Effects of Vibration, Stretching, and Taping on Proprioception, Strength, and Function

Overview

Percussion massage devices used in percussion massage therapy provide great convenience for both self-application and application by a physiotherapist.Percussion massage therapy is widely used today in many areas in deep and superficial tissues; such as pain reduction, increased blood circulation, improved scar tissue, reduced lactate levels and muscle spasms, increased lymphatic flow, inhibition of Golgi reflex, increased range of motion. There are deficiencies in the literature when studies related to these recently introduced devices are examined. To our knowledge, no study has been conducted so far that examines the immediate and short-term muscle strength, joint position sense, and functional parameters of percussion massage therapy. Stretching exercises are used by athletes to increase joint range of motion and performance in the long term. It is also included in athletes' training programs for the purpose of warming up before an activity or cooling down after an activity. In many studies where the dynamic stretching method is affected, there are studies showing that dynamic stretching exercises performed before activity or sports positively affect performance and flexibility parameters. Therefore, many clinicians recommend dynamic stretching exercises before sports.Dr. Kase, who developed the kinesiology tape, says that taping the muscle is more effective compared to immobilizing the joint with tape. The elastic properties of the muscle are impaired by trauma and overuse.The possible mechanisms of action depend on the degree of tension used in taping can be listed as reducing inflammation and swelling by increasing circulation and creating cooling in the area by increasing the subcutaneous interstitial space with a lifting effect on the skin, increasing the signals sent to the central nervous system by stimulating the skin's mechanoreceptors and as a result, reducing pain with the gate control mechanism. When the literature is examined, it has been reported that Kinesiotape applications are not superior to other treatment modalities, but can be used to support treatment.Based on all this information, it is planned to investigate the immediate and short-term effects of percussion massage therapy, stretching exercises, and Kinesiotape applications in the literature."

A total of 45 healthy individuals who meet the inclusion criteria will be included in the study at Istanbul Medipol University South Campus, Floor B4, Physiotherapy Practice Hall. Inclusion Criteria: 1. Those who can perform performance tests 2. Those who have not undergone orthopedic surgery from any region 3. Those without movement restriction 4. Individuals without a professional sports history will be included in the study. Exclusion Criteria: 1. History of trauma 2. Anatomical deformities and skeletal system fractures 3. Diagnosed orthopedic or rheumatological diseases 4. Having been included in a physiotherapy program in the last 6 months 5. Individuals with pain in any region will be excluded from the study. Volunteer consent forms will be signed by individuals willing to participate in the study, and their demographic information will be recorded. 45 people will be included in the study and they will be divided into 3 groups. 1\. Percussion Massage Therapy Group 2. Dynamic Stretching Group 3. Kinesiotape Group Individuals who receive percussion massage therapy will be treated with a 5-minute medium-frequency percussion massage on the deltoid muscle group every other day. Percussion massage therapy will be applied in a total of 10 sessions and will be completed in 20 days. - Dynamic stretching exercises will be applied to the shoulder flexor and abductor muscle groups in the Dynamic Stretching Group with 10 repetitions. As in percussion massage therapy, these exercises will be performed under the supervision of a physiotherapist every other day. The application will continue for 20 days. For the Kinesiotape group; Kinesiotape banding will be done with 25% tension by applying a Y band to the deltoid muscle group. After the application, the Kinesio band will stay on the participant for 2 days. The next day, the participant will rest. This cycle will be repeated for 20 days. Applications will be applied to the dominant shoulder of the participants.