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IRCT20230730058979N1 IRCT 2023-08-28 Ahvaz University of Medical Sciences The effect of kinesio taping and dynamic stretching in persons with anterior cruciate ligament reconstruction Comparing the immediate effects of kinesio taping alone and in combination with dynamic stretching on the dynamic balance and functional performance of male athletes with anterior cruciate ligament reconstruction: A randomized clinical trial 2023-09-06 anticipated 42 Complete https://irct.ir/trial/71724 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization will be done by block method. In this way, quadruple blocks will be considered, in which the number of treatments is equal in each block, and we will display the two treatment groups as letters A and B, and we will write their different permutations on cards. 6 permutations are obtained, which will be written on 6 cards (AABB- BBAA- ABAB-ABBA-BABA-BAAB). And for the first time, when we randomly remove one of these cards from the envelope, the treatment group of the first to fourth person will be determined. We will put the card in the envelope again and use these cards until the sample size is completed, Blinding description: The evaluator will be unaware of which intervention the participants are receiving. A physical therapist with a master's degree will perform the assessments and a master's student in sports physical therapy will perform the interventions. Assessment and treatment will be done in two separate rooms. N/A Dynamic balance, performance. Intervention 1: Intervention group: Kinesio tape with a width of 5 cm will be applied on the skin on the quadriceps muscle using the facilitation technique. Before the intervention, the skin sensitivity of the patients will be tested using a small piece of kinesio tape in a 24-hour period, and a few hours after shaving the area, the kinesio tape will be applied. For this purpose, the person will be asked to lie down in the supine position with the leg hanging from the bed, while the knee is in 90 degrees of flexion. Then the kinesio tape will be applied with 50% elongation from the origin to the insertion of the quadriceps muscle, and then to the two parts on both sides of the patella. Then, in order to modify the knee movements and stimulate the surface receptors, an I-shaped kinesio tape piece will be used as the distance between the tibial tuberosity and 5 cm above the femoral condyles. It will be used in such a way that the knee is bent 80 to 90 degrees, open the tape in the middle and stick it on the tibial tuberosity with maximum tension. Then we will reduce the elongation of the two ends to 50% and attach them to the femoral condyles. Before and 15 minutes after the application of the kinesio tape, the dynamic balance and functional performance of the people will be evaluated. Intervention 2: Intervention group: at first, Kinesio tape with a width of 5 cm will be applied on the skin on the quadriceps muscle using the facilitation technique. Before the intervention, the skin sensitivity of the patients will be tested using a small piece of kinesio tape in a 24-hour period, and a few hours after shaving the area, the kinesio tape will be applied. For this purpose, the person will be asked to lie down in the supine position with the leg hanging from the bed, while the knee is in 90 degrees of flexion. Then the kinesio tape will be applied with 50% elongation from the origin to the insertion of the quadriceps muscle, and then to the two parts on both sides of the patella. Then, in order to modify the knee movements and stimulate the surface receptors, an I-shaped kinesio tape piece will be used as the distance between the tibial tuberosity and 5 cm above the femoral condyles. It will be used in such a way that the knee is bent 80 to 90 degrees, open the tape in the middle and stick it on the tibial tuberosity with maximum tension. Then we will reduce the elongation of the two ends to 50% and attach them to the femoral condyles. Immediately after application of the kinesio tape, dynamic stretching will be performed. To perform dynamic stretching according to Nelson et al.'s method, persons will be instructed to lie supine, while the intact lower limb is fully extended, a 3 foot long piece of black Theraband (0.91 m) hold around the heel of the operated lower limb with both hands. The exercise will begin with the operated knee locked in full extension and the hip in zero degree extension. Then the person will take the hip into flexion by pulling the theraband with his hands and he will be asked when he feels a gentle stretch, to take the hip to zero degree extension without stopping and repeat this 6 times alternately. Dynamic stretching will be done for a total stretch of 30 seconds .Before and 15 minutes after intervention the dynamic balance and functional performance of the people will be evaluated. Yes - There is a plan to make this available What will be shared: All data is potentially shareable after de-identifying individuals When: 6 months after the results are published To whom: Researchers working in academic institutions Conditions: If someone wants to do a similar research project Where to obtain: Gholam hossain nassadj How to obtain: By email, stating the reason and purpose Comments:
