Comparison of Dry Needling and IASTM on Hamstring Tightness in Posterior Pelvic Tilt
NCT ID: NCT05931120
Last Updated: 2024-01-30
Study Results
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Basic Information
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RECRUITING
NA
30 participants
INTERVENTIONAL
2023-05-08
2024-02-08
Brief Summary
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Detailed Description
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In a randomized trial which shows the results by comparing the efficacy of dry needling (DN) and Graston techniques (GR) in treating upper trapezius myofascial trigger points. Both interventions, were administered twice a week for 2 weeks and when combined with conventional treatment and home exercises, showed significant improvements. However, DN demonstrated superior outcomes in terms of the myofascial diagnostic scale, neck disability index, pain rating, and cervical range of motion. These findings highlight the effectiveness of DN in targeting trigger points and optimizing clinical outcomes.
A notable lacuna persists in the literature concerning the effects of dry needling (DN) and instrument-assisted soft tissue mobilization (IASTM) on patients diagnosed with hamstring tightness and concurrent posterior pelvic tilt. The dearth of comparative research, inadequate incorporation of comprehensive outcome measures, and the paucity of studies targeting this specific patient cohort contribute to this research gap. Addressing this gap would yield valuable insights into the comparative efficacies and outcomes of DN and IASTM pertaining to pain modulation, range of motion enhancement and optimization of lower extremity functional status in this distinct population subset.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Dry needling
dry needling with multimodal physical therapy approach containing hurdler stretch and extended triangular pose
Dry needling
dry needling using 50mm or 60mm sized needles based on individual muscle bulk. Targeted dry needling will be performed on the muscles presenting with tight hamstrings. hurdler Hamstring stretch, extended triangular pose 10 repetitions, 3 sets per session and 2 sessions per week for 4weeks.
total 8 sessions , each consisting of 40mins
IASTM
IASTM with multimodal physical therapy approach containing hurdler stretch and extended triangular pose
IASTM
Instrument assisted soft tissue mobilization tools targeting tight hamstrings. hurdler Hamstring stretch, extended triangular pose 10 repetitions, 3 sets per session and 2 sessions per week for 4weeks.
total 8 sessions , each consisting of 40mins
Interventions
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Dry needling
dry needling using 50mm or 60mm sized needles based on individual muscle bulk. Targeted dry needling will be performed on the muscles presenting with tight hamstrings. hurdler Hamstring stretch, extended triangular pose 10 repetitions, 3 sets per session and 2 sessions per week for 4weeks.
total 8 sessions , each consisting of 40mins
IASTM
Instrument assisted soft tissue mobilization tools targeting tight hamstrings. hurdler Hamstring stretch, extended triangular pose 10 repetitions, 3 sets per session and 2 sessions per week for 4weeks.
total 8 sessions , each consisting of 40mins
Eligibility Criteria
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Inclusion Criteria
* Passive SLR less or equal to 75 degrees
* Atraumatic back or knee pain greater or equal to 2 weeks
* Individuals willing to participate in the required treatment sessions and follow-up assessments
* Posterior pelvic tilt 8.9 standard deviation of 4.5 degree
Exclusion Criteria
* Prior surgery in the hip, knee, or back
* Self-reported pregnancy
* History of blood borne pathogens/infectious disease/active infection
* Metal allergy
* Positive instability tests indicative of ligamentous tear
* Positive meniscal tests
18 Years
40 Years
ALL
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Saba Rafique, phD
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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DHQ Nankana sahib
Nankana Sahib, Punjab Province, Pakistan
Countries
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Central Contacts
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Facility Contacts
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Roman Aslam
Role: primary
References
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Allam NM, Eladl HM, Elruwaili LT, Elruwaili LF, Elbenya TJ, Elanzi EM, Elquobisi FF, Elgadoa HM, Elghaleb MA, Elsaeid MS, Elquarenes RA, Elrashed SM, Elmobarak SS, Elkholi SM, Eid MM, Alanazi AM, Nambi G, Abdelbasset WK. Correlation between hamstring muscle tightness and incidence of low back pain in female students at Jouf University, Saudi Arabia. Eur Rev Med Pharmacol Sci. 2022 Nov;26(21):7779-7787. doi: 10.26355/eurrev_202211_30127.
Dhingani M, Mody V. Short Term Effects of Remote Myofascial Release versus Mulligan's Bent Leg Raise on Hamstring and Lumbar Spine Flexibility in College Going Students: An Experimental Study. Indian Journal of Physiotherapy & Occupational Therapy Print-(ISSN 0973-5666) and Electronic-(ISSN 0973-5674). 2022;16(2):106-13.
Suhail M, Prakash A, Sonali D, Sangeeta M. Effectiveness of dynamic soft tissue mobilization vs passive stretching to improve hamstring flexibility in stroke patients-A comparative study. 2022.
Raza A, Haq K, Naveed J, Ali S, Rizwan I. Immediate effects of post facilitation stretch technique on straight leg raise with/without thoraco-lumber direct myofacial release in non-symptomatic adults. The Rehabilitation Journal. 2022;6(04):462-7.
Sathe SS, Rajandekar T, Thodge K, Gawande V. Comparison between immediate effects of MET and passive stretching techniques on hamstring flexibility in patients with hamstring tightness: An experimental study. Indian Journal of Forensic Medicine & Toxicology. 2020;14(4):6857-62.
