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IRCT20181228042154N1 IRCT 2019-06-08 University of Sargodha exercise-induced muscle damage; prophylactic and therapeutic countermeasures Prophylactic and therapeutic effects of active isolated stretching, myofascial release and olive oil phonophoresis in exercise induced muscle damage 2018-09-01 anticipated 130 Complete https://irct.ir/trial/38488 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Factorial, Purpose: Prevention, Other design features: The study design of the current study was a 4 X 2 X 9 factorial design with repeated measures, the three factors were intervention (s), limb (s) and time. The repeated measures involved the time factor. The study constitutes Active isolated stretching, Myofacial release, olive oil Phonophoresis, and a control group. We had used limb to limb comparison model in each group , randomly one limb was allocated to prophylactic intervention limb (PIL) and the other to therapeutic intervention limb (TIL), Randomization description: Randomization was carried out by stratified block randomization scheme. The subjects were allocated to one of the interventional group or control group. An independent allocator randomly allocated the participants for the allocated group. The subjects were instructed and explained about the study protocol and rating criteria of the variables, Blinding description: All the data was recorded by a trained physical therapist of the department who was blinded about treatment and time status. He kept all record of performed intervention which was collected at the end of the study for statistical analysis. N/A Exercise induced muscle damage. Intervention 1: Active isolated stretching Group: The participants recieved an unassisted AIS (Agonist contraction stretching) of the flexor of the hand at the wrist joint. After sitting on a comfortable, height adjusted chairs (90 degrees of hip and knee flexion and feet on floor), each participant was advised to actively move the hand into extension at the wrist joint, beginning the stretch of the flexors.Then requested to use their left hand to gently move the hand into further extension and apply a gentle stretch (Force should not exceed 1 pound). The stretch phase was not exceeded more than 2 seconds. After performing the stretch, A time of 10 seconds was given to relax. The same protocol and procedure were used for all participants during the project. The participants repeated the same protocol for 8- 10 times . The prophylactic limb recieved AIS before the induction of muscle soreness, while therapeutic limb recieved AIS after the induction of muscle soreness. Intervention 2: Myofascial Release Group: The subjects in MFR group was performed self-myofascial release technique by using Tennis ball with an invariant stroking rhythm from wrist all the way to the elbow on flexor aspect of the forearm with speed of 2-3 seconds a with moderate pressure. Circular, back and forth stroking were performed in the prescribed area.The prophylactic limb recieved MFR before the induction of muscle soreness, while therapeutic limb recieved MFR after the induction of muscle soreness. Intervention 3: Olive oil Phonophoresis group. The participants recieved 1 MHz continues ultrasound (Enraf Nonius Sonopuls 490) with a power of 1 Watt/cm2 was used with a 3.5 cm diameter probe to the flexor aspect of the forearm from elbow to wrist in circular and figure of 8 manners. To ensure absorption, the probe was used at right angles. The session comprised of 10 minutes. The prophylactic limb recieved phonophorosis before the induction of muscle soreness, while therapeutic limb recieved phonophorosis after the induction of muscle soreness. Intervention 4: Control group: They follow the same routine of physical activity and diet. Yes - There is a plan to make this available What will be shared: After completion of the study, I will publish it When: Twelve months To whom: Faculty members and students Conditions: Request through email Where to obtain: Email to mmustafaqamar@gmail.com How to obtain: Email to mmustafaqamar@gmail.com Comments:
public Muhammad Mustafa Qamar
Sargodha Medical College, University of Sargodha, Sargodha, Pakistan
Sargodha Pakistan 40100 +92 48 9232015 mmustafaqamar@gmail.com University of Sargodha scientific Muhammad Mustafa Qamar
Sargodha Medical College, University of Sargodha, Sargodha, Pakistan
