Comparison of the Effects of Dry Needling and Cupping therapy on Pain Intensity, Range of Motion, and Function of the Hamstring Muscle with Active Myofascial Trigger Points in amateur athletes
To compare the effects of dry needling and cupping therapy in hamstring mucle with active trigger points
Design
This study involves the voluntary allocation of participants after they sign a consent form. Randomization is performed using the block randomization method with a block size of 4 to ensure participants are balanced between the two intervention groups (dry needling + static stretching or cupping therapy + static stretching). Within each block of 4 individuals, 2 are assigned to each group to maintain balance between the groups.
Settings and conduct
The initial collection of participant demographics (age, weight, height) and all assessments will be conducted by a blinded physical therapist at the Tehran Physiotherapy Clinic and Rehabilitation School. These assessments will take place at four time points: baseline, immediately after the first session, after the final session, and two weeks post-treatment.
Participants/Inclusion and exclusion criteria
Individuals aged 18 to 40 years
- Patients with active trigger points in the hamstring muscle, diagnosis of active trigger points will be performed according to the Travell & Simons criteria
Exclusions:
- Having a history of orthopedic or neurological problems in the lower extremities
- Having back pain at the time of the study
Intervention groups
The group receiving static stretch and dry needling
and the group receiving static stretch and cupping therapy
Main outcome variables
Pain intensity - range of motion - hamstring muscle flexibility with active knee extension test - passive stretch tolerance of hamstring muscles - peak passive torque of hamstring muscles against stretch
General information
Reason for update
Acronym
CUDHAM-RCT
IRCT registration information
IRCT registration number:IRCT20260214068853N1
Registration date:2026-04-20, 1405/01/31
Registration timing:registered_while_recruiting
Last update:2026-04-20, 1405/01/31
Update count:0
Registration date
2026-04-20, 1405/01/31
Registrant information
Name
Sara Delsuz
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 5635 0670
Email address
s_delsuz@student.tums.ac.ir
Recruitment status
recruiting
Funding source
Expected recruitment start date
2026-04-20, 1405/01/31
Expected recruitment end date
2026-06-20, 1405/03/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the Effects of Dry Needling and Cupping therapy on Pain Intensity, Range of Motion, and Function of the Hamstring Muscle with Active Myofascial Trigger Points in amateur athletes
Public title
Dry Needling and cupping therapy in Hamstring muscle
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Patients with active trigger points in the hamstring muscle (assessed by physiotherapist)
Pain intensity according to the VAS scale between 3 and 7
Amateur athletes (3 sessions per week or maximum 6 hours of weekly training for at least the last 10 months)
Individuals with hamstring muscle shortening with AKE 90/90 (physiotherapist assessment)
Exclusion criteria:
Having a history of orthopedic or neurological problems in the lower extremities
Having a history of surgery in the back, hip, or knee areas
Having a recent history of hamstring strain
Having upper or lower motor neuron damage
Received treatment in the last three months
women in menstruation cycle
Having a difference in limb length of more than two centimeters
Experience of any injury to the lower extremities within the last three months
Age
From 18 years old to 40 years old
Gender
Both
Phase
N/A
Groups that have been masked
Outcome assessor
Sample size
Target sample size:
30
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization is performed using the Block Randomization method as follows to allocate participants evenly to one of the two intervention groups of dry needling plus static stretch or cupping therapy plus static stretch.
A) Randomization and allocation to groups:
Given that we have 2 groups in this study, the block size must be divisible by 2, which is the most common block size when we have 2 study groups, 4, from each block of 4 people, 2 people are placed in the dry needling group and 2 people in the cupping group.
All possible combinations for a block include AABB, ABAB, ABBA, BBAA, BABA, BAAB…. Each person enters the study based on the order in the selected block. For example, if the randomization block is AABB, the first two people will enter the dry needling group and the second two people will enter the cupping group, so that we finally have two equal groups.
