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Acute Changes in Gastrocnemius Muscle Stiffness

30 lipca 2026 zaktualizowane przez: Monira Aldhahi, Princess Nourah Bint Abdulrahman University

Acute Changes in Gastrocnemius Muscle Stiffness Following Different Work-Rest Calf-Raise Protocols and Percussive Therapy: A Randomized Crossover Experimental Study

This study evaluated how different exercise and rest schedules during calf-raise exercise affected the stiffness of the calf muscle in trained volleyball athletes. It also examined how muscle stiffness changed during a five-minute recovery period in which percussive therapy was applied.

Thirty volleyball athletes, including 15 women and 15 men, completed three exercise sessions in a randomized order. During each session, participants performed repeated calf raises for a total period of five minutes using one of three work-to-rest schedules: 30 seconds of exercise followed by 30 seconds of rest, 15 seconds of exercise followed by 45 seconds of rest, or 45 seconds of exercise followed by 15 seconds of rest.

The stiffness of the medial gastrocnemius, one of the main calf muscles, was measured using shear-wave elastography. Measurements were taken before exercise, immediately after exercise, and after the five-minute percussive therapy recovery period.

Przegląd badań

Szczegółowy opis

This randomized, three-period crossover study examined the acute effects of different work-to-rest configurations during a standardized bilateral calf-raise exercise on medial gastrocnemius stiffness in trained volleyball athletes.

Thirty participants, comprising 15 women and 15 men, completed three experimental sessions in a computer-generated randomized order. Sessions were separated by at least 48 hours and were conducted at approximately the same time of day for each participant to reduce the effects of fatigue, carryover, and daily variation. Before data collection, participants completed a familiarization session.

Each experimental session lasted five minutes and included one of the following work-to-rest configurations:

30 seconds of calf raises followed by 30 seconds of rest; 15 seconds of calf raises followed by 45 seconds of rest; or 45 seconds of calf raises followed by 15 seconds of rest.

The exercise cadence was standardized at one repetition per second using a metronome. Participants performed the calf raises barefoot, with their feet approximately shoulder-width apart and their hands placed on their hips. The total session duration was the same for all conditions, while the amount and distribution of exercise and rest differed between protocols.

Medial gastrocnemius stiffness was assessed bilaterally using shear-wave elastography. Measurements were obtained before exercise, immediately after completion of the calf-raise protocol, and after a standardized five-minute recovery period involving percussive therapy. Three elastography acquisitions were recorded for each leg at each assessment and were averaged for analysis.

Percussive therapy was applied to both medial gastrocnemius muscles using a Theragun PRO device with a spherical attachment at approximately 1,750 percussions per minute. Each leg received two 60-second applications separated by 30 seconds of rest. The same experienced researcher administered the intervention and performed the measurements during all sessions.

The primary analysis evaluated changes in shear-wave velocity across the three measurement times and compared those changes among the three exercise protocols. Limb side and participant sex were also examined as exploratory factors.

The primary hypothesis was that the protocol containing 45 seconds of exercise and 15 seconds of rest would produce the greatest immediate increase in gastrocnemius stiffness because it had the highest work density. A secondary objective was to examine whether stiffness decreased toward baseline during the subsequent percussive therapy recovery period.

No sham percussive therapy or passive recovery condition was included. Therefore, changes between the immediate post-exercise and final assessments were interpreted as recovery occurring during the percussive therapy period and not as definitive evidence of an isolated treatment effect

Typ studiów

Interwencyjne

Zapisy (Rzeczywisty)

30

Faza

  • Nie dotyczy

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

  • Dorosły

Akceptuje zdrowych ochotników

Tak

Opis

Inclusion Criteria:

  • Male or female volleyball athlete aged 18 to 30 years.
  • Competing at university or club level.
  • At least 3 years of structured volleyball training experience.
  • Participating in volleyball training at least 3 times per week.
  • Body mass index between 18.5 and 27.0 kg/m².
  • No lower-limb musculoskeletal injury during the previous 6 months.
  • No known neuromuscular or systemic disorder.
  • No use of anti-inflammatory, analgesic, or muscle-relaxant medication during the week before testing.

Exclusion Criteria:

  • Failure to attend or complete any of the three experimental sessions.
  • Performance of vigorous exercise within 24 hours before a testing session.
  • Occurrence of an adverse event that prevented adherence to or completion of the study protocol.

