| CTRI Number |
CTRI/2025/05/086431 [Registered on: 06/05/2025] Trial Registered Prospectively |
| Last Modified On: |
05/05/2025 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
How Active Release Technique Improves Hamstring Flexibility and Glute Muscle Strength |
|
Scientific Title of Study
|
Analysis of Active Release Tecnique (ART) and Active Knee Extension (AKE) Exercise on Hamstring Flexibility and Gluteus Maximus Endurance in Young Adults |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Subhashchandra Rai |
| Designation |
Principal and Professor |
| Affiliation |
Tejasvini Physiotherapy College |
| Address |
Tejasvini Physiotherapy College
Kudupu
Mangalore
Karnataka
India
575028
Dakshina Kannada KARNATAKA 575028 India |
| Phone |
9448158751 |
| Fax |
|
| Email |
physio.subhashrai@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Subhashchandra Rai |
| Designation |
Principal and Professor |
| Affiliation |
Tejasvini Physiotherapy College |
| Address |
Tejasvini Physiotherapy College
Kudupu
Mangalore
Karnataka
India
575028
KARNATAKA 575028 India |
| Phone |
9448158751 |
| Fax |
|
| Email |
physio.subhashrai@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Subhashchandra Rai |
| Designation |
Principal and Professor |
| Affiliation |
Tejasvini Physiotherapy College |
| Address |
Tejasvini Physiotherapy College
Kudupu
Mangalore
Karnataka
India
575028
KARNATAKA 575028 India |
| Phone |
9448158751 |
| Fax |
|
| Email |
physio.subhashrai@gmail.com |
|
|
Source of Monetary or Material Support
|
| Tejasvini Physiotherapy College
Kudupu
Mangalore
karnataka
575028 |
|
|
Primary Sponsor
|
| Name |
Tejasvini Physiotherapy College |
| Address |
Tejasvini Physiotherapy College
Kudupu
Mangalore
Karnataka
India
575028 |
| Type of Sponsor |
Research institution and hospital |
|
|
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 |
| Dr Subhashchandra Rai |
Tejasvini Physiotherapy College |
Physiotherapy Department
Tejasvini Physiotherapy College
Kudupu
Mangalore
Karnataka
India
575028 Dakshina Kannada KARNATAKA |
9448158751
physio.subhashrai@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Ethical Clearane Committee, IGTAMSU |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
Hamstring Tightness |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Active Knee Extension Exercises |
Active Knee Extension Exercises for the Hamstring fexibility
Dose: 3-5 repeitions of Active knee extensions
Route: Active Exercises (10 Reps)
Total Duration: 5-10 Min |
| Intervention |
Active Release Technique |
Active Release Technique of Hamstring Muscles
Dose: 3 release of 2-3 min in each sets
Route: Hands-on technique
Total Duration: 5-10 Min |
|
|
Inclusion Criteria
|
| Age From |
20.00 Year(s) |
| Age To |
35.00 Year(s) |
| Gender |
Both |
| Details |
Healthy Individuals
Hamstring Tightness Bilateral or unilateral
Recreational Athletes |
|
| ExclusionCriteria |
| Details |
Any injury in the Hamstring Muscles
Actively training individuals
Professional Atheletes |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Outcome Assessor Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Acktive Knee Extension Range |
Pre and Post |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Single Leg ip Extension Isometric Hold |
Pre and Post |
| Pelvic Inclination Angle |
Pre and Post |
| Hip and Knee Range of Motions |
Pre and Post |
|
|
Target Sample Size
|
Total Sample Size="200" Sample Size from India="200"
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
|
Phase 1 |
|
Date of First Enrollment (India)
|
01/06/2025 |
| 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="6" 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
|
In order to improve posture and any joint pain or injury, flexibility of the hamstrings is essential. We’re assuming that this movement will require the flexibility of our hamstrings. That doesn’t make sense. The hamstrings don’t take care of folding the body forward, they make sure that we can stand up. As a result, both above and below the muscle group, they affect the spine and all of the joints. The hamstrings are tendinous tissues, according to their design. It means they’re dense and strong, which allows them to be easily accumulated with unhealthy fascia. They’re attached to the pelvis, their health and flexibility determines how they move. The hamstrings cease to move as soon as they are full of dense, scarified fascia. In each hamstring, there may be the option of freezing them in their shortest position, longest posture, twisted or combined positions. Malfunctioned hamstrings hold the pelvis in a twisted position. Inturn, it creates weak alignment to the hip and knee joints, compression on the back of the spinal column, and tight posture in the shoulders and neck. The foundation of having a body which moves and feels better head to toe is an increase in hamstrings flexibility and pelvis movement. During most forms of traditional hamstring stretching three things happen: micro tears form in the muscle, training muscle to stay over-stretched and weak, and finally