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Sports Physical TherapyNCT05840523

Hip Abductor Strengthening With Proprioceptive Neuromuscular Facilitation

A study testing Proprioceptive Neuromuscular Facilitation exercises and The Range Of Motion exercises in people with Sports Physical Therapy, run by Nigde Omer Halisdemir University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Objectives: To compare effectiveness of strengthening hip abductors with Proprioceptive Neuromuscular Facilitation (PNF) technique and Range Of Motion (ROM) exercises on core endurance and functional performance in healthy adults using theraband. Read more about this study

Who is it for?
Ages 20 to 26 years, men onlyHealthy volunteers can take part
Conditions the study is for
Sports Physical Therapy
What is being tested?
Proprioceptive Neuromuscular Facilitation exercises and The Range Of Motion exercises
Could I receive a placebo?
No, everyone receives an active treatment
How many people
66 participants
Where
1 siteTurkey (Türkiye)
Study dates
17 Sep 2019to 17 Jul 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 26 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Not having any known and diagnosed health problems
  • Not exercising regularly
  • Not having a lower/upper extremity injury in the last three months
  • Volunteering to participate in the study

Who cannot join

  • Not to participate in exercise training more than three sessions
  • Want to leave the training voluntarily
  • Have experienced serious orthopedic/systemic discomfort during the training

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Niğde Ömer Halisdemir University

    Niğde

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of Hip Abductor Strengthening With Proprioceptive Neuromuscular Facilitation and Elastic Resistive Band Exercises on Core Endurance and Functional Performance ın Healthy Adults

Objectives: To compare effectiveness of strengthening hip abductors with Proprioceptive Neuromuscular Facilitation (PNF) technique and Range Of Motion (ROM) exercises on core endurance and functional performance in healthy adults using theraband.

Methods: 66 sedentary healthy, male volunteers between ages 20-26 (mean age 21,68± 1,37 years) participated in study. PNF, ROM exercises applied with theraband include intervention groups. Theraband strengthening exercises were applied 3 days a week for 6 weeks, a total of 18 sessions. Intervention groups were compared with healthy control group. Participants hip abductor muscle strength was assessed with hand held dynamometer, lower extremity balance with y test, core endurance with flexor, extensor, right, left side endurance tests, global core stability with single leg squat test at baseline and at 6 weeks after exercise program.

Read the detailed description

This study was designed as a randomized controlled trial and conducted according to the Declaration of Helsinki and was approved by the Ethics Committee of Clinical Trials (21.05.2019/10). All participants were informed about the study and their written consent was obtained. Participants were randomly divided into three groups using the sealed envelope method (on the evaluation day, participants chose one of the sealed envelopes and determined the treatment group). Group I comprised the Proprioceptive Neuromuscular Facilitation (PNF) group, Group II the Range of Motion(ROM) group, and Group III the Control (CG) group. Evaluations were made at baseline and at sixth week. Male participants between the ages of 20 and 26 years, were included in the study. Participants age, body mass index (BMI), dominant extremity were recorded as descriptive data.

Muscle strength assessment: Bilateral hip abductor isometric strength was assessed using a Hand-held Dynamometer (HHD) (Commander Power Track II; JTECH Medical Industries, Salt Lake City, UT) using the maximal isometric strength standard protocol. The participant was asked to 30 degree hip abduct by stabilizing the pelvis in the side lying position. Three measurements were made by placing the dynamometer pad 10 cm proximal to the lateral epicondyle of the femur, and the average value was recorded in kilograms.

Balance assesment: It was done with Y balance test. While maintaining their balance on the dominant extremity on the test platform, the participants were asked to reach out in 3 directions (anterior-posterior, postero-medial and postero-lateral) with the tip of the other foot. 3 repetitions were made for each direction, and rest intervals of 15 seconds were given. The mean score was recorded in cm. The lower extremity length of the participants was determined by measuring the distance between the anterior superior spina iliaca and the medial malleolus with a tape measure in the supine position. Composite scoring was obtained by multiply with one hundred the reach in all directions and dividing by three leg lengths.

Global (functional) core assessment: It was done with the single leg squat test. Participants were asked to perform one-leg squats at 45 degree knee flexion in 30 seconds, and the number of squats was recorded.

Core endurance assessment: Participants were evaluated with trunk flexion endurance, extension endurance and lateral bridge endurance tests, and the results were recorded in seconds.

