Holmich Protocol and Myofascial Release Technique Effect on Groin Pain in Tennis Players

NCT04642300 | Completed

• 1 other identifier: REC/00722 Rohail Babar
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to determine the effect of Homlich Protocol and Myofacial release technique on groin pain in tennis players. A total of 14 players will be included in the clinical trail. There will be one group of 7 players in which Holmich protocol will be applied while in the other group of 7 players will be given Myofascial Release Technique which includes Transverse friction massage and Stretching. Data will be collected by outcome measures before and after the exercise protocol is given. Treatment will be administered three times a week (on even or odd days). The duration of Holmich Protocol each session is about 90 min for module 1 (first two weeks) and 120 min for module 2 (from the third week). From the third week, the athletes will be asked to perform exercises from module 1 every other day, between the treatment sessions. While passive treatment will be given for 30 mins per session. During the treatment course and before the final evaluation, no athletic activity will be permitted . Injuries data will be collected prospectively by respective coaches. Coaches will be trained for identification and classification of injuries.

Conditions

Sports Physical Therapy

Keywords

Groin pain; Holimch protocol; Myofascial release technique

Outcome Measures

Primary Outcomes (5)

• Hip Range of motion

  The hip range of motion including abduction, adduction, external and internal rotation in 90°of flexion will be measured by an adjustable goniometer.

  8 Weeks

• T-Agility TEST

  Set out four cones 5 yards = 4.57 m, 10 yards = 9.14 m. The subject starts at cone A. On the command of the timer, the subject sprints to cone B and touches the base of the cone with their right hand. They then turn left and shuffle sideways to cone C, and also touches its base, this time with their left hand. Then shuffling sideways to the right to cone D and touching the base with the right hand. They then shuffle back to cone B touching with the left hand, and run backwards to cone A. The stopwatch is stopped as they pass cone A

  8 Weeks

• Edgren Side Test (ESST)

  Five cones or lines are placed in a line, three feet apart (12 feet total between the two outside cones). The starting position is at the centre cone, facing forward with feet straddling the center line. At the command 'go', the participant sidesteps to the right until their right foot touches or crosses the outside cone or tape mark. The participant then sidesteps to the left until their left foot touches or crosses the left outside cone or tape mark. The participant sidesteps back and forth to the outside cones as rapidly as possible for 10 seconds.

  8 Weeks

• Triple Hop Test (THT)

  In the triple hop test, the aim is to jump as far as possible on a single leg three consecutive times, without losing balance and landing firmly. The distance is measured from the start line to the heel of the landing leg. The goal is to have a less than 10% difference in hop distance between the injured limb and uninjured limb.

  8 Weeks

• Visual Analogue Scale Pain Score (VAS)

  The visual analog scale (VAS) scores are based on self-reported measures of symptoms that are recorded with a single handwritten mark placed at one point along the length of a 10-cm line that represents a continuum between the two ends of the scale-"no pain" on the left end (0 cm) of the scale and the "worst pain" on the right end of the scale (10 cm). The values can be used to track pain progression for a patient or to compare pain between patients with similar conditions.

  8 Weeks

Study Arms (2)

Holmich Protocol

ACTIVE COMPARATOR

Treatment will be administered three times a week (on even or odd days). The duration of each session was about 90 min for module 1 (first two weeks) and 120 min for module 2 (from the third week). From the third week, the athletes were asked to perform exercises from module 1 every other day, between the treatment sessions

Procedure: Holmich Protocol

Myofascial Release Technique

ACTIVE COMPARATOR

Treatment wiil be given twice a week as individual treatment by the physiotherapist. The duration of treatment is about 30 min.

Procedure: Myofascial Release Technique

Interventions

Holmich Protocol PROCEDURE

Module 1 (1st two weeks): i)Isometric adduction ii)Abdominal sit-ups iii)Isometric adduction iv)Compound abdominal sit-ups and hip flexion v)Balance exercise on wobble board vi)One-foot exercise on sliding board Module 2 (from 3rd week): i)Leg abduction and adduction exercise carried out in side lying ii)Low back extension exercise prone on the end of bench iii)One leg weight pulling abduction/adduction standing iv)Abdominal sit ups v)One leg coordination exercise vi)Training in sideways motion vii)Balance exercise on wobble board

Holmich Protocol

Myofascial Release Technique PROCEDURE

1. Transverse friction massage: 10 mins on painful area of adductor-tendon insertion into pubic bone 2. Stretching of adductor muscles, hamstrings muscles and hip flexors:3 times and each stretch is 30s with Contract relax technique

Myofascial Release Technique

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Male Gender
• Age: 18 - 35 years
• Groin pain for at least 2 months
• pain score on NPRS
• Playing Sports for atleast 1 year

You may not qualify if:

• Femoral or inguinal hernia
• Chronic urinary tract disorder or prostatitis
• Disease, fracture of the pelvis or the lower limbs inhibiting the participant from the completing the treatment plan
• Entrapment of the genitofemoral or back pain felt between T10 and L5 levels and consisting of the facet joints
• Virulent Ilioinguinal nerve
• Inability to follow the active physical training plan
• Use of non-steroidal anti-inflammatory drugs during the study
• Participation in principled strength training of the hip adductors for more than once a week in the 6 months prior to the study.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Islamabad, Federal, 44000, Pakistan

Location

Related Publications (17)

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  BACKGROUND

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  BACKGROUND

MeSH Terms

Interventions

Myofascial Release Therapy

Intervention Hierarchy (Ancestors)

Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Muhammad Faheem Afzal, *PhD

  Riphah International University Islamabad

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 29, 2020
• First Posted: November 24, 2020
• Study Start: March 4, 2020
• Primary Completion: November 30, 2020
• Study Completion: December 20, 2020
• Last Updated: March 24, 2021

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)