Neural Mobilization After Upper Extremity Fatigue in Amateur Athletes
27. juni 2026 oppdatert av: 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.
Studieoversikt
Status
Fullført
Intervensjon / Behandling
Studietype
Intervensjonell
Registrering (Faktiske)
45
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
-
-
Antakya
-
Hatay, Antakya, Tyrkia (Türkiye)
- Hatay Mustafa Kemal University
-
-
Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
Tar imot friske frivillige
Ja
Beskrivelse
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
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Annen
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: 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.
|
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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Eksperimentell: 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.
|
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.
|
|
Ingen inngripen: 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.
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Alternate Hand Wall Toss Test
Tidsramme: Baseline, immediately after the fatigue protocol, and after the 15-minute recovery period
|
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.
|
Baseline, immediately after the fatigue protocol, and after the 15-minute recovery period
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Upper Quarter Y Balance Test
Tidsramme: 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.
|
Baseline, immediately after the fatigue protocol, and after the 15-minute recovery period
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Closed Kinetic Chain Upper Extremity Stability Test
Tidsramme: Baseline, immediately after the fatigue protocol, and after the 15-minute recovery period
|
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
|
Samarbeidspartnere og etterforskere
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Sponsor
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Generelle publikasjoner
- 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.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
19. desember 2025
Primær fullføring (Faktiske)
28. mai 2026
Studiet fullført (Faktiske)
29. mai 2026
Datoer for studieregistrering
Først innsendt
27. juni 2026
Først innsendt som oppfylte QC-kriteriene
27. juni 2026
Først lagt ut (Faktiske)
2. juli 2026
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
2. juli 2026
Siste oppdatering sendt inn som oppfylte QC-kriteriene
27. juni 2026
Sist bekreftet
1. juni 2026
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 2025/16-42
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
NEI
IPD-planbeskrivelse
Individual participant data will not be publicly shared because explicit consent for external data sharing was not obtained from participants.
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Nei
Studerer et amerikansk FDA-regulert enhetsprodukt
Nei
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