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Instrument Assisted Soft Tissue Mobilization vs Therapeutic Cupping on Hamstring Tightness Among Football Players

NCT06197971 — Not applicable, Unknown, 30 participants, Riphah International University

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Comparative Effects of Instrument Assisted Soft Tissue Mobilization and Therapeutic Cupping on Hamstring Tightness Among Football Players

RegistryNCT06197971
StatusUnknown
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: single, other
Enrollment30 (Estimated)
SponsorRiphah International University (Other)
ConditionsFlexibility, Hamstring Tightness, Instrument Assisted Soft Tissue Mobilization, Range of Motion
InterventionsInstrument Assisted Soft Tissue Mobilization, Therapeutic Cupping Technique (Other)
Datesstart 2023-10-20, primary completion 2024-02-20 (estimated), completion 2024-02-20 (estimated), first posted 2024-01-09, last updated 2024-01-30
Locations1 site in Pakistan

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-Summary

The study is randomized and single-blinded. Ethical approval is taken from ethical committee of Riphah International University, Lahore. Participants who meet the inclusion criteria will be enrolled and allocated in group A \& B through sealed envelope method by Non-probability Convenient random sampling technique. Subjects in Group A will receive Instrument Assisted Soft Tissue Mobilization. Group B will receive Therapeutic Cupping.

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+Detailed description

The objective of the study is to determine the effects of Instrument Assisted Soft Tissue Mobilization and Therapeutic Cupping on Hamstring tightness among football players. The study is randomized and single-blinded. Ethical approval is taken from ethical committee of Riphah International University, Lahore. Participants who meet the inclusion criteria will be enrolled and allocated in group A \& B through sealed envelope method by Non-probability Convenient random sampling technique. Subjects in Group A will receive Instrument Assisted Soft Tissue Mobilization. Group B will receive Therapeutic Cupping. Players will be assessed by Numeric pain rating scale, Universal Goniometer and Sit \& Reach Test after the completion of treatment at 6 weeks.

The data will be analyzed by SPSS, version 25. Statistical significance is P=0.05.

+Arms and interventions

ArmTypeInterventionsDescription
Instrument Assisted Soft Tissue MobilizationOtherOther: Instrument Assisted Soft Tissue MobilizationThe therapist will assess the hamstrings to identify areas of restriction or dysfunction. They will use the Graston Technique instruments to apply strokes and movements along the length of the muscle fibers. Sweeping strokes, cross-fiber friction, and circular motions patterns will be applied. The duration of the IASTM treatment will be 15-30 minutes.
Therapeutic Cupping TechniqueOtherOther: Therapeutic Cupping TechniqueAfter thorough assessment of the Hamstring area, a thin layer of lubricant will be applied on the area about to be cupped. Stationary cupping technique will be used for a duration of 5-15 minutes with multiple Silicone Cups applied on the Hamstrings. For cupping the hamstrings, cups with a diameter of around 1.5 to 2.5 inches (3.8 to 6.4 cm) will be suitable considering the large area of treatment
  • Instrument Assisted Soft Tissue Mobilization (Other): Graston Technique instruments to apply strokes and movements along the length of the muscle fibers. Sweeping strokes, cross-fiber friction, and circular motions patterns will be applied on hamstring muscles.
  • Therapeutic Cupping Technique (Other): Stationary cupping technique will be used for a duration of 5-15 minutes with multiple Silicone Cups applied on the Hamstrings.

+Outcome measures

Primary outcomes

  • Hamstring pain [pre and 6 weeks post interventional]: Patient level of pain will be assessed by using Numerical Rating Scale (NRS) ranging from 0 to 10
  • Range of motion [pre and 6 weeks post interventional]: A goniometer is an instrument that measures the available range of motion at a joint.
  • Flexibility [pre and 6 weeks post interventional]: The sit and reach test will be used to assess the flexibility of the hamstring muscles.

+Eligibility

Sex: Male, ages: 18 Years to 25 Years, accepts healthy volunteers

Inclusion Criteria:

* Age (18-25),Male Gender Only,
* Football Players, Bilateral Hamstring Tightness,
* Previous hamstring injury in the last 6 months,
* Positive SLR test,
* Positive Passive/Active Knee Extension test

Exclusion Criteria:

* Malignancy of lower limb,
* History of Lower Limb fracture in the last 6 months,
* Post-surgical condition from past 6 months,
* Neurological Conditions such as SLE, Herpes zoster, parkinsonism, Shingles disease, Musculoskeletal disorders like adductor tendinopathy, low back pain, knee injuries, hip injuries,
* Skin Allergies.

+Locations (1)

FacilityCityCountryStatus
Pakistan sports boardLahore, Punjab ProvincePakistanRecruiting

+Publications

  • Bridgett R, Klose P, Duffield R, Mydock S, Lauche R. Effects of Cupping Therapy in Amateur and Professional Athletes: Systematic Review of Randomized Controlled Trials. J Altern Complement Med. 2018 Mar;24(3):208-219. doi: 10.1089/acm.2017.0191. Epub 2017 Nov 29. PMID 29185802
  • Cheatham SW, Baker R, Kreiswirth E. INSTRUMENT ASSISTED SOFT-TISSUE MOBILIZATION: A COMMENTARY ON CLINICAL PRACTICE GUIDELINES FOR REHABILITATION PROFESSIONALS. Int J Sports Phys Ther. 2019 Jul;14(4):670-682. PMID 31440416
  • Ikeda N, Otsuka S, Kawanishi Y, Kawakami Y. Effects of Instrument-assisted Soft Tissue Mobilization on Musculoskeletal Properties. Med Sci Sports Exerc. 2019 Oct;51(10):2166-2172. doi: 10.1249/MSS.0000000000002035. PMID 31083046
  • Kim J, Sung DJ, Lee J. Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application. J Exerc Rehabil. 2017 Feb 28;13(1):12-22. doi: 10.12965/jer.1732824.412. eCollection 2017 Feb. PMID 28349028
  • Baker RT, Nasypany A, Seegmiller JG, Baker JG. Instrument-assisted soft tissue mobilization treatment for tissue extensibility dysfunction. International Journal of Athletic Therapy and Training. 2013 Sep 1;18(5):16-21.
  • Cheatham SW, Lee M, Cain M, Baker R. The efficacy of instrument assisted soft tissue mobilization: a systematic review. J Can Chiropr Assoc. 2016 Sep;60(3):200-211. PMID 27713575
  • Thomas K. Blood Flow Restriction and Other Innovations in Musculoskeletal Rehabilitation. In: Endurance Sports Medicine: A Clinical Guide. Cham: Springer International Publishing; 2023. p. 237-266
  • Hartnett DA. Gua sha therapy in the management of musculoskeletal pathology: a narrative review. Phys Ther Rev. 2022;27(3):169-175.
  • Warren AJ, LaCross Z, Volberding JL, O'Brien MS. ACUTE OUTCOMES OF MYOFASCIAL DECOMPRESSION (CUPPING THERAPY) COMPARED TO SELF-MYOFASCIAL RELEASE ON HAMSTRING PATHOLOGY AFTER A SINGLE TREATMENT. Int J Sports Phys Ther. 2020 Aug;15(4):579-592. PMID 33354391

+Investigators

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