Effects of Deep Friction Vs Stretching Techniques

Mohammed Ali FAKHRO, DPT

Status: Completed

Conditions: Deep Transverse Friction Massage

Treatments: Other: Dynamic stretching intervention; Other: Deep transverse Friction Massage; Other: Static stretching intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT03540888

Deep transverse friction

Details and patient eligibility

About

Flexibility, agility and muscle strength are key factors to either win or lose a game. Recently the effect of a new technique, deep transverse friction massage (DTFM), on muscle extensibility, strength and agility and injury occurrence has been examined, as compared to traditional stretching techniques.

Full description

Background: Flexibility, agility and muscle strength are key factors to either win or lose a game. Recently the effect of a new technique, deep transverse friction massage (DTFM), on muscle extensibility, strength and agility and injury occurrence has been examined, as compared to traditional stretching techniques.

Hypothesis/Purpose: To compare the effect of DTFM vs static and dynamic stretching techniques on hamstrings extensibility, agility and strength among Lebanese and Syrian football players.

Study Design: This study is a single-blinded prospective longitudinal randomized control trial (RCT).

Methods: Football players were randomized into three intervention groups. Straight leg raise (SLR), T-drill, and 1 repetition maximum (RM) tests were used to measure extensibility, agility and maximal muscle strength respectively.

Enrollment: 96 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Male
• Football player
• Physically active (1 to 3 hours of football per week).

Exclusion criteria

• Under the age of 18 and over 35 years who presented with an injury to the musculoskeletal system.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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96 participants in 3 patient groups

Deep Transverse Friction Massage group

Experimental group

Description:

Deep transverse friction massage group. Participants were taught by one of the examiners how to sit and perform pre-exercise self-massages on their tested leg musculotendinous junction (MTJ). The procedure consisted of applying friction massage by fingertips transversely to the hamstrings tendon, in a sitting position. The tendon was located over four finger widths proximal to the medial and lateral epicondyles of the femur. One examiner carefully monitored how the technique was performed to assure the precision of the application. This massage technique was applied over a duration of 30 seconds.

Treatment:

Other: Deep transverse Friction Massage

Dynamic stretching intervention

Active Comparator group

Description:

The dynamic stretching intervention was included for its positive effects on agility and muscle strength. Participants in this group, swung their tested leg actively into hip flexion while keeping their knee fully extended and their ankle fully plantar flexed until a stretch was felt in the posterior thigh. This was repeated over 30 seconds and included in the participant's warm-up phase.

Treatment:

Other: Dynamic stretching intervention

Static stretching intervention

Active Comparator group

Description:

In the static stretching intervention, all participants laid on the floor in a supine position with both feet pointing upwards, with the tested limb in full knee extension and the foot in a relaxed position. The tested limb was moved up passively to a point of slight pain or discomfort at the posterior aspect of the thigh. This technique puts the hamstrings muscle at its greatest possible length. This position should be held for 30 seconds and was performed three times for a total of one minute and 30 seconds, 15 minutes after a match or training. The contralateral leg was stabilized by means of another collaborator in order to prevent compensation by rotation or elevation of the pelvis.

Treatment:

Other: Static stretching intervention