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CTRI Number  CTRI/2022/02/039977 [Registered on: 03/02/2022] Trial Registered Prospectively
Last Modified On: 02/02/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Comparison of effects of Muscle energy technique and Neurodynamic sliding on flexibility of hamstring muscle and balance among athletes. 
Scientific Title of Study   Comparative effectiveness of Muscle energy technique versus Neurodynamic sliding on hamstring flexibility and balance among athletes. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  RICHA MAHAJAN 
Designation  ASSISTANT PROFESSOR 
Affiliation  GD GOENKA UNIVERSITY 
Address  Room no. B-315, B-block, 3rd floor, Department of Physiotherapy, School of Medical and Allied Sciences, GD Goenka University, Sohna - Gurgaon Rd, Sohna, Haryana 122103 Gurgaon HARYANA

Gurgaon
HARYANA
122103
India 
Phone  9818221585  
Fax    
Email  rch_mhjn@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  ELINA DEWANJI SEN 
Designation  ASSOCIATE PROFESSOR 
Affiliation  GD GOENKA UNIVERSITY 
Address  Room no. B-315, B-block, 3rd floor, Department of Physiotherapy, School of Medical and Allied Sciences, GD Goenka University, Sohna - Gurgaon Rd, Sohna, Haryana 122103 Gurgaon HARYANA

Gurgaon
HARYANA
122103
India 
Phone  9811641781  
Fax    
Email  elina.dewanji@gdgu.org  
 
Details of Contact Person
Public Query
 
Name  RICHA MAHAJAN 
Designation  ASSISTANT PROFESSOR 
Affiliation  GD GOENKA UNIVERSITY 
Address  Room no. B-315, B-block, 3rd floor, Department of Physiotherapy, School of Medical and Allied Sciences, GD Goenka University, Sohna - Gurgaon Rd, Sohna, Haryana 122103 Gurgaon HARYANA

Gurgaon
HARYANA
122103
India 
Phone  9818221585  
Fax    
Email  rch_mhjn@yahoo.co.in  
 
Source of Monetary or Material Support  
GD GOENKA UNIVERSITY, GURGAON, INDIA 
 
Primary Sponsor  
Name  RICHA MAHAJAN 
Address  Room no. B-315, B-block, 3rd floor, Department of Physiotherapy, School of Medical and Allied Sciences, GD Goenka University, Sohna - Gurgaon Rd, Sohna, Gurgaon HARYANA-122103, India 
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 
RICHA MAHAJAN  GD GOENKA UNIVERSITY  Room no. B-315, B-block, 3rd floor, Department of Physiotherapy, School of Medical and Allied Sciences, GD Goenka University, Sohna - Gurgaon Rd, Sohna, Haryana 122103
Gurgaon
HARYANA 
9818221585

rch_mhjn@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INDIAN FERTILITY SOCIETY  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  ATHLETE WITH UNILATERAL HAMSTRING TIGHTNESS 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Moist heat pack   Moist heat therapy to hamstring muscle on affected (tight) side for 15 minutes will be given to subject. 
Intervention  Muscle energy technique   Procedure: Subject will be in supine position and the non-treated leg will be either flexed or straight on the table. The treated leg will be flexed at both the hip and knee, and then will be straightened by the therapist until the restriction barrier is identified. Isometric contraction against resistance is introduced at this barrier. Following the 7-10 seconds of contraction, leg will be straightened at the knee towards its new barrier. This slight stretch will be held for up to 30 seconds. 3 sets of this technique will be given.  
Intervention  Neurodynamic sliding   Procedure: Subjects will be in supine with their neck and thoracic spine supported in a forward flexed position. Concurrent hip and knee flexion will be alternated dynamically with concurrent hip and knee extension. This combination of movements will be performed for 180 seconds.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  1. Age: 18 – 30 years.
2. Athletes (cricketers, football players, athletics etc)
3. Unilateral hamstring tightness measured by Straight leg raise test : 80 degree or less  
 
ExclusionCriteria 
Details  1. If not willing to participate.
2. Hamstring injury within the past year.
3. Low back pain in the last 6 months.
4. Recent major trauma or fracture of the lumbar spine or lower limb in the last 6 months.
5. Leg length discrepancy.
6. If there are signs of serious pathology such as malignancy, infection, inflammatory disorder, disc prolapse, stenosis, spondylolisthesis, spinal or lower limb deformity. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
It is expected that Muscle Energy Technique and Neurodynamic sliding will have beneficiary effects on hamstring flexibility and balance among athletes.
Hamstrings flexibility will be assessed by performing passive straight leg raise and active knee extension test. Static and dynamic balance will be assessed by stork stand test and modified star excursion balance test respectively. 
At baseline and immediately post intervention. 
 
Secondary Outcome  
Outcome  TimePoints 
1. To determine the prevalence of balance among athletes.
2. To find out the co-relation between hamstrings flexibility and balance. 
At baseline. 
 
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   Phase 3/ Phase 4 
Date of First Enrollment (India)   05/02/2022 
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   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

      Hamstring tightness is a common problem and can be a significant health burden to the sufferer. The stiffness and imbalance in hamstrings may affect the individual’s physical functioning including balance, co-ordination, proprioception, agility etc considerably and interfere with athletic performance. A wide variety of treatment protocols for improving hamstrings flexibility are available, however, the most effective management remains an area of debate. Muscle energy technique is claimed to be useful for lengthening a shortened muscle, improving range of motion at a joint and increasing balance. Neurodynamic sliding is thought to decrease neural mechanosensitivity and can be a beneficial technique in the management of hamstring flexibility. As there are no studies found in the literature, there is a need to find the comparative effect of MET and NDS on hamstring flexibility and balance. Finding the comparative effect will clinically provide a guiding stone for therapists on the usage of MET and NDS to make evidence based decisions on the proper use of either mode of treatment.

Null hypothesis: There will be no significant difference in effectiveness of Muscle Energy Technique and Neurodynamic sliding in improving hamstring flexibility and balance among athletes.

Alternate hypothesis: There will be significant difference in effectiveness of Muscle Energy Technique and Neurodynamic sliding in improving hamstring flexibility and balance among athletes.

 

 
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