| CTRI Number |
CTRI/2024/08/071983 [Registered on: 06/08/2024] Trial Registered Prospectively |
| Last Modified On: |
15/03/2026 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Comparision between effectiveness of open kinetic chain exercises and close kinetic chain exercises with common use of stretching in football players with addudctor groin pain |
|
Scientific Title of Study
|
Effectiveness of open kinetic chain exercises versus close kinetic chain exercises with common use of stretching in football players with addudctor groin pain |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Abhas Pratyush |
| Designation |
Master of Physiotherapy student |
| Affiliation |
Burdwan institute of medical and life sciences |
| Address |
Exercise therapy lab, ground floor, department of Physiotherapy, Burdwan institute of medical and life sciences, university Campus, Golapbag, Burdwan-713104
Barddhaman WEST BENGAL 713104 India |
| Phone |
9836393024 |
| Fax |
|
| Email |
apratyush1996@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
MS Anwar |
| Designation |
Principal |
| Affiliation |
Burdwan institute of medical and life sciences |
| Address |
Exercise therapy lab, ground floor, department of Physiotherapy, Burdwan institute of medical and life sciences, university Campus, Golapbag, Burdwan-713104
Barddhaman WEST BENGAL 713104 India |
| Phone |
9732445289 |
| Fax |
|
| Email |
anwarshahzada@yahoo.com |
|
Details of Contact Person Public Query
|
| Name |
Amartya Mallick |
| Designation |
Assistant Professor |
| Affiliation |
Burdwan institute of medical and life sciences |
| Address |
Exercise therapy lab, ground floor, department of Physiotherapy, Burdwan institute of medical and life sciences, university Campus, Golapbag, Burdwan-713104
Barddhaman WEST BENGAL 713104 India |
| Phone |
9547207113 |
| Fax |
|
| Email |
dr.amartyamallick20@gmail.com |
|
|
Source of Monetary or Material Support
|
| Burdwan Institute of Medical and Life Sciences, University Campus, Golapbag, Burdwan,713104 |
|
|
Primary Sponsor
|
| Name |
Dr Abhas Pratyush |
| Address |
Burdwan institute of medical and life sciences, university campus, Golapbag, Burdwan-713104 |
| Type of Sponsor |
Other [Self] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Abhas Pratyush |
Burdwan institute of medical and life sciences |
Exercise therapy lab, ground floor, department of Physiotherapy, Burdwan institute of medical and life sciences, university Campus, Golapbag, Burdwan-713104 Barddhaman WEST BENGAL |
9836393024
apratyush1996@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Ethics committee of Burdwan Institute of Medical and Life Sciences Bardhaman India |
Approved |
|
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Regulatory Clearance Status from DCGI
|
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Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: S762||Injury of adductor muscle, fasciaand tendon of thigh, |
|
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Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
CLOSE KINETIC CHAIN EXERCISES WITH STRETCHING |
Close kinetic chain exercise is a type of exercise where both the distal and proximal part of limbs are fixed. Movement at any one joint in the kinetic chain requires motion at the other joint in the kinetic chain as well. Thus, both proximal and distal part receives resistance training at the same time.
Stretching is a therapeutic exercise that is designed to increase soft tissue extensibility with the intent of improving flexibility and Range of Motion (ROM) by elongating (lengthening) structures that have shortened and become hypomobile.
The treatment will be given for 4 sessions in a week up to 5 weeks. |
| Intervention |
OPEN KINETIC CHAIN EXERCISES WITH STRETCHING |
Open kinetic chain exercise is a type of exercise therapy that allows the distal part of the limb to move freely, while the proximal part is fixed. It plays an important role in isolating individual and muscle group. It tends to generate more distraction and rotational force and is often used with constrict muscle contraction.
Stretching is a therapeutic exercise that is designed to increase soft tissue extensibility with the intent of improving flexibility and Range of Motion (ROM) by elongating (lengthening) structures that have shortened and become hypomobile.
The treatment will be given for 4 sessions in a week up to 5 weeks. |
|
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Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
25.00 Year(s) |
| Gender |
Both |
| Details |
1. Age limit – 18 to 25 years.
2. Sex – male and female.
3. Unilateral or Bilateral Pain.
4. History of growing pain for at least 2 months.
5. Clinically diagnosed groin pain.
6. Not able to fully participate in football, due to groin pain.
In addition, at least two of the following criteria have to be found-
a. A clear history of morning groin pain and stiffness.
b. Groin pain due to sneezing or coughing.
c. Night groin pain.
d. Radiologic sign suggestive of Osteitis Pubis. |
|
| ExclusionCriteria |
| Details |
1. Clinical finding indicating in inguinal or femoral hernia.
2. Diagnosed chronic urinary tract disease.
3. Clinically diagnosed backache from 10th thoracic segment to the 5th lumber segment,
including the facet joint, the presence of any malignant disease.
