Effects of Hold-Relax and Muscle Energy Techniques for Hamstring Flexibility

NCT06198036 | Completed

• 1 other identifier: REC/RCR&AHS/23/0733
• Study Type: interventional
• Target: 116
• Locations: 1 country
• Sites: 1

Brief Summary

The most important aspect of physical fitness is flexibility, which can be greatly impacted by bad posture. Long periods of sitting in school going children can cause the hamstring muscles to shorten because they bend the knee. There are numerous methods for improving hamstring flexibility, but very few of them produce immediate results. The purpose of this study will be to compare between the immediate effects of hold-relax proprioceptive neuromuscular facilitation and muscle energy technique (MET) for hamstring flexibility in school going children. This will be the randomized clinical trial in which total time of six month will be utilized after the approval from BASR. Data will be collected from Unique Science School Al-Rehman Campus, Lahore. 106 participants will be taken with 05-12 years of age through purposive sampling technique. Participants will be divided into two equal groups. Participants in group A will be given hold-relax PNF and the group B will underwent METs (reciprocal inhibition). Hamstring ROM will be assessed through AKET. Measurements will be taken by goniometer. Wong-Baker faces pain scale (WBFPS) and Timed 'Up and Go' (TUG) test will be used to evaluate pain and functional mobility respectively. Data will be analyzed on SPSS version 25. Results after statistical analysis will show which technique is more effective and will have best outcomes.

Conditions

Child Development

Keywords

METs; Hamstring flexibility; School going children

Outcome Measures

Primary Outcomes (2)

• Goniometer

  The universal full circle goniometer is arguably the preferred instrument for measuring ROM for the majority of applications to the extremities. This version, which has a body, moving arm, and stationary arm, is the most prevalent. When comparing radiographic measurements with goniometric measurements in sedated and unsedated cats, joint measurements did not change significantly by measurement type. Cronbach alpha values for goniometric joint measurements were more than 0.99.

  eight weeks

• Active Knee Extension Test (AKET)

  The Active Knee Extension Test measures the range of active knee extension when the hip is flexed as well as the length of the hamstring muscles. If the body positions are sufficiently stable, this test has a high degree of reliability. This test, a self-monitored variation of the active knee extension test, has also proven to be successful when performed by the person being tested. Among healthy individuals, the inter-rater and intra rater dependability has been proven.

  eight weeks

Secondary Outcomes (2)

• Wong Baker Faces Pain Scale (WBFPS)

  Eight weeks

• Timed 'Up and Go' Test (TUG)

  Eight Weeks

Study Arms (2)

Group A: Application of Hold-Relax PNF Technique

ACTIVE COMPARATOR

A hold-relax technique that entails stretching the muscle to its maximum length. Participant will be in supine position. The hamstring muscle will be stretched for 7 to 10 seconds while the individual reported only a slight stretch in the muscle. The participant then attempts to lower his leg towards the table while being resisted by the researcher, isometrically contracting his hamstring muscle for 3 seconds. The patient then instructed to relax for five seconds. The researcher then passively stretched the muscle until a slight sensation of stretch was experienced. The stretch will maintain for seven seconds. There were five repetitions of this sequence, each one 20 seconds apart from the previous one

Other: Hold-Relax Technique

Group B: Application of Muscle Energy Technique

ACTIVE COMPARATOR

Group B will receive a Muscle Energy Technique (MET) applying the reciprocal inhibition principle. Participant will be in supine lying and the affected muscle held in a mid-range position. The Reciprocal Inhibition-MET group stretched for 10 to 60 seconds after performing an isometric contraction of the muscle opposite the one that needed to be stretched for 7 to 10 seconds (30%-50% of the time) followed by 5 second rest interval. With a pause of 20 seconds in between each repetition, this sequence was performed five times(52). The readings for Active knee Extension (AKE), TUG test and WBFPS before and after treatment session determined the improvement regarding the treatment outcomes.

Other: Muscle Energy Technique

Interventions

Hold-Relax Technique OTHER

Participants in this group will be treated with hold-relax PNF Technique

Group A: Application of Hold-Relax PNF Technique

Muscle Energy Technique OTHER

Participants in this group will be treated with Muscle Energy Technique via Reciprocal Inhibition Mechanism

Group B: Application of Muscle Energy Technique

Eligibility Criteria

• Age: 5 Years - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Age 5-12 years children
• Gender (both male and female)
• Normal children
• Hamstring tightness (minimum degree \<160 degrees

You may not qualify if:

• Regular athletes
• Past pathology
• Post fracture of limb
• Leg length discrepancy
• History of spinal cord injury
• Presence of physical deformities
• Subject not willing to participate
• Subject using lower limb prosthesis or orthotic device

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Lahore, Punjab Province, Pakistan

Location

Related Publications (1)

• Funk D, Swank AM, Adams KJ, Treolo D. Efficacy of moist heat pack application over static stretching on hamstring flexibility. J Strength Cond Res. 2001 Feb;15(1):123-6.

  PMID: 11708695 BACKGROUND

Study Officials

• Sunnia Mudabber, MS*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: participants will get separate treatment protocols and possible efforts will be put to mask the both groups about their treatment.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The study will be Randomized Clinical Trial to compare between the immediate effects of hold-relax Proprioceptive Neuromuscular Facilitation and Muscle Energy Technique (RI) for hamstring flexibility in school. Participants meeting the pre-determind inclusion and exclusion criteria will be divided into two groups going children

Study Record Dates

• First Submitted: December 26, 2023
• First Posted: January 10, 2024
• Study Start: December 1, 2023
• Primary Completion: February 5, 2024
• Study Completion: February 5, 2024
• Last Updated: June 13, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)