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

Range of Motion Clinical Trial

Official title:

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

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06197971
• Other study ID #: REC/RCR&AHS/23/0461
• Status: Recruiting
• Phase: N/A
• Start date: October 20, 2023
• Est. completion date: February 20, 2024

Study information

• Verified date: January 2024
• Source: Riphah International University
• Contact: Imran Ghafoor, M Phil
• Phone: 0334-4292887
• Email: imran.ghafoor[@]riphah.edu.pk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 30
• Est. completion date: February 20, 2024
• Est. primary completion date: February 20, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Male
• Age group: 18 Years to 25 Years

Eligibility

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.

Related Conditions & MeSH terms

• Flexibility
• Hamstring Tightness
• Range of Motion

Intervention

Other:
• Instrument Assisted Soft Tissue Mobilization
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
Stationary cupping technique will be used for a duration of 5-15 minutes with multiple Silicone Cups applied on the Hamstrings.

Locations

Country	Name	City	State
Pakistan	Pakistan sports board	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (9)

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.

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. — View Citation

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. — View Citation

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. — View Citation

Hartnett DA. Gua sha therapy in the management of musculoskeletal pathology: a narrative review. Phys Ther Rev. 2022;27(3):169-175.

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. Erratum In: Med Sci Sports Exerc. 2020 Feb;52(2):524. — View Citation

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. — View Citation

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

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. — View Citation

Outcome

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