The Effectiveness of Muscle Energy Technique and Friction Massage in Hamstring Tightness Amongst Young Athletes of Pakistan

NCT ID: NCT03680300

Last Updated: 2019-02-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-03-05
• Study Completion Date: 2018-12-15

Brief Summary

The ability of an individual to move smoothly depends on his flexibility, an attribute that enhances both safety and optimal physical activity. Hamstring tightness leads to hamstring injuries and hamstring injuries are the most common type of injury among athletes. These injuries are slow to recover, make high health expenditure and decrease the performance level of the athlete.

The hamstring is an example of the muscle group that has a tendency to get shorten Muscle tightness is caused by a decrease in the ability of the muscle to deform, resulting in a decrease in the range of motion at the joint on which it acts. Inability to achieve greater than 120° of knee extension with the hip at 90° of flexion is considered as hamstring tightness.

Detailed Description

it will be a Randomized Controlled Trial with 3 group. there will be 60 patients with hamstring tightness divided into 3 group. Allocating by using the manual lottery system. Non-probability Convenience Sampling technique will be utilized. the self-structured questionnaire will be used to analyse the athletic condition and performance.

Each patient in group A will be given with hot pack along with Tens for 20 mins then the patient will receive post facilitation stretch only, for about one months on daily basis.

Each patient in group B will receive hot pack along with Tens for 20 mins then the patients will receive post isometric relaxation alone for about one months on daily basis.

Each patient in group C will receive hot pack along with Tens for 20 mins then the patients will receive frictional massage alone for about one months on daily basis. Friction massage on hamstrings will be given for 20 mins by thrive massager by a therapist.

Conditions

Hamstring Tightness; Hamstring Injury Prevention

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Post Facilitating Stretch

Each patient in group A will be given with hot pack along with Tens for 20 mins then the patient will receive post facilitation stretch only, for about one month on daily basis.

Group Type: EXPERIMENTAL

Post Facilitation Stretch

Intervention Type: OTHER

The Post Facilitating Stretch technique is performed as follows:

The hamstring muscle will be placed between a fully stretched and a fully relaxed state. The patient will be asked to contract the agonist using a maximum degree of effort for 5-10 seconds while the therapist resists the patients force. The patient will then be asked to relax and release the effort, whereas the therapist will apply the rapid stretch to a new barrier and will be held for 10 seconds. Then the patient will relaxes for approximately 20 seconds and the procedure will be repeated between three to five times and five times more. Instead of starting from a new barrier, the muscle will be placed between a fully stretched and a fully relaxed state before every repetition.

Post Isometric Relaxation

Each patient in group B will receive hot pack along with Tens for 20 mins then the patients will receive post isometric relaxation alone for about one months on daily basis.

Group Type: EXPERIMENTAL

Post Isometric Relaxation

Intervention Type: OTHER

The Post Isometric Relaxation technique is performed as follows :

The hamstring muscle will be taken to a length just short of pain, or to the point where resistance to movement is first noted. A submaximal (10-20%) contraction of the hypertonic muscle will be performed away from the barrier for between 5 and 10 seconds and the therapist applies resistance in the opposite direction. The patient should inhale during this effort. After the isometric contraction the patient will be asked to relax and exhale while doing so. Following this a gentle stretch will be applied to take up the slack till the new barrier. Starting from this new barrier, the procedure is repeated two or three times.

Frictional Massage

Frictional massage will be given to 3rd group

Group Type: EXPERIMENTAL

Friction Massage

Intervention Type: OTHER

Each patient in group C will receive hot pack along with Tens for 20 mins then the patients will receive frictional massage alone for about one months on daily basis. Friction massage on hamstrings will be given for 20 mins by thrive massager by a therapist.

Interventions

Post Facilitation Stretch

The Post Facilitating Stretch technique is performed as follows:

The hamstring muscle will be placed between a fully stretched and a fully relaxed state. The patient will be asked to contract the agonist using a maximum degree of effort for 5-10 seconds while the therapist resists the patients force. The patient will then be asked to relax and release the effort, whereas the therapist will apply the rapid stretch to a new barrier and will be held for 10 seconds. Then the patient will relaxes for approximately 20 seconds and the procedure will be repeated between three to five times and five times more. Instead of starting from a new barrier, the muscle will be placed between a fully stretched and a fully relaxed state before every repetition.

Intervention Type: OTHER

Post Isometric Relaxation

The Post Isometric Relaxation technique is performed as follows :

The hamstring muscle will be taken to a length just short of pain, or to the point where resistance to movement is first noted. A submaximal (10-20%) contraction of the hypertonic muscle will be performed away from the barrier for between 5 and 10 seconds and the therapist applies resistance in the opposite direction. The patient should inhale during this effort. After the isometric contraction the patient will be asked to relax and exhale while doing so. Following this a gentle stretch will be applied to take up the slack till the new barrier. Starting from this new barrier, the procedure is repeated two or three times.

Intervention Type: OTHER

Friction Massage

Each patient in group C will receive hot pack along with Tens for 20 mins then the patients will receive frictional massage alone for about one months on daily basis. Friction massage on hamstrings will be given for 20 mins by thrive massager by a therapist.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Athletes with Hamstring tightness
• Both male and female will be included.
• Athletes ages from 18 to 25 years
• Patients having Straight Leg Raise less then110˚

Exclusion Criteria

• Athletes having hamstring injuries
• Patients having Straight Leg Raise greater then 110 ˚
• Above 25 years of age
• Other orthopedic condition like Low Back Pain,
• Athlete with any deformity Knee Joint

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 25 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Isra University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Dr Abdul haseeb Bhutta

Mansehra, Khyber Pakhtoonkhawa, Pakistan

Countries

Pakistan

References

Payla M, Gill M, Singal SK, Shah N. A Comparison of the Immediate and Lasting Effects between Passive Stretch and Muscle Energy Technique on Hamstring Muscle Extensibility. Indian Journal of Physiotherapy & Occupational Therapy. 2018 Jan 1;12(1).

Reference Type: BACKGROUND

Other Identifiers

IIRS-IUISB/M.PhilSMMPT/001

Identifier Type: -

Identifier Source: org_study_id