Investigation of the effect of soft tissue movement using a tool in comparison to manual stretching on hip range of motion, and muscle power in people with hamstring tightness

ISRCTN ISRCTN17693345
DOI https://doi.org/10.1186/ISRCTN17693345
Secondary identifying numbers 020047
Submission date
01/03/2021
Registration date
02/03/2021
Last edited
06/04/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
People may develop hamstring tightness due to multiple reasons, being seated for a long period of time is one of the factors that can contribute to hamstring tightness development. Having hamstring tightness can affect the way we stand and the way we walk. The common treatment to release the tightness in the hamstring is by self-stretching or manual stretching, which is mainly performed by physiotherapists. Physiotherapists recently have been using an instrument that can reduce muscle tightness. This device has been used in many muscles and less investigated in hamstring muscles. Therefore, the aim of the study is to compare the effect of the use of this instrument in comparison to manual stretching in range of motion of the hip and hamstring muscle's power.

Who can participate?
People aged between 18 - 30 years old with hamstring tightness and has no history of back, neurological related problem are invited to participate.

What does the study involve?
The study involves measuring the range of motion of the hip via a goniometer, measuring hamstring muscle power via sitting on a chair while moving leg forward and backward against resistance. These measurements will be taken again after either receiving treatment with the instrument applied to the hamstring muscles, or after receiving manual stretching.

What are the possible benefits and risks of participating?
The benefits of the study that you will gain relief from the tight hamstring, and you will be provided with information about the strength of the hamstrings muscles. The risk associated with the study is minimal, it may include some sensation of fatigue in the muscle after measuring the muscle power. However, this will be minimized with proper warming up for a minimum of 5 minutes before the testing.

Where is the study run from?
Prince Sattam bin Abdulaziz University (Saudi Arabia)

When is the study starting and how long is it expected to run for?
April 2020 to August 2020

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Ahmad Osailan, Ahmad.osailan@gmail.com

Contact information

Dr Ahmad Osailan
Scientific

Alkharj
Riyadh
16273
Saudi Arabia

ORCiD logoORCID ID 0000-0003-0124-4739
Phone +966 594415105
Email a.osailan@psau.edu.sa

Study information

Study designA single-centre interventional single-blind randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet.
Scientific titleInstrument assisted soft tissue mobilization (IASTM) versus stretching: a comparison in effectiveness on hip ROM, muscle torque and power in people with hamstring tightness
Study acronymIVS-HIPROM-POWER
Study objectivesIASTM will positively impact hip flexion active ROM, HMC torque, and HMC power similar to manual stretching
Ethics approval(s)Approved 22/03/2020, Ethical Committee at Prince Sattam bin Abdulaziz University (Riyadh region, Alkharj, 16273, Saudi Arabia; +966 115888888; IRB-sciences@psau.edu.sa), ref: RHPT/020/047
Health condition(s) or problem(s) studiedInstrument assisted soft tissue mobilization and manual stretching in improving hip active range of motion and muscle power in people with hamstring tightness
InterventionWe will recruit non-athletic people with hamstring tightness. The hamstring tightness will be identified via a straight leg raise (SLR) test. SLR test is a reliable measure to examine the flexibility of the hamstrings (Neto et al. 2015). The investigator aims to recruit young male students from the campus.

There will be two groups, one receiving IASTM, and another receiving only manual stretching. Randomization of the participant will be performed by putting two covered forms of assessments (one for IASTM, and the other for manual stretching). Both forms share the same first page, which will include the information sheet about the study. The eligible participant hand in the form after signing the informed consent to the examiner. The second page of the form will indicate whether the eligible participant would be assigned to group 1 (receiving IASTM) or group 2 (manual stretching). The participants will be blinded to the intervention they received, and only the team members will be aware of the intervention that the participant will receive. Both groups will be measured for baseline data for hip active range of motion, hamstring muscle power, and muscle torque using an isokinetic dynamometer. Then each group will be re-assessed post the treatment.

Both groups will receive one session of either IASTM or manual stretching, there is no follow up. The approximate total duration of treatment is less than 30 minutes. The total duration for the treatment as well as the testing is 45 - 50 minutes.
Intervention typeMixed
Primary outcome measureMeasured at baseline and post-treatment:
1. Hip Active Range of motion measured using goniometer
2. Hamstrings muscle power measured using human Isokinetic dynamometer
3. Muscle torque measured using human Isokinetic dynamometer
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date05/04/2020
Completion date10/08/2020

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants30
Total final enrolment23
Key inclusion criteria1. 18 -30 years old
2. Positive straight leg raising (SLR) test <65 degrees without neurological manifestation, indicating short hamstrings
3. No history of injury to the hamstring or surgical history of the lower extremity
Key exclusion criteria1. Reporting vigorous physical activity in the last 24 hours
2. Fracture in the lower extremity
3. Unilateral or bilateral radiating symptoms from the back or sciatic nerve damage
4. Complaining of neurological symptoms during SLR test
5. Hematoma
6. Varicose vein
7. Skin infection
Date of first enrolment10/05/2020
Date of final enrolment10/08/2020

Locations

Countries of recruitment

  • Saudi Arabia

Study participating centre

Prince Sattam bin Abdulaziz University
College of Applied medical sciences
Alkharj
16273
Saudi Arabia

Sponsor information

Prince Sattam Bin Abdulaziz University
University/education

-
Alkharj
16273
Saudi Arabia

Phone +966 115888888
Email Dsr-h@psau.edu.sa
Website https://www.psau.edu.sa/en/
ROR logo "ROR" https://ror.org/04jt46d36

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date20/04/2021
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication in high-impact peer-reviewed journal.
IPD sharing planThe current data sharing plans for this study are unknown and will be available at a later date

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 01/07/2021 06/04/2021 Yes No

Editorial Notes

06/04/2021: Publication reference added.
03/03/2021: Internal review.
02/03/2021: Trial’s existence confirmed by Prince Sattam bin Abdulaziz University.