Sargodha Pakistan 40100 +92 331 5426095 mmustafaqamar@gmail.com University of Sargodha Pakistan Healthy, untrained and sedentary adults age ranging between 18-30 years, without any upper arm injury or musculoskeletal disease. Absence of any known history of cardiovascular, neurological or metabolic disorders. Not trained for resistance training in the previous 6 months. 18 years 30 years Both Participants were excluded who are Using Corticosteroid, NSAID or other painkillers• Taking some herbal medicine• Having a history of Psychiatric illness including anxiety, depression or bipolar disorder• Having a Previous history of any surgical procedure of the shoulder, elbow or wrist within 6 months before the participation• Having symptomatic osteoarthritis of shoulder, elbow, or wrist, • Having any skin abnormalities of upper extremity that may affect local tolerability• Having a History of allergy (cutaneous) • Having a History of known analgesic, alcohol or narcotic abuse• Having Joint hypermobility M79 Other and unspecified soft tissue disorders, not elsewhere classified Rehabilitation Rehabilitation Rehabilitation Rehabilitation Active isolated stretching Group: The participants recieved an unassisted AIS (Agonist contraction stretching) of the flexor of the hand at the wrist joint. After sitting on a comfortable, height adjusted chairs (90 degrees of hip and knee flexion and feet on floor), each participant was advised to actively move the hand into extension at the wrist joint, beginning the stretch of the flexors.Then requested to use their left hand to gently move the hand into further extension and apply a gentle stretch (Force should not exceed 1 pound). The stretch phase was not exceeded more than 2 seconds. After performing the stretch, A time of 10 seconds was given to relax. The same protocol and procedure were used for all participants during the project. The participants repeated the same protocol for 8- 10 times . The prophylactic limb recieved AIS before the induction of muscle soreness, while therapeutic limb recieved AIS after the induction of muscle soreness. Myofascial Release Group: The subjects in MFR group was performed self-myofascial release technique by using Tennis ball with an invariant stroking rhythm from wrist all the way to the elbow on flexor aspect of the forearm with speed of 2-3 seconds a with moderate pressure. Circular, back and forth stroking were performed in the prescribed area.The prophylactic limb recieved MFR before the induction of muscle soreness, while therapeutic limb recieved MFR after the induction of muscle soreness. Olive oil Phonophoresis group. The participants recieved 1 MHz continues ultrasound (Enraf Nonius Sonopuls 490) with a power of 1 Watt/cm2 was used with a 3.5 cm diameter probe to the flexor aspect of the forearm from elbow to wrist in circular and figure of 8 manners. To ensure absorption, the probe was used at right angles. The session comprised of 10 minutes. The prophylactic limb recieved phonophorosis before the induction of muscle soreness, while therapeutic limb recieved phonophorosis after the induction of muscle soreness. Control group: They follow the same routine of physical activity and diet Pain intensity. Timepoint: Recorded at baseline, after one hour and from day 1 to 7 after the induction of muscle soreness. Method of measurement: Pain intensity was assessed by Visual analog scale. Muscle Soreness Score. Timepoint: Recorded at baseline, after one hour and from day 1 to 7 after the induction of muscle soreness. Method of measurement: Muscle soreness was assessed by Visual analog scale. Pain pressure Threshold. Timepoint: Recorded at baseline, after one hour and from day 1 to 7 after the induction of muscle soreness. Method of measurement: Pain Pressure threshold was measured by algometer (Baseline, Fabrication Enterprises, USA). Passive Range of motion at wrist joint. Timepoint: Recorded at baseline, after one hour and from day 1 to 7 after the induction of muscle soreness. Method of measurement: It was measured by a universal goniometer (ISOM Plastic, Isokinetics incorporation, USA). Grip strength. Timepoint: Recorded at baseline, after one hour and from day 1 to 7 after the induction of muscle soreness. Method of measurement: Recorded by a hand-held dynamometer (Baseline, Fabrication Enterprises, USA). Higher Education Commission, Pakistan Approved 2017-10-30 University of Sargodha ethics committee Main university road, university of sargodha Sargodha Punjab Pakistan