Comparative Effects of Dry Needling Versus Soft Tissue Mobilization on Hamstring Tightness

NCT ID: NCT06751160

Last Updated: 2024-12-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-15

Study Completion Date

2025-01-30

Brief Summary

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The hamstring tightness is considered as the inability to achieve knee extension greater than 160 degrees while hip is flexed at 90 degrees. When low back pain (LBP) persists for 12 weeks or longer, it is termed as chronic low back pain. The objective of study is to see the effect of dry needling versus soft tissue mobilization on hamstring muscle on pain, range of motion and functionality in patients with chronic low back pain.

Detailed Description

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A randomized clinical trial will be conducted at Hameed Latif Medical Centre through non probability convenient sampling technique on 30 subjects which will be divided into two groups' 15 subjects in group A and 15 subjects in group B through computer generated software for Randomization. Both groups will be conventional therapy and spinal mobilization (posterior anterior glide) of grade 1 and 2 (3 sets of 6 repetitions) as baseline treatment. Group A was will be dry needling and Group B will be Soft Tissue Mobilization.

Conditions

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Hamstring Tightness Chronic Low-back Pain

Keywords

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Chronic Low Back Pain Disability Dry Needling Hamstring Tightness Soft Tissue Mobilization

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Dry Needling

Dry Needling along with baseline treatment

Group Type EXPERIMENTAL

Dry Needling

Intervention Type OTHER

Baseline Treatment: Hot pack will be applied for 15 minutes on Hamstrings and lower back and transcutaneous electrical nerve stimulation (TENS) at lower back for warm up and pain relief to both groups. Then spinal mobilization (Poster lateral glide) of grade 1 and 2 (3 sets of 6 repetitions) i.e. within the spine resistance.

Dry Needling will be given to group A along with baseline treatment through following protocol:

Patient will be in prone lying. Sterilized disposable dry needles of 0.25\*60mm will be used. Dry needling will be performed on three points on Hamstring muscle for one minute each. We considered a line between ischial tuberosity and head of fibula to target long head of bicep femoris (60% of line) and short head of bicep femoris (30% of line). Semitendinosus and Semi Membranosus were targeted at a point of 60% of line from ischial tuberosity to medial epicondyl of femur.

Sessions: Total 8 sessions will be given 2 sessions per week for 4 weeks.

Soft Tissue Mobilization

Soft Tissue Mobilization along with baseline treatment

Group Type EXPERIMENTAL

Soft Tissue Mobilization

Intervention Type OTHER

Baseline Treatment: Hot pack will be applied for 15 minutes on Hamstrings and lower back and transcutaneous electrical nerve stimulation (TENS) at lower back for warm up and pain relief to both groups. Then spinal mobilization (Poster lateral glide) of grade 1 and 2 (3 sets of 6 repetitions) i.e. within the spine resistance.

Soft Tissue Mobilization will be given to Group B along with Baseline treatment.

Subject will be in prone lying position with knee bent at 30 to 60 degrees. Soft tissue mobilization will be applied on hamstring muscle through Graston technique. Massage cream will be applied on hamstring muscle and Graston Instrument will be rubbed from gluteal line to politeal fossa 30 times for 60 seconds.

Sessions: Total 8 sessions will be given 2 sessions per week for 4 weeks.

Interventions

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Dry Needling

Baseline Treatment: Hot pack will be applied for 15 minutes on Hamstrings and lower back and transcutaneous electrical nerve stimulation (TENS) at lower back for warm up and pain relief to both groups. Then spinal mobilization (Poster lateral glide) of grade 1 and 2 (3 sets of 6 repetitions) i.e. within the spine resistance.

Dry Needling will be given to group A along with baseline treatment through following protocol:

Patient will be in prone lying. Sterilized disposable dry needles of 0.25\*60mm will be used. Dry needling will be performed on three points on Hamstring muscle for one minute each. We considered a line between ischial tuberosity and head of fibula to target long head of bicep femoris (60% of line) and short head of bicep femoris (30% of line). Semitendinosus and Semi Membranosus were targeted at a point of 60% of line from ischial tuberosity to medial epicondyl of femur.

Sessions: Total 8 sessions will be given 2 sessions per week for 4 weeks.

Intervention Type OTHER

Soft Tissue Mobilization

Baseline Treatment: Hot pack will be applied for 15 minutes on Hamstrings and lower back and transcutaneous electrical nerve stimulation (TENS) at lower back for warm up and pain relief to both groups. Then spinal mobilization (Poster lateral glide) of grade 1 and 2 (3 sets of 6 repetitions) i.e. within the spine resistance.

Soft Tissue Mobilization will be given to Group B along with Baseline treatment.

Subject will be in prone lying position with knee bent at 30 to 60 degrees. Soft tissue mobilization will be applied on hamstring muscle through Graston technique. Massage cream will be applied on hamstring muscle and Graston Instrument will be rubbed from gluteal line to politeal fossa 30 times for 60 seconds.

Sessions: Total 8 sessions will be given 2 sessions per week for 4 weeks.

Intervention Type OTHER

Other Intervention Names

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Group A Group B

Eligibility Criteria

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Inclusion Criteria

* Reduction in active knee extension test \>25
* Current back pain between 4 to 6 on Numeric Pain Rating scale
* Low back pain for at least 12weeks0r 6 months

Exclusion Criteria

* Subjects using anticoagulants and having vascular diseases
* Subjects with needle phobia and allergic to metals
* Subjects with cognitive impairment
* History of fracture in lumbar region
* History of systemic diseases e.g. cancer or systemic joint pathologies
* History of congestive heart failure in past 24 months
* Subjects have used medications like narcotics or Muscle relaxants 30 days before enrolment into study
Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ali Raza, MS-OMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Hameed Latif Medical Centre

Lahore, Punjab Province, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Imran Amjad, Phd

Role: CONTACT

Phone: 03324390125

Email: [email protected]

Other Identifiers

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REC/RCR&AHS/24/0106

Identifier Type: -

Identifier Source: org_study_id