Functional Effects of Tendon Neuroplastic Training in Wrestlers

Hacettepe University26 enrolled

Overview

ABSTRACT AIM: The term tendinopathy describes multifaceted pathologies occurring in the tendon, characterized by pain, functional impairment, and decreased exercise tolerance. The aim of this study is to use Tendon Neuroplastic Training (TNT) in Wrestlers with shoulder tendinopathy between the ages of 14-25; To investigate its effects on balance, coordination, mental performance and shoulder functionality. METHOD: After determining the sample size of the study with the G Power (Software 3.1.9.2) program, 26 athletes were randomly divided into two groups; the study group received a 4-week TNT training protocol, while the control group received 4 weeks of standard eccentric training. Both groups were given exercises for the Supraspinatus, Infraspinatus, Subscapularis and Biceps muscles. The athletes' balance with "Upper Quarter Y Balance", coordination with "Alternate Hand Wall Toss", and mental performance with Stroop Color-Word tests were evaluated. "Kerlan-Jobe" and "Western Ontario Rotator Cuff" scales were used to evaluate shoulder functionality and pain. All assessments were administered before and after exercise training. The data were analyzed statistically with the "IBM SPSS 25" package program. Key Words: Athlete, Mental Test, Shoulder, Tendinopathy

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

Conditions

Shoulder Tendinopathy

Tendon Neuroplastic TrainingOTHER

Tendon Neuroplastic Training can be adapted to isometric and isotonic exercises with a digital metronome program. Tendon Neuroplastic Training has been reported to improve functionality and strength, reduce pain and cortical inhibition in athletes by generating 'adaptation' in central nervous system. Resistance training planned with visual or auditory stimuli (externally paced), can induce changes on motor control. the exercises paced to an external audio/visual cue on the participant's smartphone

Eligibility

Sex: MALE

Medical Language ↔ Plain English

Inclusion Criteria: * Being a licensed athlete for at least one year * Having a diagnosis of tendinopathy based on clinical and radiological examination * To positive least three of the following diagnostic tests: Neer Test, Hawkins-Kennedy Test, Jobe-Supraspinatus Test, Painful arc at 60-120 degrees of shoulder abduction * Pain level is below 2 out of 10 at rest and below 3 out of 10 during active movement according to the visual pain scale, * No limitation in joint range of motion (at least 85% of the healthy side). Exclusion Criteria: * • Having any vision or hearing problems * Previous surgery at last 6 month * Having diagnose complete tendon rupture

Outcomes

Primary Outcomes

Cognitive function

Cognitive function was assessed with the Stroop Test TBAG (Temel Bilimler Araştırma Grubu) Form. The Stroop Test also referred to as the Color- Word Task, was used to assess executive abilities, selective attention, and the ability to inhibit a habitual response. In sports psychology research, the Stroop test and its derivations are commonly used to investigate the benefits of exercise on cognitive function. Stroop Test TBAG Form consists of five cards. For each section, the time taken by participants during the application was measured using a 0.01-second precision smartphone chronometer. The completion time of reading the card, the number of errors and the number of corrections (if any) for each section were recorded on an evaluation form for each participant. There are no minimum or maximum score values for this test. A lower score means a better result.

Time frame: "Baseline" and "week 4"