The effects of connective tissue manipulation on balance and proprioception among university students: randomized controlled study
Yükleniyor...
Tarih
2025
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Australia
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background and Purpose: Manual therapy approaches (MTA) could stimulate the proprioceptors of the fascia. Connective tissue manipulation (CTM) is an MTA that could affect musculocutaneous and nervous systems together. Thus, it could be a more promising technique than other MTA to stimulate the fascial proprioceptors. This single-blind randomized-controlled study aimed to investigate the effects of CTM applied to the lumbar, thoracal, and cervical regions on balance and proprioception. Materials and Methods: 40 university students were randomly divided into exercise (16 females, 4 males; mean age: 20.87 ± 3.15) and exercise+CTM (14 females, 6 males; mean age: 22.55 ± 2.39) groups. Both groups performed home exercises to improve balance, flexibility and strength for 2 sessions a week for 6 weeks. Additionally, CTM was applied in exercise+CTM group for 6 weeks, twice-a-week. Before/after assessments were done with Biodex Balance System, Cervical Range of Motion Tester, and StabilizerTM Pressure Biofeedback Unit. Results: Exercise group showed a significant improvement in proprioception only for cervical flexion to the right with (p = 0.021) and without (p = 0.002) vision while balance was improved especially on dynamic platforms (p < 0.05). Exercise+CTM group showed an improvement in without-vision cervical proprioception in flexion (p = 0.001), flexion to the right (p = 0.003) and left (p = 0.010) and lumbar proprioception (p ≤ 0.001). Balance scores were improved in both static and dynamic platforms (p < 0.05). Improvements in proprioception of cervical flexion with (p = 0.017) and without vision (p = 0.044), and posterior pelvic tilt (p ≤ 0.001) differed between the groups after the study. Unilateral balance scores on static platform (left foot p = 0.016, right foot p = 0.001), and right-foot-stance and bilateral-stance balance scores on dynamic platform (p = 0.008 and p = 0.048 respectively) were improved more in exercise+CTM group. Conclusion: CTM with exercise improves cervical/lumbar proprioception and balance, especially static balance in comparison to exercise only. Future studies should be done with different populations such as patients with neurological conditions or athletes.
Açıklama
Anahtar Kelimeler
Connective Tissue, Fascia, Lumbosacral Region, Neck, Postural balance
Kaynak
Advances in integrative medicine
WoS Q Değeri
Scopus Q Değeri
Q2
Cilt
Sayı
Künye
Günday, Ç., & Hantal, F. Ş. B. (2024). The effects of connective tissue manipulation on balance and proprioception among university students: Randomized controlled study. Advances in Integrative Medicine.
