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CTRI Number  CTRI/2023/04/051282 [Registered on: 04/04/2023] Trial Registered Prospectively
Last Modified On: 03/04/2023
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   IS STRENGTH TRAINING SUPERIOR TO STRETCHING FOR IMPROVING HAMSTRING FLEXIBILITY IN INDIVIDUALS WITH HAMSTRING TIGHTNESS  
Scientific Title of Study   IS ECCENTRIC TRAINING SUPERIOR TO STRETCHING FOR IMPROVING HAMSTRING FLEXIBILITY IN INDIVIDUALS WITH HAMSTRING TIGHTNESS  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
FMIEC/CCM/085/2023  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sheetal Vivek Pai 
Designation  Lecturer 
Affiliation  Father Muller Medical College 
Address  Father Muller Medical College, Department of Physiotherapy, Father Muller Road, Kankanady, Mangalore
Father Muller Medical College, Department of Physiotherapy, Father Muller Road, Kankanady, Mangalore
Dakshina Kannada
KARNATAKA
575002
India 
Phone  6363194619  
Fax    
Email  sheetal120395@fathermuller.in  
 
Details of Contact Person
Scientific Query
 
Name  Jaya P 
Designation  Lecturer 
Affiliation  Father Muller Medical College 
Address  Father Muller Medical College, Department of Physiotherapy, Father Muller Road, Kankanady, Mangalore
Father Muller Medical College, Department of Physiotherapy, Father Muller Road, Kankanady, Mangalore
Dakshina Kannada
KARNATAKA
575002
India 
Phone  9611057292  
Fax    
Email  jayakulal55@fathermuller.in  
 
Details of Contact Person
Public Query
 
Name  Sheetal Vivek Pai 
Designation  Lecturer 
Affiliation  Father Muller Medical College 
Address  Father Muller Medical College, Department of Physiotherapy, Father Muller Road, Kankanady, Mangalore
Father Muller Medical College, Department of Physiotherapy, Father Muller Road, Kankanady, Mangalore
Dakshina Kannada
KARNATAKA
575002
India 
Phone  6363194619  
Fax    
Email  sheetal120395@fathermuller.in  
 
Source of Monetary or Material Support  
Father Mullers Medical College, Father Muller Road, Kankanady, Mangaluru 
Funding will be managed by the 3 researchers involved in the study 
 
Primary Sponsor  
Name  Sheetal Pai 
Address  Father Muller Medical College, Department of Physiotherapy, Father Muller Road, Kankanady, Mangalore 
Type of Sponsor  Other [] 
 
Details of Secondary Sponsor  
Name  Address 
Not Applicable   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
SHEETAL VIVEK PAI  Father Muller Medical College  Father Muller Medical College, Department of Physiotherapy, Father Muller Road, Kankanady, Mangalore
Dakshina Kannada
KARNATAKA 
6363194619

sheetal120395@fathermuller.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Father Muller Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Hamstring Tightness  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Eccentric training  The “hamstring lowers” protocol involves participants to kneel on the floor with upright trunk perpendicular to floor. Feet will be supported under a low bench or held by an assistant. Arms will be kept folded across chest and body will be lowered forward. Participants will lower their body until they can no longer hold their position, at which point the participant will be allowed to relax and use their arms to catch themselves as they reach the floor. Dosage of the exercise will be 2 sets of 5 repetitions each as per the protocol suggested by Mjolsnes et al. This will be a one day intervention  
Intervention  Static Stretching  Subjects will perform a string stretch by standing erect with the left foot planted on the floor and the toes pointing forward. The heel of the foot to be stretched will be placed on a plinth/chair with the toes directed toward the ceiling. The subject will then flex forward at the hip, maintaining the spine in a neutral position while reaching the arms forward. The knee will remain fully extended. The subject will continue to flex at the hip until a gentle stretch is felt in the posterior thigh. Once this position is achieved, the subject will maintain this position for 30 seconds and repeat for 3 times. This will be a one day intervention  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  Individuals with hamstring tightness 
 
ExclusionCriteria 
Details  1. History of impairment to the knee, thigh, hip, or lower back for 1 year before the study
2. Subjects already involved in exercise program for trunk and lower extremities
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Knee extension range of motion with goniometer  Baseline and immediately post treatment 
 
Secondary Outcome  
Outcome  TimePoints 
Lumbar flexion range of motion with inch tape  Baseline and immediately post treatment 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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 2 
Date of First Enrollment (India)   15/04/2023 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  15/04/2023 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   One publication done previously in Critical Reviews in Physical and Rehabilitation Medicine. None for the current topic 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

Hamstring tightness leads to posterior pelvic tilt and increased lordosis of the lumbar spine. There is limited evidence to determine the effects a single session of eccentric training on flexibility as well its comparison with static stretching. Therefore, the study aims to determine if one session of eccentric training will improve hamstring flexibility as compared to one bout of static stretching. This study may help in reducing the risk of having postural changes due to hamstring tightness that could result in musculoskeletal pain and dysfunction. As the study will be conducted on asymptomatic individuals, it will be a guiding tool for conducting trials on symptomatic individuals. 

 
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