm.2021.12.011. Epub 2022 Apr 6.
- Dupuis F, Sole G, Mercier C, Roy JS. Impact of fatigue at the shoulder on the contralateral upper limb kinematics and performance. PLoS One. 2022 Apr 1;17(4):e0266370. doi: 10.1371/journal.pone.0266370. eCollection 2022.
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)
19 december 2025
Primaire voltooiing (Werkelijk)
28 mei 2026
Studie voltooiing (Werkelijk)
29 mei 2026
Studieregistratiedata
Eerst ingediend
27 juni 2026
Eerst ingediend dat voldeed aan de QC-criteria
27 juni 2026
Eerst geplaatst (Werkelijk)
2 juli 2026
Updates van studierecords
Laatste update geplaatst (Werkelijk)
2 juli 2026
Laatste update ingediend die voldeed aan QC-criteria
27 juni 2026
Laatst geverifieerd
1 juni 2026
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 2025/16-42
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
NEE
Beschrijving IPD-plan
Individual participant data will not be publicly shared because explicit consent for external data sharing was not obtained from participants.
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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