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IRCT20220510054804N2 IRCT 2025-06-02 Riphah International Universtiy, Gulberg Green III, Lahore Effects Of Modified Hölmich Protocol versus Eccentric Training In Young Cricketers With Groin Pain ARGP (Adductor-Related Groin Pain) Comparative Effects Of Modified Hölmich Protocol versus Eccentric Training On Strength, Speed And Agility In Young Cricketers With Groin Pain 2024-07-07 anticipated 46 Complete https://irct.ir/trial/83193 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Other, Purpose: Treatment, Randomization description: After evaluation, individuals will be randomly allocated as a cluster to either the group receiving the intervention (of modified Hölmich protocol) or the group receiving the intervention (eccentric strengthening training). This will be done randomly using table of random numbers to reduce the risk of bias, Blinding description: Blinding in this study will involves making sure that the evaluator who measure outcome variables (pain, power, speed and agility) will be uninformed of which participants will be in which intervention cluster groups and the participants will also be blinded so that they will not be aware of other cluster group. This double-blind strategy will help to avoid measurement bias. N/A Groin pain associated with adductor muscle strain inn young cricketers. Intervention 1: Intervention group: Group 1 After giving participants baseline treatment. Group 1 have performed modified Hölmich protocol training which is in two parts. Part 1 will be used from week 1-3 and Part 2 will be used from week 3 to onwards. Part 1 includes Isometric, pain-free adduction against a soccer ball placed between the knees in the crook lying position, Bilateral straight leg raising in a seated V position, Isometric standing hip adduction using elastic bands (both legs should be trained), Abdominal sit-ups in both straight and oblique directions, Prone bridging on forearms and toes (the back should be completely straight), Unilateral bridge exercise starting from the crook lying position (with one knee flexed and the opposite hip and knee extended so that trunk is in neutral spine alignment, Wobble board balance training (beginning with both feet and gradual increase in difculty by single leg standing and then adding some maneuvers like small knee bends to challenge the balance . Part 2 included Low back extension exercise in the prone position with arms at the sides, Abdominal sit-ups, in both straight and oblique directions, while holding a 3 kg medicine ball in hands, Standing hip add-abd. exercise with elastic bands (both legs) , Folding knife sit-ups beginning from the crook lying position, with a soccer ball located between the knees, simultaneous ab. sit-ups and hip flex , In the prone position with arms stretched overhead, partial lifting of opposite arm and leg for 6 sec and then reverse sides, Prone bridging on forearms and toes with single limb lifting (Rt. arm, Lt. arm, Rt. leg, and Lt. leg are lifted consecutively, Side bridging on the elbow plus single hip abd, Unilateral bridge exercise. Start from crook lying position with one knee flexed and the opposite hip and knee extended while the flexed limb is on an unstable surface such as a Dyna Disc®, Copenhagen Adduction exercise beginning from the 7th week, if it does not provoke pain. Intervention 2: Intervention group: Group 2 After giving participants baseline treatment. Group B have performed eccentric strength training which included dynamic hip adduction with resistance band wrapped around ankle joint, eccentric hip adduction, isometric hip abduction and isometric hip adduction. Yes - There is a plan to make this available What will be shared: Cases of groin pain associated with adductor muscle strain in young cricketers with the primary outcome measures of pain, strength, speed and agility When: Data will be available after completion of trial (i.e 28 August 2025) and publication period and will be available until removed upon the author's demand To whom: To all the researchers community, analysts and clinicians Conditions: For research purpose and evidence based practice at clinics for the imporved treatment of adductor related groin pain in young cricketers and other athletes (i.e footballers) as well as applicable to the general patients also suffering with the same condition. Where to obtain: Google scholar (https://scholar.google.com/) and PubMed (https://pubmed.ncbi.nlm.nih.gov/) How to obtain: None Comments:
public Muhammad Farhan
25 Raza Saeed Rd, Bhabra Block M Gulberg III, Lahore, Punjab 25-M Block, Lahore
Lahore Pakistan 54660 +92 309 6670876 farhangujjar607@gmail.com Riphah International University, Lahore scientific Dr.Muhammad Farhan;PT
25 Raza Saeed Rd, Bhabra Block M Gulberg III, Lahore, Punjab 25-M Block, Lahore
Lahore Pakistan 54660 +92 309 6670876 54192@students.riphah.edu.pk Riphah International University, Lahore Pakistan Pakistan Professional Cricketers aged under 19 years Cricketers ranging from 15-19 years (ICC Player Eligibility Regulations Article 4) Self-reported groin pain presenting during sport or at rest (unilateral or bilateral) Obvious history of morning groin pain and stiffness Only male cricketers 15 years 19 years Male Radiating pain or pain with neurogenic and systemic origin History of pelvic or lower extremity fracture and surgery Trochanteric bursitis Inguinal or femoral hernia Persistent urinary tract disease S76.21 Strain of adductor muscle, fascia and tendon of thigh Treatment - Other Treatment - Other Intervention group: Group 1 After giving participants baseline treatment. Group 1 have performed modified Hölmich protocol training which is in two parts. Part 1 will be used from week 1-3 and Part 2 will be used from week 3 to onwards. Part 1 includes Isometric, pain-free adduction against a soccer ball placed between the knees in the crook lying position, Bilateral straight leg raising in a seated V position, Isometric standing hip adduction using elastic bands (both legs should be trained), Abdominal sit-ups in both straight and oblique directions, Prone bridging on forearms and toes (the back should be completely straight), Unilateral bridge exercise starting from the crook lying position (with one knee flexed and the opposite hip and knee extended so that trunk is in neutral spine alignment, Wobble board balance training (beginning with both feet and gradual increase in difculty by single leg standing and then adding some maneuvers like small knee bends to challenge the balance . Part 2 included Low back extension exercise in the prone position with arms at the sides, Abdominal sit-ups, in both straight and oblique directions, while holding a 3 kg medicine ball in hands, Standing hip add-abd. exercise with elastic bands (both legs) , Folding knife sit-ups beginning from the crook lying position, with a soccer ball located between the knees, simultaneous ab. sit-ups and hip flex , In the prone position with arms stretched overhead, partial lifting of opposite arm and leg for 6 sec and then reverse sides, Prone bridging on forearms and toes with single limb lifting (Rt. arm, Lt. arm, Rt. leg, and Lt. leg are lifted consecutively, Side bridging on the elbow plus single hip abd, Unilateral bridge exercise. Start from crook lying position with one knee flexed and the opposite hip and knee extended while the flexed limb is on an unstable surface such as a Dyna Disc®, Copenhagen Adduction exercise beginning from the 7th week, if it does not provoke pain. Intervention group: Group 2 After giving participants baseline treatment. Group B have performed eccentric strength training which included dynamic hip adduction with resistance band wrapped around ankle joint, eccentric hip adduction, isometric hip abduction and isometric hip adduction. Primary outcome includes improvement in groin pain, strength, speed and agility. Timepoint: outcomes are measured at three different time intervals which are base line, at the end of 4th week and at the end of 8th week. Method of measurement: Pain was measured using NPRS, Strength was measured using a dynamometer, Speed and Agility was measured in seconds by performing T-test. Riphah International Universtiy, Gulberg Green III, Lahore Approved 2024-07-30 Research and Ethical Committee Riphah College of Rehabilitation Sciences, Faculty of Rehabilitation 26-M Gulberg III, Lahore Faisalabad Punjab Pakistan