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CTRI Number  CTRI/2024/05/067033 [Registered on: 08/05/2024] Trial Registered Prospectively
Last Modified On: 08/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Comparison of Active Release Technique and Positional Release Technique on calf muscle taut band to reduce Pain, Increase Ankle range and Jump Height in Footballer players. 
Scientific Title of Study   Effectiveness of Active Release Technique (ART) Versus Positional Release Technique (PRT) on Gastrocnemius latent Trigger Point to Decrease Pain, Improve Ankle Dorsiflexion and Vertical Jump Height in Footballers- A Comparative Study. 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR ARSHEE SAUD BAGDADI 
Designation  MPT First year Sports Medicine 
Affiliation  D V V P Fs College of Physiotherapy 
Address  Department of sports medicine physiotherapy basement Dr Vithalrao Vikhe Patil college of physiotherapy Ahmednagar MAHARASHTRA 414111 India Ahmadnagar

Ahmadnagar
MAHARASHTRA
414111
India 
Phone  7977300602  
Fax    
Email  bagdadiarshi29@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  DR ARSHEE SAUD BAGDADI 
Designation  MPT First year Sports Medicine 
Affiliation  D V V P Fs College of Physiotherapy 
Address  Department of sports medicine physiotherapy basement Dr Vithalrao Vikhe Patil college of physiotherapy Ahmednagar MAHARASHTRA 414111 India Ahmadnagar

Ahmadnagar
MAHARASHTRA
414111
India 
Phone  7977300602  
Fax    
Email  bagdadiarshi29@gmail.com  
 
Details of Contact Person
Public Query  
Name  Dr Anil Kumar 
Designation  associate professor  
Affiliation  D V V P Fs College of Physiotherapy 
Address  Department of sports medicine physiotherapy basement Dr Vithalrao Vikhe Patil college of physiotherapy Ahmednagar MAHARASHTRA 414111 India Ahmadnagar

Ahmadnagar
MAHARASHTRA
414111
India 
Phone  8554990224  
Fax    
Email  shyam.ganvir@gmail.com  
 
Source of Monetary or Material Support  
DVVPFs College of Physiotherapy opp Govt milk dairy MIDC Ahmednagar 
 
Primary Sponsor  
Name  DVVPFs College of Physiotherapy 
Address  Department of sports medicine Block 1 basement DVVPFs college of physiotherapy Oppo Govt Milk Dairy MIDC 414111 Ahmadnagar MAHARASHTRA 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR ARSHEE SAUD BAGDADI  Dr Vithalrao Vikhe Patil College of Physiotherapy.  Department of SPORTS MEDICINE,Dr Vithalrao Vikhe Patil College of Physiotherapy Opp Govt Milk Dairy M I D C Ahmadnagar 414111 MAHARASHTRA, India.
Ahmadnagar
MAHARASHTRA 		 7977300602

bagdadiarshi29@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
DVVPFS College of Physiotherapy Institutional ethical Committe Ahmednagar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  latent trigger points in gastrocnemius. 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Active release technique.  The subject will be in prone lying position. Therapist will stand on side of dominant leg of player. Therapist will first palpate the trigger point manually, for confirming the presence of trigger point pressure algometer will be used. The therapist will then passively flex the knee to 90 degree and plantarflex the ankle. Therapist will apply deep manual pressure on the trigger point and while sustaining it the subject will be asked to actively extended the knee as well as dorsiflexed the ankle. 15 repetitions will perform. Baseline data will be collected before intervention and immediately after the intervention. 
Comparator Agent  Positional release technique.  The subject will be in prone lying position. Therapist will stand on side of dominant leg of player. Therapist will first palpate the trigger point manually, for confirming the presence of trigger point pressure algometer will be used. The therapist will passively flex the knee to 90 degree and plantar-flex the ankle by pressing the calcaneus cephalad towards the tender point while simultaneously applying pressure on trigger point. Internal rotation of the tibia will be used to fine tune the position. This position will be held for 90 seconds. 3 repetitions will be performed. Baseline data will be collected before intervention and immediately after the intervention.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  Age group: 18-30 years.
Playing hours ≥ 2 hours /day.
No of years played ≥ 1 year.
Pain only on palpation.
Pain during palpation of muscle trigger point with 2.5kg/cm2 pressure with pressure algometer.
Diagnostic criteria: (Simon’s criteria)
Presence of palpable taut band in skeletal muscle.
Presence of hypersensitive tender spot in the taut band.
Local twitch response elicited by snapping palpation of taut band.
Reproduction of referred pain pattern in response to compression
 
 
ExclusionCriteria 
Details  1. Active trigger points.
2. Congenital deformity of the foot and ankle.
3. Recent lower limb fractures and surgeries.
4. Peripheral vascular disease
5. Recent injuries to the foot or ankle.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Visual analog scale (VAS)
2. Weight bearing lunge test (WBLT)
3. Sargent vertical jump test
 		 Baseline. 
 
Secondary Outcome  
Outcome  TimePoints 
1. Visual analog scale (VAS)
2. Weight bearing lunge test (WBLT)
3. Sargent vertical jump test
 		 Immediately after intervention. 
 
Target Sample Size   Total Sample Size="41"
Sample Size from India="41" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   25/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   The study is to see the immediate effect  of Active Release Technique V/S Positional Release Technique for gastrocnemius latent trigger points to decrease pain, improve ankle dorsiflexion and vertical jump height in football players. 41 participants will be recruited according to inclusion and exclusion criteria and will be randomly divided into two groups viz ART group and PRT group . Both ART and PRT have been proven to be effective in reducing pain and improving ROM and vertical jump height, but existing study pool lack sufficient previous comparative researches between the two. Hence, current study will focus on the comparison between ART and PRT to give clear idea about superiority of any one technique over other if at all exists and help us understand which intervention will give better results and can be used as first line on-field intervention for the players or whether can be used to expect the same outcome keeping in mind the ease with which interventions can be performed. 
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