Sub Occipital Muscle Inhibition Versus Slump Stretch Position in Short Hamstring Syndrome Subjects

NCT ID: NCT04244045

Last Updated: 2020-01-28

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 45 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-04-01
• Study Completion Date: 2019-12-30

Brief Summary

45 female participants with short hamstring syndrome were devided into one of the three groups; Group I: suboccipital muscle inhinbition plus passive hamstring stretch, group II: Slump stretch position plus Passive hamstring stretch, and group III: Passive stretch of hamstring muscle. Assessment methods were Straight leg raising test, forward flexion test and popliteal angle test, were measured at baseline, immediately after 1st treatment session then after 4 weeks of treatment.

Detailed Description

Forty five university undergraduate female students volunteered to participate in the study, age = 18-25 years old, body mass index 18-25 kg/cm square.

All subjects were free from injury or disease expected to affect hamstring length or ability to perform the exercises Design of the study was single-blind randomized clinical trial. The subjects were randomly assigned in to one of the three methods of treatment, which are group 1 (study group1): suboccipital muscle inhibition plus passive stretch of hamstring muscle, Group II: ( Study groupII): received neural slump test position plus passive stretch of hamstring muscle, Group III (control group): received only passive stretch of hamstring muscle.

Treatment Procedures:

Passive stretching of hamstring muscle:

Patient in comfortable supine lying position and therapist stride standing beside the dominant side of the patient. The patient was asked to flex his hip joint with complete knee extension and ankle in neutral position. The therapist stretches the hamstring of the dominant side; distal hand of the therapist on planter surface of foot for dorsiflexion to increase flexibility of hamstring muscle and proximal hand on the knee to increase the length of the muscle, maintain this stretching for 60 seconds then relax (8)

Sub occipital muscle inhibition:

The Patient is in comfortable supine lying position with eye closed - for more relaxation- and the head out of the bed resting on therapist hand to manipulate the sub occipital area. The therapist stretch the sub occipital, flexes the head of the patient to get the chin to the manibiurim sternii, maintaining this position for 60seconds then relax (9)

Neural dynamic slump stretch:

Patient in comfortable short sitting position at the edge of the bed with the trunk in an millitary straight position then ask the patient to slump the flex his neck and street the knee joint in complete extension the at the end of the procedure do active dorsiflexion at the tested foot .(10)

Conditions

Musculoskeletal Diseases or Conditions

Study Design

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

Study Groups

Experimental group 1

suboccipital muscle inhibition plus passive stretch of hamstring muscle.

Group Type: EXPERIMENTAL

Suboccipital muscle inhibition

Intervention Type: OTHER

The patient was asked to flex his hip joint with complete knee extension and ankle in neutral position. The therapist stretches the hamstring of the dominant side; distal hand of the therapist on planter surface of foot for dorsiflexion. and proximal hand on the knee to increase the length of the muscle, maintain this stretching for 60 seconds then relax .Sub occipital muscle inhibition:

The Patient is supine, The therapist stretch the sub occipital, flexes the head of the patient to get the chin to the manibiurim sternii, maintaining this position for 60seconds then relax Slump strtch position:Patient in comfortable short sitting position at the edge of the bed with the trunk in an millitary straight position then ask the patient to slump the flex his neck and street the knee joint in complete extension the at the end of the procedure do active dorsiflexion at the tested foot

Experimental group 2

Neural slump strtch position plus passive stretch of hamstring muscle.

Group Type: EXPERIMENTAL

Suboccipital muscle inhibition

Intervention Type: OTHER

The patient was asked to flex his hip joint with complete knee extension and ankle in neutral position. The therapist stretches the hamstring of the dominant side; distal hand of the therapist on planter surface of foot for dorsiflexion. and proximal hand on the knee to increase the length of the muscle, maintain this stretching for 60 seconds then relax .Sub occipital muscle inhibition:

The Patient is supine, The therapist stretch the sub occipital, flexes the head of the patient to get the chin to the manibiurim sternii, maintaining this position for 60seconds then relax Slump strtch position:Patient in comfortable short sitting position at the edge of the bed with the trunk in an millitary straight position then ask the patient to slump the flex his neck and street the knee joint in complete extension the at the end of the procedure do active dorsiflexion at the tested foot

Control group

passive stretch of hamstring muscle

Group Type: ACTIVE_COMPARATOR

Suboccipital muscle inhibition

Intervention Type: OTHER

The patient was asked to flex his hip joint with complete knee extension and ankle in neutral position. The therapist stretches the hamstring of the dominant side; distal hand of the therapist on planter surface of foot for dorsiflexion. and proximal hand on the knee to increase the length of the muscle, maintain this stretching for 60 seconds then relax .Sub occipital muscle inhibition:

The Patient is supine, The therapist stretch the sub occipital, flexes the head of the patient to get the chin to the manibiurim sternii, maintaining this position for 60seconds then relax Slump strtch position:Patient in comfortable short sitting position at the edge of the bed with the trunk in an millitary straight position then ask the patient to slump the flex his neck and street the knee joint in complete extension the at the end of the procedure do active dorsiflexion at the tested foot

Interventions

Suboccipital muscle inhibition

The patient was asked to flex his hip joint with complete knee extension and ankle in neutral position. The therapist stretches the hamstring of the dominant side; distal hand of the therapist on planter surface of foot for dorsiflexion. and proximal hand on the knee to increase the length of the muscle, maintain this stretching for 60 seconds then relax .Sub occipital muscle inhibition:

The Patient is supine, The therapist stretch the sub occipital, flexes the head of the patient to get the chin to the manibiurim sternii, maintaining this position for 60seconds then relax Slump strtch position:Patient in comfortable short sitting position at the edge of the bed with the trunk in an millitary straight position then ask the patient to slump the flex his neck and street the knee joint in complete extension the at the end of the procedure do active dorsiflexion at the tested foot

Intervention Type: OTHER

Other Intervention Names

slump stretch position; Passive stretch of the hamstring muscle.

Eligibility Criteria

Inclusion Criteria

1. Being females.

2. Age between 18-28 years old.

3. BMI: 18-25 kg/square meter.

4. All subjects were free from injury or disease expected to affect hamstring length or ability to perform the exercises.

5. Straight leg raising test (SLR) is less than 80 degree from supine position.

6. Popliteal angle test, operationally defined by a knee flexion angle greater than 15˚ as measured by a screening exam using active knee extension in supine with hip flexed 90˚

Exclusion Criteria

• Hamstring injury within the past year.
• Exceeding 80° in the initial SLR test. Popleteal knee angle less than 15 degree. -
• Verbal report of performing regular lower extremity. Muscle stretching exercises.
• History of neck trauma (whiplash). Neck symptoms.-
• History of recent fracture in any part of the body.
• History of growth disorders,

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 28 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Cairo University

OTHER

Sponsor Role: collaborator

Olfat Ibrahim Ali

UNKNOWN

Sponsor Role: collaborator

Alaa Mohamed Al abbas

UNKNOWN

Sponsor Role: collaborator

Sara Hamed Elzarea

UNKNOWN

Sponsor Role: collaborator

Jouf University

OTHER

Sponsor Role: lead

Responsible Party

Hadaya Mosaad

lecturer

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Hadaya M El Adl, Phd

Role: STUDY_DIRECTOR

Jouf University, Collage of applied medical science.

Locations

Faculty of physical therapy, Cairo University.

Cairo, , Egypt

Countries

Egypt

Other Identifiers

P.T.REC/012/002566

Identifier Type: -

Identifier Source: org_study_id