Neuromuscular Manifestations Clinical Trial
Official title:
Acute and Chronic Effects of Static and Dynamic Stretching on Flexibility and Neuromuscular and Functional Performance in Healthy Subjects: a Blinded and Randomized Clinical Trial
The purpose of this study is analyze the effects, acute and chronic, static and dynamic
stretching on flexibility and neuromuscular and functional performance in active, healthy
individuals.
Study hypothesis:
1. Static stretching program improves flexibility and reduces neuromuscular and functional
performance in active, healthy individuals.
2. Static stretching program improves flexibility and neuromuscular and functional
performance in active, healthy individuals.
It is a randomized, blinded clinical trial where the first researcher (P1) was responsible
for assessments and reassessments; the second searcher (P2) at randomization and inquiry of
the subjects in the intervention protocol and the third investigator (P3) for the
statistical analyzes.The research was conducted at the Laboratory of therapeutic practices
of the Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN) and
started after the approval of the ethics committee.The sample was recruited by convenience
by written disclosure, electronics and personal contact in academies and higher education
institutions in the city of Natal / RN. The volunteers were randomly distributed through the
electronic site http://www.randomization.com (Code: 21318). Two pieces of information were
inserted, namely: the sample size and the number of groups. With this data, the site has
generated a specific encoding for each group and distributed the subjects randomly into
three groups: static stretching (gAE); dynamic stretching (gAD) and control (gC).
Sample size calculation
For the sample size calculation was used G * Power 3.1.0 software and the procedures
followed the recommendations of studies prévios45. Based on a pilot study of four
volunteers, it has adopted a power of 0.95, considering a significance level of 5%, a
correlation coefficient of 0.5, and 0.25 effect size for both, It calculated a "n" sample of
15 individuals for each group ("n" sample = 45). This analysis was performed to reduce the
chance of Type II error and to determine the minimum number of individuals required for this
investigation. Thus, the sample size was sufficient to provide 95.5% statistical power.
Procedures and evaluation measures
At first all subjects were recorded in the survey through an evaluation form containing
information on identification, weight, height, injury history and physical activity .
After the process of randomization and allocation held by P2, the volunteers underwent the
first evaluation (AV1) under the instruction of P1. This evaluation was performed at least
48 hours before the 1st stretching session to prevent possible residual effects of
isokinetic and functional testing. Other evaluations AV2, AV3 and AV4, were made immediately
after the 1st (acute response) and 10th sessions (acute post elongation) and 48 hours after
the last (residual chronic response), respectively, for EAG and GAD. Already the subject of
gc were subject only to the four evaluation processes, where the last assessment (AV4)
coincided with the time related to the stretching protocol of the experimental groups.
Despite receiving the same guidelines of the other groups on the importance of stretching
activities routines during the study period the volunteers were told they should not perform
stretching in the day-to-day.
All had non-dominant leg (MND) tested for flexibility, neuromuscular performance (muscle
latency time and isokinetic performance) and functional performance (functional tests) in
all four assessments. The MND was used because it is considered less skilled and more
trainable, when compared to the MD46. For their identification was asked which member
preferred to kick a bola15. However, during the interventions in the experimental groups
(GAE, GAD), both members were elongated, evaluating the pain sensation at the end of each
session and at the end of the intervention protocols, sensory perception (pleasure /
displeasure) in performing elongation. The day of the period in which prevailed the
assessments and reassessments was on afternoon shift.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Prevention
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