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CTRI Number  CTRI/2025/04/084973 [Registered on: 16/04/2025] Trial Registered Prospectively
Last Modified On: 16/04/2025
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   Improving Hamstring Flexibility in College Students: A Comparison of Active Stabilization and Passive Stretching Techniques 
Scientific Title of Study   Effectiveness of active inhibitory stabilization lengthening technique compared to passive stretching for improving hamstring flexibility in college students with hamstring tightness-A three arm parallel group randomised controlled 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  PALAK BUNDELA 
Designation  Post graduate student 
Affiliation  Shree Bharatimaiya College of Optometry and Physiotherapy 
Address  Shree Bharatimaiya college of physiotherapy surat
Vesu Main Road Street Vrudhashram behind Big Bazar Piplod Surat Gujarat 395007
Surat
GUJARAT
394650
India 
Phone  08238733490  
Fax    
Email  bundelapalak22@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sapna Chaudhary 
Designation  Assistant Professor 
Affiliation  Shree Bharatimaiya College of Optometry and Physiotherapy 
Address  Physiotherapy department Shree Bharatimaiya College of physiotherapy
Vesu Main Road Behind Big Bazar Street Vrudhashram Piplod Surat Gujarat
Surat
GUJARAT
395007
India 
Phone  9714750652  
Fax    
Email  sapnakumari.112343@marwadiuniversity.ac.in  
 
Details of Contact Person
Public Query
 
Name  PALAK BUNDELA 
Designation  Post graduate student 
Affiliation  Shree Bharatimaiya College of Optometry and Physiotherapy 
Address  Shree Bharatimaiya College of Optometry and physiotherapy
Vesu Main Road Behind Big Bazar Street Vrudhashram Piplod Surat Gujarat
Surat
GUJARAT
395007
India 
Phone  9714750652  
Fax    
Email  bundelapalak22@gmail.com  
 
Source of Monetary or Material Support  
Shree Bharatimaiya college of physiotherapy 
 
Primary Sponsor  
Name  Palak Bundela 
Address  Shree Bharatimaiya college of physiotherapy vesu surat 
Type of Sponsor  Other [self] 
 
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 Palak Bundela  Physiotherapy clinic shree bharatimaiya college of physiotherapy  vesu main road behind big bazar surat-395007
Surat
GUJARAT 
08238733490

bundelapalak22@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee Shree Bharatimaiya College of Physiotherapy  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Hamstring muscle tightness 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  active inhibitory restabilisation lengthening technique  GROUP A -Active Inhibitory Re-Stabilisation technique Participants will be asked to sit with their spine and pelvis in neutral alignment, and they will be asked to extend their knee until the lumbar spine is moved out of neutral and into flexion, or strong resistance is felt in the hamstrings. At this stage, the physiotherapist will passively support the leg while instructing participants to actively anterior tilt the pelvis. The stretch should be held for 30 seconds and then repeated for 5 times 
Comparator Agent  Control group  GROUP C – Control group This group will not receive any stretching intervention and will continue with their daily routine. 
Comparator Agent  Passive stretching  GROUP B- Passive Stretching Participants will lie supine with their knees completely extended and use an arm or shoulder to support their affected lower leg. Stabilize the opposite extremity along the anterior aspect of the thigh using your other hand, a belt, or the assistance of another person. Flex the hip as much as possible while the knee is at 0 degrees of extension and the hip is in neutral rotation. The stretch should be held for 30 seconds and then repeated 5 times. For all participants, hamstring stretches will be performed three days per week. And study duration will be 2 weeks. A rest period of 15 seconds will be given between stretches 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  1. College-going students age group between 18 to 25.
2. Students who have having hamstring tightness using the Active knee extension test (less
than 125 degrees).
3. Students having unilateral hamstring tightness. (If tightness is present bilateral, the greater
tightness limb will be considered).
4. Students with BMI between 18.5 to 24.9 Kg/m2 
 
ExclusionCriteria 
Details  1. History of musculoskeletal problems, such as episodes of hamstring injuries or history of
any fractures or surgery of the lower limb.
2. Pain in the spine or hamstring muscle over the past 6 months
3. Any musculoskeletal disorder in the trunk (Scoliosis and lower extremity deformity) 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Active knee extension test  on basis of baseline pre-intervention and post-intervention [2 weeks] 
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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)   09/06/2025 
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)   Not Yet Recruiting 
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 examines the effectiveness of Active Inhibitory Re-Stabilization (AIR) intervention compared to passive stretching in improving hamstring flexibility in college students with hamstring tightness. The study adopts a three-arm parallel-group randomized controlled design, involving college students aged 18 to 25 years who exhibit positive results on the Active Knee Extension (AKE) test, indicating hamstring tightness. Participants are randomly divided into three groups: Group A receives the AIR technique, Group B undergoes passive stretching, and Group C serves as a control group with no intervention. The AIR technique involves an active approach, where participants sit with a neutral spine and pelvis, extend their knee until resistance is felt, and then actively tilt the pelvis anteriorly while the therapist supports the leg. This stretch is held for 30 seconds and repeated five times per session, three sessions per week over two weeks. In contrast, the passive stretching group performs therapist-assisted stretches while lying supine, with the stretch similarly held for 30 seconds and repeated five times per session, also over two weeks. In that intervention, one session is given for one day, with alternate sessions on three days per week for two weeks. The control group does not receive any intervention and continues with their normal routine. The primary outcome measure used to assess the effectiveness of both interventions is the Active Knee Extension (AKE) test, which evaluates hamstring flexibility by measuring active knee extension using a universal goniometer. Measurements are taken before and after the two-week intervention period. The study aims to determine whether the AIR technique provides superior improvements in hamstring flexibility compared to passive stretching and no intervention.


 
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