Effects of Hold-Relax and Muscle Energy Techniques for Hamstring Flexibility

Child Development Clinical Trial

Official title:

Comparative Effects of Hold-Relax and Muscle Energy Techniques for Hamstring Flexibility In School Going Children

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06198036
• Other study ID #: REC/RCR&AHS/23/0733
• Status: Completed
• Phase: N/A
• Start date: December 1, 2023
• Est. completion date: February 5, 2024

Study information

• Verified date: June 2024
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The most important aspect of physical fitness is flexibility, which can be greatly impacted by bad posture. Long periods of sitting in school going children can cause the hamstring muscles to shorten because they bend the knee. There are numerous methods for improving hamstring flexibility, but very few of them produce immediate results. The purpose of this study will be to compare between the immediate effects of hold-relax proprioceptive neuromuscular facilitation and muscle energy technique (MET) for hamstring flexibility in school going children. This will be the randomized clinical trial in which total time of six month will be utilized after the approval from BASR. Data will be collected from Unique Science School Al-Rehman Campus, Lahore. 106 participants will be taken with 05-12 years of age through purposive sampling technique. Participants will be divided into two equal groups. Participants in group A will be given hold-relax PNF and the group B will underwent METs (reciprocal inhibition). Hamstring ROM will be assessed through AKET. Measurements will be taken by goniometer. Wong-Baker faces pain scale (WBFPS) and Timed 'Up and Go' (TUG) test will be used to evaluate pain and functional mobility respectively. Data will be analyzed on SPSS version 25. Results after statistical analysis will show which technique is more effective and will have best outcomes.

Description:

The most important aspect of physical fitness is flexibility, which can be greatly impacted by bad posture that might occur from a sedentary lifestyle of a person and a reduction in the soft tissues' flexibility cause serious musculoskeletal injuries. Long periods of sitting in school going children can cause the hamstring muscles to shorten because they bend the knee. There are numerous methods for improving hamstring flexibility, but very few of them produce immediate results. The literature demonstrated that the two most successful stretching methods to compare were hold-relax and MET but there is paucity to determine their immediate effectiveness.

The purpose of this study will be to compare between the immediate effects of hold-relax proprioceptive neuromuscular facilitation and muscle energy technique (MET) for hamstring flexibility in school going children and to determine which strategy improves hamstring flexibility in school-aged children the fastest and with the best results. This will be the randomized clinical trial in which total time of six month will be utilized after the approval from BASR. Data will be collected from Unique Science School Al-Rehman Campus, Lahore. 106 participants will be taken with 05-12 years of age through purposive sampling technique. Participants will be divided into two equal groups. Participants in group A will be given hold-relax PNF and the group B will underwent METs (reciprocal inhibition). Hamstring ROM will be assessed through AKET. Measurements will be taken by goniometer. Wong-Baker faces pain scale (WBFPS) and Timed 'Up and Go' (TUG) test will be used to evaluate pain and functional mobility respectively. Data will be analyzed on SPSS version 25. Results after statistical analysis will show which technique is more effective and will have best outcomes

Recruitment information / eligibility

• Status: Completed
• Enrollment: 116
• Est. completion date: February 5, 2024
• Est. primary completion date: February 5, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 5 Years to 12 Years

Eligibility

Inclusion Criteria

• Age 5-12 years children

• Gender (both male and female)

• Normal children

• Hamstring tightness (minimum degree <160 degrees

Exclusion Criteria

• Regular athletes

• Past pathology

• Post fracture of limb

• Leg length discrepancy

• History of spinal cord injury

• Presence of physical deformities

• Subject not willing to participate

• Subject using lower limb prosthesis or orthotic device

Related Conditions & MeSH terms

• Child Development

Intervention

Other:
• Hold-Relax Technique
Participants in this group will be treated with hold-relax PNF Technique
• Muscle Energy Technique
Participants in this group will be treated with Muscle Energy Technique via Reciprocal Inhibition Mechanism

Locations

Country	Name	City	State
Pakistan	Riphah International University	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (1)

Funk D, Swank AM, Adams KJ, Treolo D. Efficacy of moist heat pack application over static stretching on hamstring flexibility. J Strength Cond Res. 2001 Feb;15(1):123-6. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Goniometer	The universal full circle goniometer is arguably the preferred instrument for measuring ROM for the majority of applications to the extremities. This version, which has a body, moving arm, and stationary arm, is the most prevalent. When comparing radiographic measurements with goniometric measurements in sedated and unsedated cats, joint measurements did not change significantly by measurement type. Cronbach alpha values for goniometric joint measurements were more than 0.99.	eight weeks
Primary	Active Knee Extension Test (AKET)	The Active Knee Extension Test measures the range of active knee extension when the hip is flexed as well as the length of the hamstring muscles. If the body positions are sufficiently stable, this test has a high degree of reliability. This test, a self-monitored variation of the active knee extension test, has also proven to be successful when performed by the person being tested. Among healthy individuals, the inter-rater and intra rater dependability has been proven.	eight weeks
Secondary	Wong Baker Faces Pain Scale (WBFPS)	The Wong Baker Faces Pain Scale is a self-report tool designed to determine how much pain children are experiencing. Using scales of various facial expressions and matching a child's pain level to a similar face is one method of measuring pain in children. The Faces scale is an ordinal outcome measure that contains a minimal and predetermined number of categorical responses that are presented in a predetermined pattern. It is used to measure the rating of pain.	Eight weeks
Secondary	Timed 'Up and Go' Test (TUG)	The Timed Up and Go test (TUG test), also used to measure functional mobility in children, is a useful tool. The TUG test calculates how long it takes to stand up, go forward 10 feet, turn around, move backward, and then sit down. The TUG test shows strong consistency and correlation with other evaluation instruments.	Eight Weeks