public Gholam Hossain Nassadj
Golestan Highway
Ahvaz Iran (Islamic Republic of) 61357-33133 +98 61 3311 5729 nassadj@yahoo.com Ahvaz University of Medical Sciences scientific Gholam Hossain Nassadj
Golestan Highway
Ahvaz Iran (Islamic Republic of) 61357-33133 +98 61 3311 5729 nassadj@yahoo.com Ahvaz University of Medical Sciences Iran (Islamic Republic of) Males 18- 45 years Tegner questionnaire scores 5-7 6 month after ACL reconstruction Recreationally active participants Hamstring tendon graft technique were performed on them Knee range of motion greater than 90° flexion and complete extension 18 years 45 years Male Pain, swelling and range of motion limitation in the knees Dizziness and involvement of vestibular system History of cardiovascular or respiratory disease History of neurological problems in lower extremities History of musculoskeletal disorders of the lower extremities during the last 12 months History of previous surgery in the lower extremity and difference in leg's length Skin sensitivity to kinesio tape Rehabilitation Rehabilitation Intervention group: Kinesio tape with a width of 5 cm will be applied on the skin on the quadriceps muscle using the facilitation technique. Before the intervention, the skin sensitivity of the patients will be tested using a small piece of kinesio tape in a 24-hour period, and a few hours after shaving the area, the kinesio tape will be applied. For this purpose, the person will be asked to lie down in the supine position with the leg hanging from the bed, while the knee is in 90 degrees of flexion. Then the kinesio tape will be applied with 50% elongation from the origin to the insertion of the quadriceps muscle, and then to the two parts on both sides of the patella. Then, in order to modify the knee movements and stimulate the surface receptors, an I-shaped kinesio tape piece will be used as the distance between the tibial tuberosity and 5 cm above the femoral condyles. It will be used in such a way that the knee is bent 80 to 90 degrees, open the tape in the middle and stick it on the tibial tuberosity with maximum tension. Then we will reduce the elongation of the two ends to 50% and attach them to the femoral condyles. Before and 15 minutes after the application of the kinesio tape, the dynamic balance and functional performance of the people will be evaluated. Intervention group: at first, Kinesio tape with a width of 5 cm will be applied on the skin on the quadriceps muscle using the facilitation technique. Before the intervention, the skin sensitivity of the patients will be tested using a small piece of kinesio tape in a 24-hour period, and a few hours after shaving the area, the kinesio tape will be applied. For this purpose, the person will be asked to lie down in the supine position with the leg hanging from the bed, while the knee is in 90 degrees of flexion. Then the kinesio tape will be applied with 50% elongation from the origin to the insertion of the quadriceps muscle, and then to the two parts on both sides of the patella. Then, in order to modify the knee movements and stimulate the surface receptors, an I-shaped kinesio tape piece will be used as the distance between the tibial tuberosity and 5 cm above the femoral condyles. It will be used in such a way that the knee is bent 80 to 90 degrees, open the tape in the middle and stick it on the tibial tuberosity with maximum tension. Then we will reduce the elongation of the two ends to 50% and attach them to the femoral condyles. Immediately after application of the kinesio tape, dynamic stretching will be performed. To perform dynamic stretching according to Nelson et al.'s method, persons will be instructed to lie supine, while the intact lower limb is fully extended, a 3 foot long piece of black Theraband (0.91 m) hold around the heel of the operated lower limb with both hands. The exercise will begin with the operated knee locked in full extension and the hip in zero degree extension. Then the person will take the hip into flexion by pulling the theraband with his hands and he will be asked when he feels a gentle stretch, to take the hip to zero degree extension without stopping and repeat this 6 times alternately. Dynamic stretching will be done for a total stretch of 30 seconds .Before and 15 minutes after intervention the dynamic balance and functional performance of the people will be evaluated. Modified star excursion balance test score. Timepoint: before and 15 minutes after intervention. Method of measurement: By measuring the distance traveled in the modified star excursion balance test using a tape measure. Single leg hop test score. Timepoint: before and 15 minutes after intervention. Method of measurement: By measuring the distance traveled during jumping with one leg using a tape measure. Jumping performance test score. Timepoint: before and 15 minutes after intervention. Method of measurement: By measuring the height during the vertical jump using a tape measure. Ahvaz University of Medical Sciences Approved 2023-07-24 Ethics Committee of Jundi Shapur Ahvaz University of Medical Sciences Golestan highway Ahvaz Khouzestan Iran (Islamic Republic of)