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Podstawowa nauka
  • Przydział: Randomizowane
  • Model interwencyjny: Zadanie krzyżowe
  • Maskowanie: Pojedynczy

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Eksperymentalny: 30-Second Work / 30-Second Rest Protocol
Participants performed bilateral calf raises for 30 seconds followed by 30 seconds of rest, repeated over a total protocol duration of 5 minutes. Calf raises were performed at one repetition per second. Gastrocnemius shear-wave elastography measurements were obtained before exercise, immediately after exercise, and after the standardized 5-minute percussive therapy recovery period.
Participants performed bilateral standing calf raises for 30 seconds, followed by 30 seconds of rest. The work-rest cycle was repeated over a total protocol duration of 5 minutes. Calf raises were performed barefoot at a standardized cadence of one repetition per second using a metronome, with the feet shoulder-width apart and the hands positioned on the hips.
Eksperymentalny: 15-Second Work / 45-Second Rest Protocol
Participants performed bilateral calf raises for 15 seconds followed by 45 seconds of rest, repeated over a total protocol duration of 5 minutes. Calf raises were performed at one repetition per second. Gastrocnemius shear-wave elastography measurements were obtained before exercise, immediately after exercise, and after the standardized 5-minute percussive therapy recovery period.
Participants performed bilateral standing calf raises for 15 seconds, followed by 45 seconds of rest. The work-rest cycle was repeated over a total protocol duration of 5 minutes. Calf raises were performed barefoot at a standardized cadence of one repetition per second using a metronome, with the feet shoulder-width apart and the hands positioned on the hips.
Eksperymentalny: 45-Second Work / 15-Second Rest Protocol
Participants performed bilateral calf raises for 45 seconds followed by 15 seconds of rest, repeated over a total protocol duration of 5 minutes. Calf raises were performed at one repetition per second. Gastrocnemius shear-wave elastography measurements were obtained before exercise, immediately after exercise, and after the standardized 5-minute percussive therapy recovery period.
Participants performed bilateral standing calf raises for 45 seconds, followed by 15 seconds of rest. The work-rest cycle was repeated over a total protocol duration of 5 minutes. Calf raises were performed barefoot at a standardized cadence of one repetition per second using a metronome, with the feet shoulder-width apart and the hands positioned on the hips.

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Mean Change in Medial Gastrocnemius Shear-Wave Velocity
Ramy czasowe: Baseline, immediately after each 5-minute calf-raise protocol, and after the subsequent 5-minute percussive therapy recovery period, during each of 3 sessions separated by at least 48 hours.
Medial gastrocnemius stiffness was assessed bilaterally using shear-wave elastography and reported as shear-wave velocity in meters per second (m/s), with higher values indicating greater stiffness. Three acquisitions were obtained for each leg at each time point and averaged. Mean changes were evaluated within each work-to-rest protocol from baseline to immediately after exercise, from immediately after exercise to after the percussive therapy recovery period, and from baseline to after recovery.
Baseline, immediately after each 5-minute calf-raise protocol, and after the subsequent 5-minute percussive therapy recovery period, during each of 3 sessions separated by at least 48 hours.

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Rzeczywisty)

24 czerwca 2025

Zakończenie podstawowe (Rzeczywisty)

24 lutego 2026

Ukończenie studiów (Rzeczywisty)

24 marca 2026

Daty rejestracji na studia

Pierwszy przesłany

30 lipca 2026

Pierwszy przesłany, który spełnia kryteria kontroli jakości

30 lipca 2026

Pierwszy wysłany (Rzeczywisty)

4 sierpnia 2026

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

4 sierpnia 2026

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

30 lipca 2026

Ostatnia weryfikacja

1 lipca 2026

Więcej informacji

Terminy związane z tym badaniem

Inne numery identyfikacyjne badania

  • PNU-14

Plan dla danych uczestnika indywidualnego (IPD)

Planujesz udostępniać dane poszczególnych uczestników (IPD)?

NIEZDECYDOWANY

Informacje o lekach i urządzeniach, dokumenty badawcze

Bada produkt leczniczy regulowany przez amerykańską FDA

Nie

Bada produkt urządzenia regulowany przez amerykańską FDA

Nie

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