Ansari NN, Alaei P, Naghdi S, Fakhari Z, Komesh S, Dommerholt J. Immediate Effects of Dry Needling as a Novel Strategy for Hamstring Flexibility: A Single-Blinded Clinical Pilot Study. J Sport Rehabil. 2020 Feb 1;29(2):156-161. doi: 10.1123/jsr.2018-0013.
Noreen A, Rashad A, Naeem F, Intikhab R, Angela C, Sonia A, et al. Comparative effect of graston technique and muscle energy technique on the flexibility of hamstring muscle. International Journal of Clinical Skills. 2022;16(8):255.
Clark NG. The Neurophysiological Effects of Dry Needling to the Thoracolumbar Junction Multifidi in Subjects with Low Back Pain and Decreased Hamstring Length: Nova Southeastern University; 2020.
Kim YK, Cho SY, Lee KH. Effects of transcutaneous electrical nerve stimulation and instrument-assisted soft tissue mobilization combined treatment on chronic low back pain: A randomized controlled trial. J Back Musculoskelet Rehabil. 2021;34(5):895-902. doi: 10.3233/BMR-200369.
Vicente-Mampel J, Bautista IJ, Lopez-Soler J, Torregrosa-Valls J, Falaguera-Vera F, Gargallo P, Baraja-Vegas L. Acute effects of self-myofascial release compared to dry needling on myofascial pain syndrome related outcomes: Range of motion, muscle soreness and performance. A randomized controlled trial. J Bodyw Mov Ther. 2024 Oct;40:632-639. doi: 10.1016/j.jbmt.2024.04.005. Epub 2024 Apr 10.
Osailan A, Jamaan A, Talha K, Alhndi M. Instrument assisted soft tissue mobilization (IASTM) versus stretching: A comparison in effectiveness on hip active range of motion, muscle torque and power in people with hamstring tightness. J Bodyw Mov Ther. 2021 Jul;27:200-206. doi: 10.1016/j.jbmt.2021.03.001. Epub 2021 Mar 11.
羅佳安. The Effects of Dry Needling on Gait Patterns in Subjects with Hamstring Muscle Fatigue 2021.
Sanchez-Infante J, Navarro-Santana MJ, Bravo-Sanchez A, Jimenez-Diaz F, Abian-Vicen J. Is Dry Needling Applied by Physical Therapists Effective for Pain in Musculoskeletal Conditions? A Systematic Review and Meta-Analysis. Phys Ther. 2021 Mar 3;101(3):pzab070. doi: 10.1093/ptj/pzab070.
Haq K, Riaz H. Comparison of dry needling and Graston technique on Active Myofascial trigger points in upper trapezius. Rawal Medical Journal. 2022;47(1):129-.
Chintamani R, Metgud S, Heggannavar A. Short term effects of instrument assisted soft tissuemobilisation technique versus Mulligan's bent leg raise technique in asymptomatic subjects with hamstring tightness-a randomised clinical trial. Int J Health Sci Res. 2019;9:50-64.
Kamble S, Chintamani R, Jagtap V. Short Term Effect of Isolytic Contraction on Hamstring Flexibility in Asymptomatic Subjects with Hamstring Tightness: A Randomised Controlled Trial. Indian Journal of Public Health Research & Development. 2020;11(2).
Putra DP, Sari GM, Utomo DN. Different Effect of Static Stretching and Neurodynamic Technique in Increasing Hamstring Flexibility on Hamstring Tightness. Different Effect of Static Stretching and Neurodynamic Technique in Increasing Hamstring Flexibility on Hamstring Tightness. 2021;86(1):6-.
Kim J, Kim H, Lee J, Lee H, Jung H, Cho Y, et al. Changes in the quadriceps-to-hamstring muscle ratio during wall squatting according to the straight leg raise test angle. Physical Therapy Rehabilitation Science. 2019;8(1):45-51.
Sadat A, Otadi K, Fakhari Z, Nakhostin Ansari N, Bagheri H, Ghorbanpour A. The effects of dry needling on flexibility & electrophysiological indices in healthy men with hamstring tightness: double-blind, randomized, placebo-controlled trial. Tehran University Medical Journal TUMS Publications. 2020;78(7):442-7.
Shaikh SM, Moharkar AC. Effect of core stability exercises versus Surya Namaskar on hamstring tightness in healthy adults using active knee extension test at the end of 6 weeks: A comparative study. IJAR. 2020;6(3):386-90.
Deshpande K, Dhumale S. Effect of muscle energy technique v/s static stretching on tight hamstring muscles length and pelvic inclination amongst asymptomatic adults
Doeringer JR, Ramirez R, Colas M. Instrument-Assisted Soft Tissue Mobilization Increased Hamstring Mobility. J Sport Rehabil. 2022 Aug 11;32(2):165-169. doi: 10.1123/jsr.2022-0015. Print 2023 Feb 1.
Naweed J, Razzaq M, Sheraz S, Anwar N, Sadiq N, Naweed S. Comparison of active isolated stretch and post isometric relaxation for improving hamstring flexibility in young healthy adults. Pakistan Armed Forces Medical Journal. 2020;70(3):770-75.
Other Identifiers
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REC/RCR & AHS/23/0149
Identifier Type: -
Identifier Source: org_study_id
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