| CTRI Number |
CTRI/2025/10/095757 [Registered on: 08/10/2025] Trial Registered Prospectively |
| Last Modified On: |
26/02/2026 |
| 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
|
Comparison Of Myofascial Release and Dry Cupping in Non-specific low back pain |
|
Scientific Title of Study
|
Effect of Myofascial Release Versus Dry Cupping on Hamstring Tightness In Non-specific Low Back Pain: A Randomized Clinical Trial |
| Trial Acronym |
nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| Nil |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
DrApeksha Hungund |
| Designation |
Assistant professor in orthopaedic manual therapy |
| Affiliation |
KLE Institute Of Physiotherapy Near Kle Hospital Nehru Nagar Belagavi Karnataka ( India ) 590010 |
| Address |
KAHERs Prabhakar Kore Hospital And Research Centre Physiotherapy OPD No 39 Sagar Wards Orthopaedic Manual Therapy OPD No 13 Belagavi KARNATAKA 590010
Belgaum
KARNATAKA
590010
India |
| Phone |
08310725829 |
| Fax |
|
| Email |
apeksha_hungund@klekipt.edu.in |
|
Details of Contact Person
Scientific Query
|
| Name |
DrApeksha Hungund |
| Designation |
Assistant professor in orthopaedic manual therapy |
| Affiliation |
KLE Institute Of Physiotherapy Near Kle Hospital Nehru Nagar Belagavi Karnataka ( India ) 590010 |
| Address |
KAHERs Prabhakar Kore Hospital And Research Centre Physiotherapy OPD No 39 Sagar Wards Orthopaedic Manual Therapy OPD No 13 Belagavi KARNATAKA 590010
Belgaum
KARNATAKA
590010
India |
| Phone |
08310725829 |
| Fax |
|
| Email |
apeksha_hungund@klekipt.edu.in |
|
Details of Contact Person
Public Query
|
| Name |
Krupa J Metgud |
| Designation |
Post graduate 1 Year |
| Affiliation |
KLE Institute Of Physiotherapy Near Kle Hospital Nehru Nagar Belagavi Karnataka ( India ) 590010 |
| Address |
KAHER Prabhakar Kore Hospital And Research Centre Physiotherapy OPD No 39 Sagar Wards Orthopaedic Manual Therapy OPD No 13 Belagavi KARNATAKA 590010
Belgaum
KARNATAKA
590010
India |
| Phone |
08310725829 |
| Fax |
|
| Email |
kjmetgud19@gmail.com |
|
|
Source of Monetary or Material Support
|
| KAHER Institute Of Physiotherapy Near Kle Hospital Nehru Nagar Belagavi Karnataka India 590010 |
|
|
Primary Sponsor
|
| Name |
Krupa J Metgud |
| Address |
KAHER INSTITUTE OF PHYSIOTHERAPY Nehru Nagar Belagavi Karnataka - 590010 |
| Type of Sponsor |
Other [self sponsored project] |
|
|
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 |
| DrApeksha Hungund |
KLE Prabhakar kore hospital Belagavi |
KAHER Prabhakar Kore Hospital And Research Centre Physiotherapy OPD No 39 Sagar Wards Orthopaedic Manual Therapy OPD No 13 Belagavi KARNATAKA 590010
Belgaum
KARNATAKA |
08310725829
apeksha_hungund@klekipt.edu.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| KLE Academy of higher education and research |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M958||Other specified acquired deformities of musculoskeletal system, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Dry Cupping |
Dry Cupping session will last for 35-45 minutes per session with 6 sessions over a period of 2 weeks. |
| Comparator Agent |
Myofascial Release |
Myofascial Release session will last for 35-45 minutes per session with 6 sessions over a period of 2 weeks. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
40.00 Year(s) |
| Gender |
Both |
| Details |
1 All genders between age group 0f 18 to 40 years
2 subjects with non specific low back pain more than 3 months
3 Pain intensity between 3 and 8 according to the numeric pain rating scale.
4 Minimum 20 degrees of flexion at knee while performing active knee extension test
5 willingness of the participants |
|
| ExclusionCriteria |
| Details |
1 Subjects with any surgery or recent fracture of the lumbar spine and lower limb. (6 months)
2 Subjects receiving muscle relaxants and NSAIDS
3 Low back pain with radiation to buttock, thigh or leg
4 Signs of serious pathology of the spine (e.g.inflammatory diseases, infection or tumours)
5 Any bleeding disorders and hypersensitive skin
6 Any previous hamstring injuries
7 Subjects who are a part of any fitness program such as yoga aerobics or dance like Zumba.
|
|
|
Method of Generating Random Sequence
|
Coin toss, Lottery, toss of dice, shuffling cards etc |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
1.Modified Oswestry Low Back Pain Disability Questionnaire (MODQ)
2.Active Knee Extension Test (AKET) |
Measures functional disability 6 sessions over period of 2 weeks
Measures hamstring flexibility 6 sessions over period of 2 weeks |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
3.Numeric Pain Rating Scale (NPRS)
4.Range of Motion Lumbar Inclinometer |
Measures pain intensity 6 sessions over period of 2 weeks
Measures lumbar spine mobility 6 sessions over period of 2 weeks |
|
|
Target Sample Size
|
Total Sample Size="36"
Sample Size from India="36"
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
18/10/2025 |
| Date of Study Completion (India) |
Date Missing |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Date Missing |
|
Estimated Duration of Trial
|
Years="0"
Months="6"
Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
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
|
Hamstring tightness is highly prevalent in individuals with non-specific low back pain (NSLBP), reported to be around 85%.Tight hamstrings restrict pelvic mobility, alter lumbar–pelvic rhythm, and increase mechanical stress on the spine, thereby worsening pain, reducing range of motion, and contributing to functional disability.Prolonged sitting, poor posture, and weak core muscles further aggravate this condition. Research indicates that improving hamstring flexibility can significantly reduce the severity of pain and disability in NSLBP.Among the physiotherapy interventions, myofascial release (MFR) and dry cupping have gained attention for reducing muscle tightness and enhancing mobility. MFR works through manual sustained pressure and stretch to release fascial restrictions, while dry cupping uses negative pressure to improve circulation, reduce adhesions, and restore tissue mobility.However, there is limited evidence directly comparing the effectiveness of these two techniques. Thus, this study is needed to evaluate and compare MFR and dry cupping on hamstring tightness in NSLBP patients.
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