Acute Effects of Instrument Assisted Soft Tissue Mobilisation and Kinesiological Tape Applications on Balance and Agility in Athletes: A Randomised Controlled Study

Year 2024, Volume: 15 Issue: 1, 115 - 129, 30.04.2024

Duygu Kurt , Beyzanur Dikmen Hoşbaş , Berna Karamancıoğlu , Deniz Demirci

https://doi.org/10.17155/omuspd.1390679

Abstract

The aim of this study was to compare the acute effects of instrument-assisted soft tissue mobilisation (IASTM) and kinesiological tape (KT) applications to hamstring muscle on balance and agility in track and field athletes. The study included 45 (KTG=15, IASTMG=15, Control Group=15) track and field athletes (short distance running and long distance running) aged 10-30 years. Using a simple randomisation method via a computer-generated list, participants were assigned to three groups: kinesiological taping (KTG) to one group, instrument-assisted soft tissue mobilisation (IASTMG) to another group and a control group (CG). Balance and agility parameters of all three groups were evaluated before and after the intervention using the Star Excursion Balance Test and Agility T-test. While the agility findings of IASTM and KT groups showed significant difference within the group (p<0.05); CG did not show a significant change within the group (p>0.05). In the post-intervention comparison, agility did not show a significant difference between the groups (p>0.05). While the Star Balance Test showed significant improvements in the right and left in all three groups (p<0.05), there was no significant difference between the groups (p>0.05). It was observed that IASTM and KT applications had positive acute effects on balance and agility and were not superior to each other.

Keywords

Agility, athletics, balance, instrument-assisted soft tissue mobilisation, kinesiology tape

Atletlerde Alet Destekli Yumuşak Doku Mobilizasyonu ve Kinezyolojik Bant Uygulamalarının Denge ve Çeviklik Üzerindeki Akut Etkileri: Randomize Kontrollü Bir Çalışma

Abstract

Bu çalışmanın amacı, atletizm sporcularında hamstring kasına uygulanan alet destekli yumuşak doku mobilizasyonu (ADYDM) ve kinezyolojik bant (KB) uygulamalarının denge ve çeviklik üzerine akut etkilerini karşılaştırmaktır. Çalışmaya; 10-30 yaşları arasında, 45 (KBG=15, ADYDMG =15, Kontrol Grubu =15) atletizm sporcusu (kısa mesafe koşu ve uzun mesafe koşu) dahil edilmiştir. Bilgisayar tarafından oluşturulan liste aracılığı ile basit randomizasyon yöntemi kullanılarak katılımcıları üç gruba atanmıştır: bir gruba kinezyolojik bantlama (KBG), bir gruba alet destekli yumuşak doku mobilizasyonu (ADYDMG) ve kontrol grubu (KG). Üç grubun da denge ve çeviklik parametreleri müdahale öncesinde ve sonrasında Yıldız Denge Testi ve Çeviklik T testi kullanılarak değerlendirildi. ADYDM ve KB gruplarının çeviklik bulguları grup içi anlamlı iyileşme gösterirken (p<0,05); KG grup içinde anlamlı bir değişim göstermemiştir(p>0,05). Müdahale sonrası karşılaştırmada çevikilik gruplar arasında anlamlı bir farklılık göstermemiştir. Yıldız Denge Testi sağ ve sol alt ektremitelerde üç grupta da grup içi anlamlı farklılık gösterirken (p<0,05) gruplar arası karşılaştırmada anlamlı fark bulunmadı (p>0,05). ADYDM ve KB uygulamalarının, denge ve çeviklik üzerine olumlu akut etkilerinin olduğu ve birbirlerine üstünlüklerinin olmadığı görülmüştür.

