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IRCT20230413057901N1 IRCT 2023-09-20 The University of Faisalabad Hamstring touching Immediate effect of Mulligan ‘s bent leg raise versus active release technique on hamstring tightness in asymptomatic individuals 2023-04-10 anticipated 26 Complete https://irct.ir/trial/69890 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Academic, Randomization description: Randomization is done through sealed envelopes; a simple random method is used by means of the Lottery method; concealment of allocation is also done, Blinding description: Participants and data analyzer are blinded. Subjects are unaware of their assigned groups (treatment) due to identical presentation of treatment.In investigator-initiated trials, the patient is not involved in treatment allocation discussions with participants. Care providers are blinded to subjects treatment ensuring unbiased care delivery.Those collecting data are uninformed about treatment allocation ,maintaining objective data gathering. Data safety and monitoring board 's access to treatment information is limited, focusing on safety. N/A Hamstring tightness. Intervention 1: Intervention group 1: Mulligan's BLR: Subjects in this group undergo a single session of this exercise on their dominant side. Participant's Position is lying on their backs at the plinth's edge with knee and hip at 90° heel coming off the plinth and flexion. Walk while adopting the affected side's stance. The inner hand's shoulder is positioned beneath the popliteal fossa. With both hands, the therapist holds the lower portion of the thigh. The femur's long axis is subjected to longitudinal traction, and the therapist bends the hip until they feel resistance. The contract-relax technique is used when a patient complains of stretch pain or the therapist experiences resistance because of tight muscles. The participant is requested to gently push the therapist’s shoulder (hold for five seconds) If there is no pain, the therapist can now further flex the patient's hip. Before adding more hip flexion, the hip can be moved into abduction, external rotation, or extra traction if patients report pain during this technique. Remain in the final position for roughly 20 seconds. Perform the procedure three more times and then evaluate the results of the mobilization. Intervention 2: Intervention group 2: Active Release Group : Active Release Technique (ART) was applied to subjects once on the dominant side. The ART procedure consists of 3 phases.• The subject was asked to lay supine on the plinth, and the hamstring muscle was gently pulled throughout its whole length as the leg was stretched in various postures to better train the muscle• At the insertion and origin of the hamstring muscle, light stress was applied• Since the hamstring connects to the adductors and gluteus muscle, which may be the cause of hamstring tightness, gentle stress was applied around these muscles. Yes - There is a plan to make this available What will be shared: IPD will be included their demographic information, medical history ,treatment assignment and outcome measurements. When: 08-11-2023 To whom: Academic Conditions: For research purpose only Where to obtain: dr.toheed112@gmail.com How to obtain: Inquirer must provide cover letter stating their reason to obtain data and details of the research. If any researcher share their approval letter and summary of the ongoing research. Within a day applicant will be responded. Comments:
public Anum Toheed
Street no 3
Faisalabad Pakistan 38000 +92 308 6634924 dr.toheed112@gmail.com The University of Faisalabad scientific Mariam Mahmood
Street no 3
Faisalabad Pakistan 38000 +92 301 4223896 mariam.mehmood@tuf.edu.pk The university of Faisalabad Pakistan Straight leg raise range of motion less than 75° Both male and female participants Age range of 18 to 40 years Willingness to participate in the study Tightness of hamstring measured by Active knee extension test with angle of popliteal less than 70 ° Normal healthy Subjects 18 years 30 years Both Recent fractures Neurological disorders Recent trauma Spinal Surgery Osteoporosis Low back pain Orthopedic disease affecting lower limb (meniscal injury, femoral fracture etc.) M62. 461 other muscle spasm Treatment - Other Treatment - Other Intervention group 1: Mulligan's BLR: Subjects in this group undergo a single session of this exercise on their dominant side. Participant's Position is lying on their backs at the plinth's edge with knee and hip at 90° heel coming off the plinth and flexion. Walk while adopting the affected side's stance. The inner hand's shoulder is positioned beneath the popliteal fossa. With both hands, the therapist holds the lower portion of the thigh. The femur's long axis is subjected to longitudinal traction, and the therapist bends the hip until they feel resistance. The contract-relax technique is used when a patient complains of stretch pain or the therapist experiences resistance because of tight muscles. The participant is requested to gently push the therapist’s shoulder (hold for five seconds) If there is no pain, the therapist can now further flex the patient's hip. Before adding more hip flexion, the hip can be moved into abduction, external rotation, or extra traction if patients report pain during this technique. Remain in the final position for roughly 20 seconds. Perform the procedure three more times and then evaluate the results of the mobilization Intervention group 2: Active Release Group : Active Release Technique (ART) was applied to subjects once on the dominant side. The ART procedure consists of 3 phases.• The subject was asked to lay supine on the plinth, and the hamstring muscle was gently pulled throughout its whole length as the leg was stretched in various postures to better train the muscle• At the insertion and origin of the hamstring muscle, light stress was applied• Since the hamstring connects to the adductors and gluteus muscle, which may be the cause of hamstring tightness, gentle stress was applied around these muscles Active knee Extension Test score. Timepoint: Before intervention and immediately after the intervention. Method of measurement: Active knee Extension Test. Sit and reach flexibility test. Timepoint: Before intervention and after immediate application of intervention. Method of measurement: range of motion of extension of hip for hamstring flexibility. Straight leg raise. Timepoint: Before intervention and after immediate application of intervention. Method of measurement: range of motion of hip extension. The University of Faisalabad Approved 2023-01-08 Prof dr Aliya Fehmi Street no 3 Faisalabad Punjab Pakistan