Being tested
Proprioceptive Neuromuscular Facilitation exercises, The Range Of Motion exercises
Keywords
Exercise, Muscle strenght, Balance
Medical subject headings
Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Proprioceptive Neuromuscular Facilitation exercisesOther

    The PNF group performed flexion-abduction-internal rotation and extension-abduction-internal rotation patterns as 15 repetitions, 2 sets. The metronome was used to fix the construction speed of the exercises (50bpm). PNF exercises were performed with EB at a metronome speed of 50bpm at a ratio of 1:2 sec. In other words, while transition from the antagonist to agonist pattern in 3 clicks, there was return from agonist to antagonist in 6 clicks.

  • The Range Of Motion exercisesOther

    The ROM group performed hip flexion abduction, neutral abduction and extension abduction exercises with an EB at 50bpm metronome speed in 3 sets of 10 repetitions. In both groups, 30 seconds of rest was given between exercises.

Study groups in NCT05840523
Study groupRoleWhat they receive
Proprioceptive Neuromuscular Facilitation (PNF) Exercise GroupExperimentalThe PNF group performed flexion-abduction-internal rotation and extension-abduction-internal rotation patterns as 15 repetitions, 2 sets. The metronome was used to fix the construction speed of the exercises (50bpm). PNF exercises were performed with EB at a metronome speed of 50bpm at a ratio of 1:2 sec. In other words, while transition from the antagonist to agonist pattern in 3 clicks, there was return from agonist to antagonist in 6 clicks.
Receives: Other: Proprioceptive Neuromuscular Facilitation exercises
Range Of Motion (ROM) Exercise GroupExperimentalThe ROM group performed hip flexion abduction, neutral abduction and extension abduction exercises with an EB at 50bpm metronome speed in 3 sets of 10 repetitions. In both groups, 30 seconds of rest was given between exercises.
Receives: Other: The Range Of Motion exercises
Control GroupNo interventionNo exercise practice was done

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline in Muscle strength with different exercises(PNF and ROM) at week 6

    Bilateral hip abductor isometric strength was assessed using a Hand-held Dynamometer(HHD) (Commander Power Track II; JTECH Medical Industries, Salt Lake City, UT) using the maximal isometric strength standard protocol. The participant was asked to 30 degrees hip abduct by stabilizing the pelvis in the side lying position. Three measurements were made by placing the dynamometer pad 10 cm proximal to the lateral epicondyle of the femur, and the average value was recorded in kilograms.

    Measured: 6 weeks

  2. Change from baseline in balance with different exercises(PNF and ROM) at week 6

    It was done with Y balance test. While maintaining their balance on the dominant extremity on the test platform, the participants were asked to reach out in 3 directions (anterior-posterior, postero-medial and postero-lateral) with the tip of the other foot. 3 repetitions were made for each direction, and rest intervals of 15 seconds were given. The mean score was recorded in cm. The lower extremity length of the participants was determined by measuring the distance between the anterior superior spina iliaca and the medial malleolus with a tape measure in the supine position. Composite scoring was obtained by multiply with one hundred the reach in all directions and dividing by three leg lengths.

    Measured: 6 weeks

  3. Change from baseline in global(functional) core with different exercises(PNF and ROM) at week 6

    It was done with the single leg squat test. Participants were asked to perform one-leg squats at 45 degrees knee flexion in 30 seconds, and the number of squats was recorded.

    Measured: 6 weeks

  4. Change from baseline in core endurance with different exercises(PNF and ROM) at week 6

    Participants were evaluated with trunk flexion endurance, extension endurance and lateral bridge endurance tests, and the results were recorded in seconds.

    Measured: 6 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 May 2023
  2. Study start17 Sep 2019
  3. Primary completion17 Feb 2020
  4. Study completion17 Jul 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants were randomly divided into three groups using the sealed envelope method (on the evaluation day, participants chose one of the sealed envelopes and determined the treatment group). Group I comprised the Proprioceptive Neuromuscular Facilitation (PNF) group, Group II the Range of Motion(ROM) group, and Group III the Control (CG) group. Evaluations were made at baseline and at sixth week.
Masking
Single blind
Who is masked
Participant
Enrolment
66 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05840523
Sponsor's protocol ID
NigdeFAltındal
Status last verified
Apr 2023
First submitted
31 Aug 2022
Last updated
3 May 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Lee SP, Powers CM. Individuals with diminished hip abductor muscle strength exhibit altered ankle biomechanics and neuromuscular activation during unipedal balance tasks. Gait Posture. 2014 Mar;39(3):933-8. doi: 10.1016/j.gaitpost.2013.12.004. Epub 2013 Dec 12.