overstretching ligaments and tendons around the joints. Sitting is a greater threat to public health than cigarettes. Over half their day is spent sitting, according to the average person. And every single day, the average office worker is sitting for an astonishing 15 hours. The risk of premature death is also increased as your sitting time increases. To create thick fascia in your hamstring muscles it takes 20 minutes to sit, so this area is where we recommend different types of stretching for strengthening the leg’s flexibility. We’re sitting here for many hours a day, looking at our young age. Hamstrings are getting torn in the form of small micro tears all over muscles while sitting. It feels like they are repeating themselves in a repetitive way and getting small tears. Body’s immune system patches up the injury/tears with the only bandaid it has: dense fascia. So, when standing up, hamstrings don’t stretch as easily and they have a tendency to slow down the flow of motion in pelvis. This is causing chaos in entire body, ankles, knees, hips, spine, shoulders, neck, elbows and even wrists. Glutes and hamstrings; the most frequently used, untrained muscles in the body. These two strong muscles are used in practically all the movements you could imagine, like walking, standing, lifting and jumping. In order to stabilize the body, prevent falls, and even bend and stretch, the glutes and hamstrings are active. The movements of hip and knees are controlled by the hamstrings. They can move hips forward and backwards while work together as a group. They’re also helping with the rotation of legs. The hamstrings allow to maintain stability and balance, while holding up but not moving. Compared to this, gluteal muscles are able to control a variety of movements including extensions, abductions and internal or external rotation of hip joints. In addition, the gluteus maximus plays a major role in knee extension. In a great number of movements these muscles support the body, but are very weak and frequently undertrained. During the days of our ancestors, when they walked without shoes, their gluteal muscles had been very powerful and activated during movement to enable them to stay seated in a latrine squat for meals or conversation while being able to use an equivalent toilet. Today’s majority of people are doing swayback postures that minimize the activation of glutes, which has resulted in a massive lack of development of muscle strength. Active release techniques are a soft tissue technique that works by reducing muscle tension through the removal of fibrosis and adhesions, which may develop in tissues as a result of overloading due to repeated use. Muscle weakness, numbness, pain, tingling, and burning sensation may occur as a result of these disorders. ART has been reported to be both a diagnostic and a treatment technique, however, there is little scientific evidence regarding the effects of ART on various pathologies, with most of the available evidence being anecdotal and based on case reports. ART was developed and patented by Dr. P. Michael Leahy, DC, CCSP, a Doctor of Chiropractic medicine. Dr. Leahy’s observation that patient symptoms had been associated with changes in their soft tissues has led him to invent a technique which is entirely focused on the symptom of the patient. In 1985 he published his first works under the name of Myofascial Release and patented them later as Active Release Techniques. Due to trauma, such as swelling, fibrosis and adhesions, tissues may develop negative changes. During treatment, the clinician uses manual therapy to apply compressive, tensile, and shear forces to address repetitive strain injuries, cumulative trauma injuries, and constant pressure tension lesions. While the patient is being instructed to move the injury site out of its shortened position and into a longer position, the clinician applies deep tension in the area of tenderness. The placing of a contact point near the lesion causes the patient to move in a manner that produces a longitudinal sliding motion of soft tissues, e.g., nerves, ligaments, and muscles beneath the contact point. The ART system is useful for active people at every level. In order to ensure that patients have the means of improving their sporting performance, it may enable them to identify and eliminate limits limiting their ability to perform a given activity. This typically occurs after a biomechanical analysis of patients’ movements was carried out by the practitioner. ART Performance Care should be administered after a trauma based injury has been healed. ART Performance Care is focused on removing restriction that impairs the full range of motion, enabling affected soft tissues to be fully responsive and performing at its best. This process is likely to have a significant effect on sports performance in terms of power, strength and flexibility. So the aim of current study is to evaluate the effectiveness of ART over active knee extension on improving hamstring flexibility and gluteus maximus endurance in young adults. |