4. Radiological evidence of co-existing fracture of pelvis or lower extremities.
5. Any other condition of lower extremities preventing the patient from completing the
treatment program.
6. Clinical finding showing nerve entrapment of ilioinguinal, Genito femoral or lateral
femoral cutaneous nerve.
7. Patients on NSAID.
8. Radiological evidence of hip joint arthritis, hip joint disease, bursitis. |
|
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Method of Generating Random Sequence
|
Other |
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Method of Concealment
|
Alternation |
|
Blinding/Masking
|
Participant and Outcome Assessor Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| The Copenhagen Hip and Groin Outcome Score(HAGOS) |
1st day of treatment and after 5 weeks of treatment |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Visual Analogue Scale (VAS) |
1st day of treatment and after 5 weeks of treatment |
|
|
Target Sample Size
|
Total Sample Size="30" Sample Size from India="30"
Final Enrollment numbers achieved (Total)= "30"
Final Enrollment numbers achieved (India)="30" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
12/08/2024 |
| Date of Study Completion (India) |
13/05/2025 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Date Missing |
|
Estimated Duration of Trial
|
Years="0" Months="8" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Completed |
|
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
Modification(s)
|
INTRODUCTION Groin pain is a common problem in athletes mostly affecting those who participate in activities such as kicking, repeated running, and sudden change in direction. It comprises of 2% to 5% of the sports injuries. In this adductor-related groin pain (ARGP) is the most common groin problem in multi-directional sports. The adductor longus muscle tendon complex is often involved in acute and gradual-onset injuries such as at the myotendinous junction or the musculotendinous insertion at the pubic bone. OPEN KINETIC CHAIN EXERCISES : Open kinetic chain (OKC) exercises involve isolated movements around a single joint, often without any weights. They target the free-moving end of the limb, called the distal segment and resistance is also applied here. An example of this is when resistance is applied to the ankle while the seated knee is extended. These exercises activate muscles in a chain, starting from the anchor point (proximal) towards the moving end (distal), which can help improve the ability to generate quick bursts of speed and power. CLOSE KINETIC CHAIN EXERCISES : Close kinetic chain generally support the weight. Unlike Open kinetic chain exercises, some joints have movement, but none are completely free to move. Both the distal and proximal joints are fixed and resistance is applied. Resistance can be applied to both the proximal and distal segments. An example of this is a squat. These exercises provide early stability of the proximal joint. STRETCHING : Stretching is a general term used to describe any therapeutic exercises designed to increase soft tissue extensibility that is aimed to improve flexibility and Range of motion by elongating or lengthening structures which are shortened and have become hypomobile. NEED FOR STUDY : Adductor-related groin pain (ARGP) is the most common groin problem in multi-directional team sports. Defined as a musculotendinous junction injury with pain on adductor tendon or on palpation of tendinous attachment to the pubic bone. In this study, an effort will be made to find out the effectiveness of the Open kinetic chain Exercises and Close Kinetic Chain Exercises with common use of stretching to reduce pain and improve functional abilities in football player with adductor groin pain. Though there is limited documented research comparing the two approaches with common use of Stretching in football players. Therefore, a study comparing the efficacy of the two approaches with stretching would be valuable in determining the optimal rehabilitation for patients with adductor groin pain.
OBJECTIVE OF RESEARCH: 1. To evaluate the effectiveness of Open Kinetic Chain Exercises with Stretching in reducing pain and improving functional abilities in football players with adductor groin pain. 2. To evaluate the effectiveness of Close Kinetic Chain Exercises with Stretching in reducing pain and improving functional abilities in football players with adductor groin pain. 3. To compare the effectiveness of Open Kinetic Chain Exercise Versus Close Kinetic Chain Exercises with common use of Stretching in football players with Adductor Groin Pain. RESEARCH HYPOTHESIS NULL HYPOTHESIS (H0): There will be no significant difference between the effectiveness of Open Kinetic Chain Exercises Versus Close Kinetic Chain Exercises with common use of Stretching in football players with Adductor Groin Pain. ALTERNATIVE HYPOTHESIS (H1): There will be significant difference between the effectiveness of Open Kinetic Chain Exercises Versus Close Kinetic Chain Exercises with common use of Stretching in football players with Adductor Groin Pain. Expected outcome: Both the groups are expected to show improvement after five weeks of intervention for adductor groin pain in football players. However, whether they are statistically significant and if there will be any difference between the two interventions remains to be seen.
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