Keywords

Atletizm, Alet yardımlı yumuşak doku mobilizasyonu, Çeviklik, Denge, Kinezyolojik Bantlama

References

• Andreeva, A., Melnikov, A., Skvortsov, D., Akhmerova, K., Vavaev, A., Golov, A., Draugelite, V., Nikolaev, R., Chechelnickaia, S., & Zhuk, D. (2020). Postural stability in athletes: The role of age, sex, performance level, and athlete shoe features. Sports, 8(6), 89. https://doi.org/10.3390/sports8060089
• Armstrong, R., & Greig, M. (2018). The Functional Movement Screen and modified Star Excursion Balance Test as predictors of T-test agility performance in university rugby union and netball players. Physical Therapy in Sport, 31, 15-21. https://doi.org/10.1016/j.ptsp.2018.01.003
• Arslan, Y., Yavaşoğlu, B., Beykumül, A., Pekel, A. Ö., Suveren, C., Karabulut, E. O., ... & Ceylan, L. (2024). The effect of 10 weeks of karate training on the development of motor skills in children who are new to karate. Frontiers in Physiology, 15, 1347403. https://doi.org/10.3389/fphys.2024.1347403
• Arslanoğlu, E., Güzel, N. A., & Çilli, B. (2014). The Effect Of Kinesiotaping technique On Quadriceps Muscle Strength of Healthy Subjects. Kafkas Journal of Medical Sciences (1),23-26. https://doi.org/10.5505/kjms.2014.08370
• Aytar, A., Ozunlu, N., Surenkok, O., Baltacı, G., Oztop, P., & Karatas, M. (2011). Initial effects of kinesio® taping in patients with patellofemoral pain syndrome: A randomized, double-blind study. Isokinetics and Exercise Science, 19(2), 135-142. https://doi.org/10.3233/IES-2011-0413
• Barger, K. M. (2016). Compressive versus decompressive soft tissue therapy on acute hamstring flexibility and pain in male athletes with perceived hamstring tightness Oklahoma State University.
• Baştürk, D., Gökdemir, K., Kaya, M., Ünüvar, B. S., Taşkin, H., & Erkmen, N. (2015). Effect Of Kinesio Taping On Functional Performance in Football Players
• Bayraktar, L. (2005). 11-12 Yaş Grubu Yüzme Cimnastik ve Atletizm Sporları Yapan Bayan Sporcuların Fiziksel ve Motorsal Gelişim Özelliklerinin Karşılaştırılması, M.Ü.Sağ.Bil.Ens. Yüksek Lisans Tezi, İstanbul.
• Chao, H.-C., Lee, C.-L., Chang, W.-D., & Chang, N.-J. (2018). Effects of dynamic stretching combined with kinesio taping on performance of baseball players. Sports & Exercise Research, 20(3); 265-278. https://doi.org/10.5297/ser.201809_20(3).0006
• Cheatham, S. W., Baker, R., & Kreiswirth, E. (2019). Instrument assisted soft-tissue mobilization: a commentary on clinical practice guidelines for rehabilitation professionals. International Journal of Sports Physical Therapy, 14(4), 670. https://doi.org/10.26603/ijspt20190670
• Choi, I.-R., & Lee, J.-H. (2018). Effect of kinesiology tape application direction on quadriceps strength. Medicine, 97(24). https://doi.org/10.1097/MD.0000000000011038
• Choi, J.-H., Yoo, K.-T., An, H.-J., Choi, W.-S., Koo, J.-P., Kim, J.-I., & Kim, N.-J. (2016). The effects of taping, stretching, and joint exercise on hip joint flexibility and range of motion. Journal of Physical Therapy Science, 28(5), 1665-1668. https://doi.org/10.1589/jpts.28.1665
• Croft, B. D., Aronson, P. A., & Bowman, T. G. (2022). Effects of Instrument Assisted Soft-Tissue Mobilization on Dynamic Balance in Those with Chronic Ankle Instability. Trauma Care, 2(2), 197-204. https://doi.org/10.3390/traumacare2020016
• Gamboa, A. J., Craft, D. R., Matos, J. A., Flink, T. S., & Mokris, R. L. (2019). Functional movement analysis before and after instrument-assisted soft tissue mobilization. International Journal of Exercise Science, 12(3), 46.
