Functional Effects of Tendon Neuroplastic Training in Wrestlers
10 maj 2026 uppdaterad av: 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
Studieöversikt
Status
Avslutad
Betingelser
Intervention / Behandling
Studietyp
Interventionell
Inskrivning (Faktisk)
26
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
-
-
Kayseri
-
Kayseri, Kayseri, Turkiet (Türkiye), 38100
- Kayseri Youth and Sports Provincial Directorate
-
-
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
- Barn
- Vuxen
- Äldre vuxen
Tar emot friska volontärer
Nej
Beskrivning
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
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Övrig
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: Tendon Neuroplastic Training Group
The Group that Perceived Tendon Neuroplastic Training
|
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
Andra namn:
|
|
Övrig: Control Group
The Group that Perceived Standard Eccentric Training
|
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
Andra namn:
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Cognitive function
Tidsram: "Baseline" and "week 4"
|
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.
|
"Baseline" and "week 4"
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
- 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
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart (Faktisk)
15 mars 2024
Primärt slutförande (Faktisk)
8 mars 2025
Avslutad studie (Faktisk)
22 oktober 2025
Studieregistreringsdatum
Först inskickad
28 april 2026
Först inskickad som uppfyllde QC-kriterierna
10 maj 2026
Första postat (Faktisk)
14 maj 2026
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
14 maj 2026
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
10 maj 2026
Senast verifierad
1 maj 2026
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 2022/10123
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
NEJ
IPD-planbeskrivning
We respect the privacy of participants' data.
Läkemedels- och apparatinformation, studiedokument
Studerar en amerikansk FDA-reglerad läkemedelsprodukt
Nej
Studerar en amerikansk FDA-reglerad produktprodukt
Nej
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .