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Completed

NCT Number: NCT04193683

The Effect Of Myofascial Release Technique On Respiratory Parameters in Subjects With Short Hamstring Muscle

The aim of this study was to investigate the effect of myofascial release technique on rib cage mobility, respiratory function, respiratory muscle strength and endurance in patients with hamstring muscle shortness.

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Key information

Age range

18 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Bezmialem Vakıf University

Istanbul, Turkey (Türkiye)

About this study

Hamstring flexibility is important to maintain activities such as walking and running in daily life. Hamstring muscle shortness, commonly seen in the community, is a risk factor for many musculoskeletal pathologies. Clinical observations have shown that the shortness of the Hamstring muscle causes spinal malalignment. This deterioration of the spine alignment may adversely affect the rib cage expansion. Moreover, considering that the optimal length of the muscles provides optimal contraction, it was found that the spinal malalignment adversely affected the effective contraction of the diaphragm by changing the position of diaphragm. A different view is that, because the fascia functions as a single tissue surrounding the entire body, a restriction in the hamstring muscle can also cause a restriction in distal muscles such as diaphragm through the fascia.

There are many treatment methods used to increase the flexibility of the hamstring muscle. One of these methods is the myofascial release technique. In this technique, which targets both muscle and fascia, applying light and prolonged pressure provides the myo-fascial complex to reach its optimal length, resulting in the optimal function of the muscle. In our best knowledge, no study has evaluated the effect of myofascial release technique on respiratory parameters in patients with hamstring muscle shortness.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • more than 15 degrees knee flexion angle during popliteal angle test,
  • no generalized joint laxity according to Beighton Criteria, and
  • no musculoskeletal problems of lower extremities.

Exclusion criteria

  • history of lower extremity and/or axial skeletal fracture;
  • recent muscle, tendon injury in lower extremity;
  • history of lumbal disc herniation, arthritic and/or inflammatory disease;
  • obesity, diabetes and/or metabolic syndrome;
  • history of surgery in the last month,
  • using muscle relaxant medication in the last month;
  • received manual therapy in the last month

Treatment and study plan

Myofascial Release Technique

Other

Myofascial release technique will bi applied bottom of the feet, back of the legs and hamstrings in both extremities. The practitioner will decide how long she should stay in a region according to the feeling of releasing in the tissue. The technique will be applied to a region at least 3 times.

Sham-Ultrasound

Other

Sham-ultrasound will be applied to back of legs and thighs in both extremities without pressure and all parameters of the ultrasound device except the timer will be closed.

Primary outcomes

  1. Change from baseline Forced Vital Capacity (FVC) at 60 minutes

    Time frame: 60 minutes

    Respiratory Function Test

  2. Change from baseline Forced Expiratory Volume in 1 second (FEV1) at 60 minutes

    Time frame: 60 minutes

    Respiratory Function Test

  3. Change from baseline FEV1/FVC at 60 minutes

    Time frame: 60 minutes

    Respiratory Function Test

  4. Change from baseline Peak Expiratory Flow (PEF) at 60 minutes

    Time frame: 60 minutes

    Respiratory Function Test

  5. Change from baseline Forced expiratory flow over the middle one half of the FVC (FEF25-75%) at 60 minutes

    Time frame: 60 minutes

    Respiratory Function Test

  6. Change from baseline maximum inspiratory pressure (MIP) at 60 minutes

    Time frame: 60 minutes

    Respiratory Muscle Strength Test

  7. Change from baseline maximum expiratory pressure (MEP) at 60 minutes

    Time frame: 60 minutes

    Respiratory Muscle Strength Test

  8. Change from baseline constant inspiratory threshold load test at 60 minutes

    Time frame: 60 minutes

    Respiratory Muscle Endurance Test

Secondary outcomes

  1. Change from baseline axillary region chest circumference measurement during inspiration at 60 minutes

    Time frame: 60 minutes

    Chest Circumference Measurement

  2. Change from baseline axillary region chest circumference measurement during expiration at 60 minutes

    Time frame: 60 minutes

    Chest Circumference Measurement

  3. Change from baseline xiphoid region chest circumference measurement during inspiration at 60 minutes

    Time frame: 60 minutes

    Chest Circumference Measurement

  4. Change from baseline xiphoid region chest circumference measurement during expiration at 60 minutes

    Time frame: 60 minutes

    Chest Circumference Measurement

  5. Change from baseline subcostal region chest circumference measurement during inspiration at 60 minutes

    Time frame: 60 minutes

    Chest Circumference Measurement

  6. Change from baseline subcostal region chest circumference measurement during expiration at 60 minutes

    Time frame: 60 minutes

    Chest Circumference Measurement

  7. Change from baseline axillary region chest expansion test at 60 minutes

    Time frame: 60 minutes

    Chest Circumference Measurement

  8. Change from baseline xiphoid region chest expansion test at 60 minutes

    Time frame: 60 minutes

    Chest Circumference Measurement

  9. Change from baseline subcostal region chest expansion test at 60 minutes

    Time frame: 60 minutes

    Chest Circumference Measurement

Sponsors and collaborators

Lead sponsor

Bezmialem Vakif University

Other

Registry information

Official study title

The Effect Of Myofascial Release Technique On Respiratory Functions, Respiratory Muscle Strength and Endurance in Subjects With Short Hamstring Muscle

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Dec 10, 2019
Registry last updated
Dec 28, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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