• Georgiou, M. (2006). The influence of component materials on Graston technique effectiveness during the treatment of myofascial pain syndrome
• Haksever, B., Aktas, G., & Baltaci, G. (2012). Effect of kinesiotaping on static and dynamic balance during soccer. Medicina dello Sport, 65(2), 223-234.
• Huxley, D. J., O'Connor, D., & Healey, P. A. (2014). An examination of the training profiles and injuries in elite youth track and field athletes. European Journal of Sport Science, 14(2), 185-192. https://doi.org/10.1080/17461391.2013.809153
• Ikeda, N., Otsuka, S., Kawanishi, Y., & Kawakami, Y. (2019). Effects of instrument-assisted soft tissue mobilization on musculoskeletal properties. Medicine and Science in Sports and Exercise, 51(10), 2166. https://doi.org/10.1249/MSS.0000000000002035
• Jovanovic, M., Sporis, G., Omrcen, D., & Fiorentini, F. (2011). Effects of speed, agility, quickness training method on power performance in elite soccer players. The Journal of Strength & Conditioning Research, 25(5), 1285-1292. https://doi.org/10.1519/JSC.0b013e3181d67c65
• Kase, K. (2003). Clinical therapeutic applications of the Kinesio (! R) taping method. Albuquerque.
• Küçük H. (2020). Kadın futbolcularda statik ve dinamik dengenin mevkilere göre karşılaştırılması. Uluslararası Spor Egzersiz ve Antrenman Bilimi Dergisi, Supp.(4), 53-56.
• Küçük, H., Söyler, M., & Şahin, F. N. (2024). Relationship between burpee test and body composition: a sample of female university students. SPORMETRE Beden Eğitimi ve Spor Bilimleri Dergisi, 22(1), 138-153. https://doi.org/10.33689/spormetre.1417860
• Küçük, H., & Söyler, M. (2024). Body composition, anaerobic power, lower extremity strength in football players: Acute effect on different leagues. Turkish Journal of Kinesiology, 10(1), 24-33. https://doi.org/10.31459/turkjkin.1417918. https://doi.org/10.31459/turkjkin.1417918
• Küçük, H. (2022). Futbol Hakemlerinin Çeviklik, Sürat ve Aerobik Kapasitelerinin Karşılaştırılması. Akdeniz Spor Bilimleri Dergisi, 5(3), 713-721. https://doi.org/10.38021/asbid.1167630. https://doi.org/10.38021/asbid.1167630
• Kim, J., & Yim, J. (2018). Instrument-assisted soft tissue mobilization improves physical performance of young male soccer players. International Journal of Sports Medicine, 39(12), 936-943. https://doi.org/10.1055/a-0649-1074
• Laudner, K., Compton, B. D., McLoda, T. A., & Walters, C. M. (2014). Acute effects of instrument assisted soft tissue mobilization for improving posterior shoulder range of motion in collegiate baseball players. International Journal of Sports Physical Therapy, 9(1), 1.
• Lengkana, A. S., Rahman, A. A., Alif, M. N., Mulya, G., Priana, A., & Hermawan, D. B. (2020). Static and dynamic balance learning in primary school students. International Journal of Human Movement and Sports Sciences, 8(6), 469-476. https://doi.org/10.13189/saj.2020.080620
• Lucchesi, J., & Shea, D. (2018). Effect of Kinesio® Tape on Stabilization and Strengthening in People with Chronic Ankle Sprains Florida Gulf Coast University.
• Lumbroso, D., Ziv, E., Vered, E., & Kalichman, L. (2014). The effect of kinesio tape application on hamstring and gastrocnemius muscles in healthy young adults. Journal of Bodywork and Movement Therapies, 18(1), 130-138. https://doi.org/10.1016/j.jbmt.2013.09.011
• Nashner, L. M. (2014). Practical biomechanics and physiology of balance. Balance function assessment and management, 431.
