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CTRI Number  CTRI/2025/12/099741 [Registered on: 23/12/2025] Trial Registered Prospectively
Last Modified On: 19/12/2025
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   A study to compare physiotherapy stretching treatments to improve hip flexibility, posture, and quality of life in college students with tight hip muscles. 
Scientific Title of Study   Compare the effectiveness of post isometric relaxation technique and postural education VS ultrasound assisted static stretching and postural education on hip extension range of motion, pelvic tilt and quality of life in college students with iliopsoas tightness 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Riya Sharma 
Designation  PhD Scholar 
Affiliation  Mahatma Gandhi University of Medical Sciences and Technology 
Address  R D Block, Ist Floor, Orthopaedic Lab, Mahatma Gandhi Physiotherapy College, Mahatma Gandhi University of Medical Sciences and Technology Jaipur

Jaipur
RAJASTHAN
302022
India 
Phone  9079256800  
Fax    
Email  drriyasharma@mgumst.org  
 
Details of Contact Person
Scientific Query
 
Name  Madhusudan Tiwari 
Designation  Principal 
Affiliation  Mahatma Gandhi University of Medical Sciences and Technology  
Address  Principal Office, R D Block, Ist Floor, Mahatma Gandhi Physiotherapy College, Mahatma Gandhi University of Medical Sciences and Technology Jaipur

Jaipur
RAJASTHAN
302022
India 
Phone  8290964159  
Fax    
Email  principal.physiotherapy@mgumst.org  
 
Details of Contact Person
Public Query
 
Name  Madhusudan Tiwari 
Designation  Principal 
Affiliation  Mahatma Gandhi University of Medical Sciences and Technology  
Address  Principal Office, R D Block, Ist Floor, Mahatma Gandhi Physiotherapy College, Mahatma Gandhi University of Medical Sciences and Technology Jaipur

Jaipur
RAJASTHAN
302022
India 
Phone  8290964159  
Fax    
Email  principal.physiotherapy@mgumst.org  
 
Source of Monetary or Material Support  
Mahatma Gandhi Physiotherapy College, Mahatma Gandhi University of Medical Sciences and Technology, RIICO institutional area, Sitapura, Tonk Road, Jaipur, Rajasthan 302022  
 
Primary Sponsor  
Name  Riya Sharma 
Address  Mahatma Gandhi Physiotherapy College, Mahatma Gandhi University of Medical Sciences and Technology Jaipur 
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 Madhusudan Tiwari  Mahatma Gandhi Physiotherapy College  R D Block, Ist Floor, Orthopaedic Lab, Mahatma Gandhi Physiotherapy College, Mahatma Gandhi University of Medical Sciences and Technology Jaipur
Jaipur
RAJASTHAN 
08290964159

principal.physiotherapy@mgumst.org 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Mahatma Gandhi Medical College and Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M628||Other specified disorders of muscle,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Post Isometric Relaxation (PIR) technique combined with postural education   Post-Isometric Relaxation (PIR) for the iliopsoas muscle along with Postural Education for 6 days (1 session/day). PIR will be performed in the Modified Thomas position using a 10 second isometric contraction followed by relaxation and passive stretch, repeated four times. Postural education on ergonomic sitting, pelvic alignment, active breaks, and daily home stretching will be provided during each session. 
Comparator Agent  Ultrasound-Assisted Static Stretching combined with Postural Education  Ultrasound-Assisted Static Stretching with Postural Education for 6 days (1 session/day). Ultrasound will be applied over the iliopsoas region in continuous mode (1 MHz, 1.5 W/cm²) for 7 minutes. After ultrasound, static stretching will be performed in the Modified Thomas position, holding each stretch for 40 seconds with 10-second rest, repeated four times. Postural education on ergonomic sitting, pelvic alignment, active breaks, and home stretching will be provided daily 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  28.00 Year(s)
Gender  Both 
Details  Participants diagnosed Iliopsoas tightness by using the Modified Thomas Test (If the thigh rises 5
degree above the table level during the Modified Thomas Test, it indicates that hip extension is restricted. This upward angle reflects increased hip flexion due to iliopsoas tightness). 
 
ExclusionCriteria 
Details  Use of painkillers, muscle relaxants, or corticosteroids.

History of spinal or hip pathology, fractures, deformities, or neurological conditions.

Regular gym training or involvement in other physical activities.

Any acute injury or condition contraindicating stretching or manual therapy. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Hip extension range of motion (goniometer),
Pelvic tilt (pelvic inclionometer),
Quality of life (SF 36) = 36-Item Short Form Questionnaire) 
Baseline measurement (DAY- 0),
Post intervention measurement (DAY- 6) 
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="308"
Sample Size from India="308" 
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)   01/02/2026 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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   This randomized controlled trial will evaluate the effect of Post-Isometric Relaxation (PIR) with Postural Education versus Ultrasound-Assisted Static Stretching with Postural Education on hip mobility, pelvic alignment, and quality of life in physiotherapy students with iliopsoas tightness. A total of 308 participants aged 18–28 years will receive one of the two interventions for six days. Hip extension range, pelvic tilt, and SF-36 scores will be assessed before and after treatment to identify the more effective technique for improving flexibility and posture. 
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