    PubMed 24373699
  • Park KM, Kim SY, Oh DW. Effects of the pelvic compression belt on gluteus medius, quadratus lumborum, and lumbar multifidus activities during side-lying hip abduction. J Electromyogr Kinesiol. 2010 Dec;20(6):1141-5. doi: 10.1016/j.jelekin.2010.05.009. Epub 2010 Jun 19.

    PubMed 20646935
  • Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. J Orthop Sports Phys Ther. 2010 Feb;40(2):42-51. doi: 10.2519/jospt.2010.3337.

    PubMed 20118526
  • Boling M, Padua D. Relationship between hip strength and trunk, hip, and knee kinematics during a jump-landing task in individuals with patellofemoral pain. Int J Sports Phys Ther. 2013 Oct;8(5):661-9.

    PubMed 24175145
  • Song HS, Park SD, Kim JY. The effects of proprioceptive neuromuscular facilitation integration pattern exercise program on the fall efficacy and gait ability of the elders with experienced fall. J Exerc Rehabil. 2014 Aug 31;10(4):236-40. doi: 10.12965/jer.140141. eCollection 2014 Aug.

    PubMed 25210699
  • Pozzi F, White DK, Snyder-Mackler L, Zeni JA. Restoring physical function after knee replacement: a cross sectional comparison of progressive strengthening vs standard physical therapy. Physiother Theory Pract. 2020 Jan;36(1):122-133. doi: 10.1080/09593985.2018.1479475. Epub 2018 Jun 7.

    PubMed 29877749
  • Khayambashi K, Mohammadkhani Z, Ghaznavi K, Lyle MA, Powers CM. The effects of isolated hip abductor and external rotator muscle strengthening on pain, health status, and hip strength in females with patellofemoral pain: a randomized controlled trial. J Orthop Sports Phys Ther. 2012 Jan;42(1):22-9. doi: 10.2519/jospt.2012.3704. Epub 2011 Oct 25.

    PubMed 22027216
  • Plisky PJ, Rauh MJ, Kaminski TW, Underwood FB. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther. 2006 Dec;36(12):911-9. doi: 10.2519/jospt.2006.2244.

    PubMed 17193868
  • Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36(3):189-98. doi: 10.2165/00007256-200636030-00001.

    PubMed 16526831
  • Rhyu HS, Kim SH, Park HS. The effects of band exercise using proprioceptive neuromuscular facilitation on muscular strength in lower extremity. J Exerc Rehabil. 2015 Feb 28;11(1):36-40. doi: 10.12965/jer.150189. eCollection 2015 Feb.

    PubMed 25830142
  • 17. Kang DH, Lee WH, Lim S, Kim YY, An SW, Kwon CG, Lee GH, Choi NR, Lee NY, Kim BM, Kim JH, Chung EJ. The effect of hip joint exercise using an elastic band on dynamic balance, agility and flexibility in healthy subjects: a randomized controlled trial Phys Ther Rehabil Sci 2016; 5(4):198-204.

  • Gottlieb GL, Agarwal GC. Modulation of postural reflexes by voluntary movement. II. Modulation at an inactive joint. J Neurol Neurosurg Psychiatry. 1973 Aug;36(4):540-6. doi: 10.1136/jnnp.36.4.540.

    PubMed 4354398
  • 20. Adler S, Beckers D, Buck M: PNF in practice, Springer, Berlin, 2008, s.127-162.

  • Jakobsen MD, Sundstrup E, Andersen CH, Aagaard P, Andersen LL. Muscle activity during leg strengthening exercise using free weights and elastic resistance: effects of ballistic vs controlled contractions. Hum Mov Sci. 2013 Feb;32(1):65-78. doi: 10.1016/j.humov.2012.07.002. Epub 2012 Dec 8.

    PubMed 23231756
  • 22. Kofotolis N, Kellis E. Cross-training effects of a proprioceptive neuromuscular facilitation exercise programme on knee musculature. Phys Ther Sport 2007; 8: 109-116.

Questions about this trial

What is this clinical trial studying?

A study testing Proprioceptive Neuromuscular Facilitation exercises and The Range Of Motion exercises in people with Sports Physical Therapy, run by Nigde Omer Halisdemir University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline in Muscle strength with different exercises(PNF and ROM) at week 6 (time frame: 6 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05840523, which also lists 20 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 May 2023.

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