• Nunes, G. S., De Noronha, M., Cunha, H. S., Ruschel, C., & Borges Jr, N. G. (2013). Effect of kinesio taping on jumping and balance in athletes: a crossover randomized controlled trial. The Journal of Strength & Conditioning Research, 27(11), 3183-3189. https://doi.org/10.1519/JSC.0b013e31828a2c17
• Pamuk, Ö., Makaracı, Y., Ceylan, L., Küçük, H., Kızılet, T., Ceylan, T., & Kaya, E. (2023). Associations between force-time related single-leg counter movement jump variables, agility, and linear sprint in competitive youth male basketball players. Children, 10(3), 427. https://doi.org/10.3390/children10030427. https://doi.org/10.3390/children10030427
• Park, J.-H., Rhyu, H.-S., & Rhi, S.-Y. (2020). The effects of instrument-assisted soft tissue mobilization rehabilitation exercise on range of motion, isokinetic strength, and balance in chronic ankle instability taekwondo players. Journal of Exercise Rehabilitation, 16(6), 516. https://doi.org/10.12965/jer.2040752.376
• Powden, C. J., Dodds, T. K., & Gabriel, E. H. (2019). The reliability of the star excursion balance test and lower quarter Y-balance test in healthy adults: a systematic review. International Journal of Sports Physical Therapy, 14(5), 683. https://doi.org/10.26603/ijspt20190683
• Qi, Q., Wang, Y., Chen, W., & Yu, B. (2015). The effects of Kinesio taping on muscle strength and proprioception of the knees in female college students. Physiotherapy, 101, e1241-e1242. https://doi.org/10.1016/j.physio.2015.03.1141
• Raya, M. A., Gailey, R. S., Gaunaurd, I. A., Jayne, D. M., Campbell, S. M., Gagne, E., Manrique, P. G., Muller, D. G., & Tucker, C. (2013). Comparison of three agility tests with male servicemembers: Edgren Side Step Test, T-Test, and Illinois Agility Test. Journal of Rehabilitation Research & Development, 50(7). https://doi.org/10.1682/JRRD.2012.05.0096
• Robinson, R. H., & Gribble, P. A. (2008). Support for a reduction in the number of trials needed for the star excursion balance test. Archives of Physical Medicine and Rehabilitation, 89(2), 364-370. https://doi.org/10.1016/j.apmr.2007.08.139
• Sarvestan, J., Alaei, F., Kazemi, N. S., Khial, H. P., Shirzad, E., & Svoboda, Z. (2018). Agility profile in collegiate athletes with chronic ankle sprain: the effect of Athletic and Kinesio taping among both genders. Sport Sciences for Health, 14, 407-414. https://doi.org/10.1007/s11332-018-0453-2
• Schaefer, J. L., & Sandrey, M. A. (2012). Effects of a 4-week dynamic-balance-training program supplemented with Graston instrument-assisted soft-tissue mobilization for chronic ankle instability. Journal of Sport Rehabilitation, 21(4), 313-326. https://doi.org/10.1123/jsr.21.4.313
• Seffrin, C. B., Cattano, N. M., Reed, M. A., & Gardiner-Shires, A. M. (2019). Instrument-assisted soft tissue mobilization: a systematic review and effect-size analysis. Journal of Athletic Training, 54(7), 808-821. https://doi.org/10.4085/1062-6050-481-17
• Şahin, F. N., Ceylan, L., Küçük, H., Ceylan, T., Arıkan, G., Yiğit, S., Sarıışık D. Ç., & Güler, Ö. (2022). Examining the relationship between Pes Planus Degree, Balance and Jump performances in athletes. International Journal of Environmental Research and Public Health, 19(18), 11602. https://doi.org/10.3390/ijerph191811602
• Winter, D. A. (1995). Human balance and posture control during standing and walking. Gait & Posture, 3(4), 193-214. https://doi.org/10.1016/0966-6362(96)82849-9