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CTRI Number  CTRI/2026/02/103033 [Registered on: 04/02/2026] Trial Registered Prospectively
Last Modified On: 23/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Effects of a Stretching Technique Combined with Electrical Stimulation on Hamstring Flexibility and Lower Back Movement in College Students 
Scientific Title of Study   Immediate Effect of Proprioceptive Neuromuscular Facilitation Stretch Combined with Neuromuscular Electrical Stimulation on Hamstring flexibility and lumbar flexion in college going Students - An Experimental 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  Rutuja kad 
Designation  Masters of Musculoskeletal Physiotherapy 
Affiliation  PES Modern College Of Physiotherapy  
Address  PES Modern college of physiotherapy , department of Physiotherapy , Musculoskeletal division , Room No 1 , Shivajinagar , Pune

Pune
MAHARASHTRA
411005
India 
Phone  9307830419  
Fax    
Email  rutujakad555@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Kiran Jeswani  
Designation  HOD of Musculoskeletal Physiotherapy 
Affiliation  Modern College Of Physiotherapy  
Address  PES Modern college of physiotherapy , department of physiotherapy , Musculoskeletal division , Room No 1 , shivajinagar , Pune

Pune
MAHARASHTRA
411005
India 
Phone  9881060126  
Fax    
Email  kiranjeswani18@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Rutuja kad 
Designation  Mpth 
Affiliation  PES Modern College Of Physiotherapy  
Address  PES Modern college of physiotherapy , department of physiotherapy , Musculoskeletal division , Room No 1 , shivajinagar , Pune

Pune
MAHARASHTRA
411005
India 
Phone  9307830419  
Fax    
Email  rutujakad555@gmail.com  
 
Source of Monetary or Material Support  
PES Modern college of physiotherapy , Department of Physiotherapy , Musculoskeletal division , Room No 1 , Shivajinagar , Pune, Maharashtra, India, 411005 
 
Primary Sponsor  
Name  Rutuja Kad  
Address  PES Modern college of physiotherapy , department of physiotherapy , Musculoskeletal division , Room No 1 , Shivajinagar , Pune , Maharashtra, India, 411005 
Type of Sponsor  Other [] 
 
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 Gauri Afle  PES Modern College Of Physiotherapy  PES Modern college of physiotherapy , department of Physiotherapy , Musculoskeletal division , Room No 1 , Shivajinagar , Pune, 411005
Pune
MAHARASHTRA 
8007980193

pespune5@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
PES Modern College Of Physiotherapy  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  hamstring tightness and reduced lumbar flexion  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Proprioceptive neuromuscular facilitation stretch combined with Neuromuscular electrical stimulation   To improve flexibility and range of motion (ROM), proprioceptive neuromuscular facilitation (PNF) stretching is combined with neuromuscular electrical stimulation (NMES). NMES uses an electrical current to stimulate muscle contraction, while PNF uses voluntary contraction and relaxation to achieve a deeper stretch. The combination allows for a more intense and controlled stretch, which can significantly enhance ROM. Participants will receive 3sets of PNF stretch combined with NMES . Each set includes 20 second stretch , 5 second NMES current ramp up and 5 second maximal voluntary isometric contraction of hamstring . The total intervention duration is approximately 1 min 30 sec . 
Comparator Agent  Propriocrptive Neuromuscular Facilitation Stretch   Proprioceptive Neuromuscular Facilitation, is a therapeutic technique used to improve muscle elasticity, coordination, and range of motion by stimulating proprioceptors, or muscles that help sense body position and movement. method - participant will be placed in a long sitting position with maximum knee extension possible until a moderate-strong stretch sensation was felt without pain. Participants will receive 3 sets of PNF stretching , each consisting 20 second stretch followed by a 5 second maximal voluntary isometric contraction (MVIC) of the hamstrings . The total intervention duration is approximately 1min 15 seconds .  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  College students who have minimum 3 to 4 sitting hours
Active knee extension less than 160 degree measured with a goniometer
 
 
ExclusionCriteria 
Details  Participating in regular structured exercise program
Presence of low back pain
Previous hamstring injury in previous 12 months
Diagnosed Orthopaedic problems or surgery in lower limb
Subjects with other neurological impairments.
Subjects still enrolled in any form of physiotherapy treatment.
Spinal or abdominal surgeries in the last 6 months.
Conditions Contraindicated for NMES like, Unstable cardiac condition, open wounds, sensation alteration, skin infections.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Active knee extension test
Modified Modified Schobers test  
Active knee extension test less than 160 degree 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="92"
Sample Size from India="92" 
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)   15/02/2026 
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="0"
Months="10"
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  

This study is a Single Blinded Trial assessing the combined  effectiveness of Proprioceptive Neuromuscular Facilitation Stretch  combined with  Neuromuscular Electrical Stimulation  on Hamstring flexibility and Lumbar Flexion in college going students . OPD settings at PES Modern college of Physiotherapy , Pune will be  approached for the sample collection. All the participants will be screened according to the inclusion criteria. All participants will be explained regarding the procedure and informed consent will be taken. Basic demographic data regarding Name, Age , number of hours sitting per day will be taken. Prior to the measurements  , all participants will perform warm-up to ensure consistency and reduce variability in the results. Baseline Active Knee Extension Test and Modified modified Schobers Test measurements will be noted. The participants will be allotted to any one of the groups by Chit method. Group A will receive PNF stretch with NMES,  whereas the group B will receive PNF stretch  only . Active knee extension test and Modified modified schobers test will be reassessed after the intervention is given.

 
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