Combination of Two Osteopathic Techniques for the Hamstring's Stretching Capacity in Basketball Female Players

Healthy Clinical Trial

Official title:

Effect of the Muscular Energy Technique With the 4th Ventricle Technique on the Range of Motion of the Hamstring Muscles in Female Basketball Players: RCT

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06357611
• Other study ID #: OST1_015
• Status: Not yet recruiting
• Phase: N/A
• Start date: September 2024
• Est. completion date: December 2024

Study information

• Verified date: April 2024
• Source: Escola Superior de Tecnologia da Saúde do Porto
• Contact: Natália MO Campelo, PhD
• Phone: +35122 206 1000
• Email: nmc[@]ess.ipp.pt
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

It is known that there are studies that prove the effectiveness of muscle energy techniques and the fourth ventricle technique separately, however, information is scarce regarding the combination of the two and their effectiveness in the population. The aim of this randomized controlled study is to compare the immediate effects of the techniques compared to the muscle energy technique alone in female basketball players.

Description:

The muscular energy technique (MET) is a manual therapy technique that uses isometric contractions with the aim of increasing the extensibility of the muscle group, as well as promoting lymphatic and venous circulation. The fourth ventricle technique (CV-four) plays an amplifying role in the movement of tissues and fluids, restoring the flexibility of the autonomous response. For the MET, the researcher adopted a position homolateral to the dominant limb, contacting the lower limb with the caudal hand in the region of the malleoli. He then helped the participant to perform the movement, which consisted of flexion of the hip and extension of the knee passively until the motor barrier was reached, after which she was instructed to perform an isometric contraction of the hamstring. A total of three contractions of seven seconds with an interval of two to three seconds were requested, using approximately twenty per cent of their maximum force, and gaining a new motor barrier between each series, for a total of three series. For the CV-four technique, the researcher adopted a seated position and laterally contacted the scaly portion of the occiput, bringing it closer to the posterior convexity of the occiput, bringing the skull into extension, changing the compression movement with decompression, until three minutes had elapsed. At all stages of the session, the participant was positioned in the supine position, with the upper limbs alongside the body and the neck in a neutral position. All the participants in the study underwent an initial and final assessment protocol to determine their range of motion (ROM).

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 34
• Est. completion date: December 2024
• Est. primary completion date: December 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years to 30 Years

Eligibility

Inclusion Criteria:

• Over 18 years old
• Female
• Playing federated basketball
• Signature of informed consent documents

Exclusion Criteria:

• Surgical intervention/trauma in the areas of activity (cervical-cranial and lower limb)
• Exposure to medicinal therapy
• Participants with hypertension
• Participants at risk of cerebral hemorrhage (e.g. aneurysm)

Related Conditions & MeSH terms

• Healthy

Intervention

Other:
• Simulated technique
The participant was in a supine position, with her upper limbs at her sides and her neck in a neutral position. The researcher sat in a cephalic position, making contact with the participant's shoulders, without any movement, until 5 minutes had elapsed.
• Muscle energy technique
The participant was in a supine position, with her upper limbs alongside her body and her neck in a neutral position. The researcher adopted a position homolateral to the dominant limb, contacting the lower limb with the caudal hand in the region of the malleoli. He then helped the participant to perform the movement, which consisted of flexing the hip and extending the knee passively until the motor barrier was reached, and instructed her to perform an isometric contraction of the hamstrings. She was asked to perform three 7-second contractions with a 2 to 3-second interval, using approximately 20% of her maximum strength, gaining a new motor barrier between each set, for a total of three sets.
• 4th ventricle technique and muscular energy technique
The participant was in a supine position, with her upper limbs alongside her body and her neck in a neutral position. For CV-4, the researcher contacted the squamous portion of the occiput laterally, bringing it close to the posterior convexity of the occiput, bringing the skull into extension, changing the compression movement with decompression, until 3 minutes had elapsed. For the MET, the researcher adopted a position homolateral to the dominant limb, contacting the lower limb with the caudal hand in the region of the malleoli. She then helped the participant to perform the movement, which consisted of flexing the hip and extending the knee passively to the motor barrier, having been instructed to perform an isometric contraction of the hamstring. A total of 3 7-second contractions with a 2-3 second interval were requested, using approximately 20% of her maximum strength, and with a new motor barrier being gained between each series, for a total of 3 series.

Locations

Country	Name	City	State
Portugal	Escola Superior de Saúde do Porto	Porto

Sponsors (1)

Lead Sponsor	Collaborator
Natália Maria Oliveira Campelo

Country where clinical trial is conducted

Portugal, 

References & Publications (19)

Balasubramaniam, A., Gandhi V, M., Purushothaman, V. K. (2022). Myofascial Release Theraphy versus Muscle Energy Technique on Hamstring Flexibility in Physical Inactive students - A randomized controlled trial. Universal Journal of Public Health, 299-303.

Barroso, G. C., & Thiele, E. S. (2011, Junho 28). Lesão Muscular nos Atletas.

Bonorino, D. S. (2017). Efeitos da técnica CV-4 para o tratamento da enxaqueca.

Chaitow, L. (2013). Muscle Energy Techniques.

Chaitow, L. (2023). Muscle Energy Techniques (Fifth Edition ed.). Elsevier.

DeLucia, R. (2016). Farmacologia Integrada: Uso Racional de Medicamentos.

DeStefano, L. (2011). Principales of Manual Medicine. Wolters Kluwer.

E. de Gray, L., & Seth, B. (2020). Drugs used to treat joint and muscle disease.

Favareto, R. M. (2019). Influência da manipulação osteopática craniana, sobre o sistema nervoso autônomo mensurado pela neurometria funcional em pacientes com fibromialgia. Revista Científica de Neurometria, 5.

Fryer, G., Fleischmann, M., & Vaughan, B. (2021). Use of muscle energy technique amongst a nationally representative sample of Australian Osteopaths. International Journal of Osteopathic Medicine, 5.

Jakel A, von Hauenschild P. Therapeutic effects of cranial osteopathic manipulative medicine: a systematic review. J Am Osteopath Assoc. 2011 Dec;111(12):685-93. — View Citation

Kang YH, Ha WB, Geum JH, Woo H, Han YH, Park SH, Lee JH. Effect of Muscle Energy Technique on Hamstring Flexibility: Systematic Review and Meta-Analysis. Healthcare (Basel). 2023 Apr 11;11(8):1089. doi: 10.3390/healthcare11081089. — View Citation

Laurino, C., Murer, F., & Iglesias, R. (2018, Julho 19). Tratamento cirurgico das lesões dos músculos isquiotibiais da coxa.

Liem, T. (2004). Cranial Osteopathy: principles and practice. Elsevier.

Nicholas, A. N. (2016). Atlas of Osteopathic Techniques (3 ed.). Wolters Kluwer Editora.

Parsons, J., & Marcer, N. (2008). Osteopathy: Models for Diagnosis, Treatment and Practice. Elsevier.

Ricard, F., & Sallé, J.-L. (2010). Tratado de Osteopatía.

Smith M, Fryer G. A comparison of two muscle energy techniques for increasing flexibility of the hamstring muscle group. J Bodyw Mov Ther. 2008 Oct;12(4):312-7. doi: 10.1016/j.jbmt.2008.06.011. Epub 2008 Aug 6. — View Citation

Upledger, J. E., & Vredevoogd, J. D. (1983). Craniosacral therapy (Vol. 236). Seattle: Eastland press.

* Note: There are 19 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Altered range of motion of the hamstring muscles.	The universal goniometer is a tool used to assess joint ROM.	10 minutes after intervention.