Blinding (investigator's opinion)
Single blinded
Blinding description
This study is single-blind, and the outcome assessor is completely blinded to the participants’ allocation to the treatment groups (dry needling or cupping therapy).
Implementation of Blinding:
Independent Assessment: Outcome assessment is conducted by an individual who has no role in the intervention delivery or participant allocation to groups.
Information Protection: Participant allocation to groups is managed by an assessor external to the research team. The outcome assessor works solely with anonymized participant codes, not group names.
Randomization Method (Blocking): To ensure group balance and prevent premature disclosure of allocation, the blocking method has been employed. In this method, blocks with specific combinations (e.g., AABB, ABAB) are defined, and participants are assigned to groups based on their order of entry into these blocks.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics of commitiee of Nursing and Midwifery ,Tehran University of Medical Sciences
Street address
Zarafshan st. Abzarian , sixth kohsar , number nine , unite 5
City
Eslamshahr
Province
Tehran
Postal code
3314648483
Approval date
2026-04-10, 1405/01/21
Ethics committee reference number
IR.TUMS.FNM.REC.1404.241
Health conditions studied
1
Description of health condition studied
Hamstring Muscle with Active Myofascial Trigger Points
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
hamstring flexibility with active knee extension test, pain intensity with VAS or visual analogue scale, passive compliance of hamstring , peak passive torque during stretch
Timepoint
The assessment periods include one session before the start of treatment, one immediately after the first session, a third after the completion of treatment sessions, and a fourth two weeks after the assessments for follow-up.
Method of measurement
Visual Analog Scale (VAS) for pain, Goniometer, Handheld dynamometer
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group:
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
کلینیک فیزیوتراپی
Full name of responsible person
Sara Delsuz
Street address
Zarafshan st. Abzarian , sixth kouhsar , number 9, unite 5
City
Eslamshahr
Province
Tehran
Postal code
3314648483
Phone
+98 21 5635 0670
Email
saraslifeonig@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Sara Delsuz
Street address
Zarafshan st. Abzarian, sixth kouhsar , number nine , fifth unite
City
Eslamshahr
Province
Tehran
Postal code
3314648483
Phone
+98 21 5635 0670
Email
saraslifeonig@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
No
Title of funding source
Tehran university of medical science
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Sara Delsuz
Position
Physiotherapist
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
Zarafshan street ,Abzarian , sixth Kouhsar
City
Eslamshahr
Province
Tehran
Postal code
3314648483
Phone
+98 21 5635 0670
Fax
Email
saraslifeonig@gmail.com
Web page address
Person responsible for scientific inquiries
Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Sara Delsuz
Position
physiotherapy
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
Zarafshan St. Abzarian Ave, sixth Kouhsar
City
Eslamshahr
Province
Tehran
Postal code
3314648483
Phone
+98 21 5635 0670
Fax
Email
saraslifeonig@gmail.com
Web page address
Person responsible for updating data
Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
sara delsuz
Position
physiotherapist
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
Zarafshan St. Abzarian Ave, sixth Kouhsar
City
Eslamshahr
Province
Tehran
Postal code
3314648483
Phone
+98 21 5635 0670
Email
saraslifeonig@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
No - There is not a plan to make this available
Title and more details about the data/document
Comparison of the effects of dry needling and cupping therapy on pain intensity, range of motion, and hamstring muscle function in amateur athletes.”
Data Description:
“The data includes measurements of pain intensity, range of motion, and hamstring muscle function. As no identifying information was recorded, a significant portion of the data is shareable.
When the data will become available and for how long
Six months after publication
To whom data/document is available
Academic researchers and those who are industrially involved.
Under which criteria data/document could be used
Citation and referencing are fully permitted.
From where data/document is obtainable
via this email address: saraslifeonig@gmail.com
What processes are involved for a request to access data/document
The requester first submits an official request, and after the initial review, assessment of ethical/legal restrictions, and final preparation of the data, the files are provided by the author.
Depending on the type of data, the entire process typically takes between 3 and 20 working days.