Neural Mobilization After Upper Extremity Fatigue in Amateur Athletes
27 juni 2026 uppdaterad 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.
Studieöversikt
Status
Avslutad
Intervention / Behandling
Studietyp
Interventionell
Inskrivning (Faktisk)
45
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
-
-
Antakya
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Hatay, Antakya, Turkiet (Türkiye)
- Hatay Mustafa Kemal University
-
-
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
- Vuxen
Tar emot friska volontärer
Ja
Beskrivning
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
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 |
|---|---|
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Experimentell: 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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Experimentell: 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.
|
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Inget ingripande: 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.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Alternate Hand Wall Toss Test
Tidsram: 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.
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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
Tidsram: 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
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Closed Kinetic Chain Upper Extremity Stability Test
Tidsram: 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
|
Samarbetspartners och utredare
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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
- 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.
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)
19 december 2025
Primärt slutförande (Faktisk)
28 maj 2026
Avslutad studie (Faktisk)
29 maj 2026
Studieregistreringsdatum
Först inskickad
27 juni 2026
Först inskickad som uppfyllde QC-kriterierna
27 juni 2026
Första postat (Faktisk)
2 juli 2026
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
2 juli 2026
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
27 juni 2026
Senast verifierad
1 juni 2026
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 2025/16-42
Plan för individuella deltagardata (IPD)
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IPD-planbeskrivning
Individual participant data will not be publicly shared because explicit consent for external data sharing was not obtained from participants.
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