<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20161221031506N6</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-08-06</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>The effect of physiotherapy techniques on hamstring muscle shortness</public_title>
      <acronym></acronym>
      <scientific_title>Immediate effect of soft tissue mobilization tool (Graston), static hold-relax, and muscle energy techniques on hamstring muscle shortness in healthy athletes: Randomized clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-07-08</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/57896</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Other design features: None declared, Randomization description: The randomization method will be the block method. The envelope method is that the envelopes are prepared and printed by a member of the research team random numbers with the help of Randomization.com site and placed inside the envelope Will take. The lid of the envelope will be closed and its contents will not be visible from the outside. Then, the purpose of the study is first explained to the person who meets the conditions, and the person, if desired, signs the informed consent form and takes an envelope, and then opens it and enters the intervention or control groups based on the contents of the envelope. .
Allocation Concealment: Sealed envelopes, Blinding description: Blinding in allocation will be done using numeric codes. The secretary of the physiotherapy department of Ghaem Hospital in Mashhad will take the sheet out of the envelope and give it to the researcher. Based on the code, the researcher will assign the participant to the desired group. Also, the evaluator will only provide the result of the tests to the researcher, ساث does not know about the grouping codes. The names of the groups in spss software will be written by code. The statistical analyzer will be blinded about grouping codes.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Hamstring muscle shortness.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: increasing hamstring muscle length using Hold Relax The patient performs the usual warm-up ten minutes before exercise. The hold-relax technique will be performed. The patient is in the supine position and the hip joint is in a 90 degree flexion position. The therapist will hold the patient's knee for 7 seconds until the person reports a slight feeling of tightness in their hamstring muscle. The patient is then asked to hold his or her knee  (by pushing the foot toward the bed against the therapist's resistance) 80-90% maximal voluntary contraction for 7 seconds. It is important to note that no movement should be performed on the patient's knee and that a completely isometric contraction should be performed by the hamstring muscle. After the contraction, the patient relaxes the muscle for 5 seconds and is taken to a new range. The process will be repeated three times. The patient should not report any pain during the entire technique. This technique will be done in one session only. Intervention 2: Intervention group: increasing hamstring muscle length using muscle energy technique. In this group, the patient performs the usual pre-workout warm-ups for ten minutes, followed by MET. The patient will be supine on the bed and the hip joint will be in a 90 degree flexion position. The therapist holds the patient's knee until the person reports a slight stretch in their hamstring muscle. The patient is then asked to maintain his or her knee at 15-20% of maximum voluntary contraction (by pushing the foot toward the bed against the therapist's resistance) for 7 seconds. It is important to note that no movement should be performed on the patient's knee and a completely isometric contraction will be performed by the hamstring muscle. After the contraction, the patient relaxes the muscle for 5 seconds and is taken to a new range. The process is repeated. The patient should not report any pain during the entire technique. The therapist repeats this process 3 times. This technique will be done in one session only. Intervention 3: Intervention group: increasing hamstring muscle length using soft tissue mobilization tool (Graston). The shorter areas of the muscle are Gerston Instrument 4 (GT4) and finally one minute of very short strokes in small points by Greston Instrument 3 (GT3). This process will continue for 10 minutes. This technique will be done in one session only.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
All data is potentially shareable after un-identification of individuals

When:
Jan 2022

To whom:
It will be available only to researchers working in academic and scientific institutions.

Conditions:
The data will be delivered to the applicants only for meta-analysis.

Where to obtain:
Salman Nazary-Moghadam
Nazaryms@mums.ac.ir

How to obtain:
After mailing, the request will be considered after two weeks, and the data will be delivered to the applicant.

Comments:
No comments.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Afrooz Yahya zadeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Mashhad- Azadi Square- East door of Ferdowsi University of Mashhad- University campus- Faculty of Paramedical Sciences</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9177948964</zip>
        <telephone>+98 51 3884 6710</telephone>
        <email>afruzyayapt1371@yahoo.com</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Afsaneh Zeinalzadeh Ghoochani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Mashhad- Azadi Square- East door of Ferdowsi University of Mashhad- University campus- Faculty of Paramedical Sciences</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9177948964</zip>
        <telephone>+98 51 3884 6710</telephone>
        <email>ZeinalzadehAF@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Healthy athletes aged 18-50 years
Passive Straight Leg Raising Test should be 70 degrees or less (the lumbar spine arch will be maintained by the roll to prevent posterior pelvic tilt during the test</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>50 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Skin infections
Symptoms of lumbar disc herniation and neurological symptoms
Skin allergies
No injuries or surgery on the hip and knee joint in the last 6 months
No damage to the hamstring muscle in the last 2 months</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M63.8</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Disorders of muscle in diseases classified elsewhere</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: increasing hamstring muscle length using Hold Relax The patient performs the usual warm-up ten minutes before exercise. The hold-relax technique will be performed. The patient is in the supine position and the hip joint is in a 90 degree flexion position. The therapist will hold the patient's knee for 7 seconds until the person reports a slight feeling of tightness in their hamstring muscle. The patient is then asked to hold his or her knee  (by pushing the foot toward the bed against the therapist's resistance) 80-90% maximal voluntary contraction for 7 seconds. It is important to note that no movement should be performed on the patient's knee and that a completely isometric contraction should be performed by the hamstring muscle. After the contraction, the patient relaxes the muscle for 5 seconds and is taken to a new range. The process will be repeated three times. The patient should not report any pain during the entire technique. This technique will be done in one session only.</i_keyword>
      <i_keyword>Intervention group: increasing hamstring muscle length using muscle energy technique. In this group, the patient performs the usual pre-workout warm-ups for ten minutes, followed by MET. The patient will be supine on the bed and the hip joint will be in a 90 degree flexion position. The therapist holds the patient's knee until the person reports a slight stretch in their hamstring muscle. The patient is then asked to maintain his or her knee at 15-20% of maximum voluntary contraction (by pushing the foot toward the bed against the therapist's resistance) for 7 seconds. It is important to note that no movement should be performed on the patient's knee and a completely isometric contraction will be performed by the hamstring muscle. After the contraction, the patient relaxes the muscle for 5 seconds and is taken to a new range. The process is repeated. The patient should not report any pain during the entire technique. The therapist repeats this process 3 times. This technique will be done in one session only.</i_keyword>
      <i_keyword>Intervention group: increasing hamstring muscle length using soft tissue mobilization tool (Graston). The shorter areas of the muscle are Gerston Instrument 4 (GT4) and finally one minute of very short strokes in small points by Greston Instrument 3 (GT3). This process will continue for 10 minutes. This technique will be done in one session only.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Active Knee Extension Test. Timepoint: Before and immediately after treatment. Method of measurement: Active Knee Extension Test.</prim_outcome>
      <prim_outcome>Passive Straight Leg Raising test score measured by The value of the angle. Timepoint: Before and immediately after treatment. Method of measurement: Passive Straight Leg Raising Test.</prim_outcome>
      <prim_outcome>Toe Touch Test score. Timepoint: Before and immediately after treatment. Method of measurement: Toe Touch Test.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Mashhad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-07-07</approval_date>
        <contact_name>The Ethics Committee of Mashhad University of Medical Sciences</contact_name>
        <contact_address>Opposite University Street 18, University street Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
