NCT06387602

Brief Summary

This study is a randomized controlled trial and the purpose of this study is to compare the effects between active release technique and post-isometric relaxation on adductor strain in mixed martial arts fighters.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jul 2023

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 15, 2023

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 20, 2023

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

April 23, 2024

Completed
6 days until next milestone

First Posted

Study publicly available on registry

April 29, 2024

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 20, 2024

Completed
Last Updated

April 29, 2024

Status Verified

April 1, 2024

Enrollment Period

4 months

First QC Date

April 23, 2024

Last Update Submit

April 23, 2024

Conditions

Adductor Strain

Outcome Measures

Primary Outcomes (4)

  • Pain Intensity

    Numeric Pain Rating Scale (NPRS): ICC (0.93-0.96) It has a scale of 0-10 or 0-100 points and can be given verbally or in writing.

    2 weeks

  • Range of motion

    It will be measured through goniometer

    2 weeks

  • Functionality

    It will be measured through lower extremity functional scale (LEFS)

    2 weeks

  • Flexibility

    It will be measured through bent knee fall out test

    2 weeks

Study Arms (2)

ART Group

EXPERIMENTAL

Week 1 CRYOTHERAPY STRENGTHENING OF ADDUCTORS Adductor Isometrics Side-lying adductor strengthening Adductor resistance with stepper ACTIVE RELEASE TECHNIQUE Week 2 STRENGTHENING OF ADDUCTORS Adductor Isometrics Side-lying adductor strengthening Adductor resistance with stepper ACTIVE RELEASE TECHNIQUE

Procedure: CryotherapyProcedure: Strengthening of adductorsProcedure: Active release technique

PIR Group

EXPERIMENTAL

Week 1 CRYOTHERAPY STRENGTHENING OF ADDUCTORS Adductor Isometrics Side-lying adductor strengthening Adductor resistance with stepper POST ISOMETRIC RELAXATION Week 2 STRENGTHENING OF ADDUCTORS Adductor Isometrics Side-lying adductor strengthening Adductor resistance with stepper POST ISOMETRIC RELAXATION

Procedure: CryotherapyProcedure: Strengthening of adductorsProcedure: Post-Isometric Relaxation

Interventions

CryotherapyPROCEDURE

Take an icepack and wrap it in a moisture-absorbing towel. The temperature of the icepack should be between 1˚ to 10˚. Any temperature below 0˚ can damage the skin. The icepack will be on strained adductors for 5-7 minutes. Patients will be advised to do cryotherapy at home for 24-42 hours after every 2 hours.

ART GroupPIR Group
Strengthening of adductorsPROCEDURE

Both groups will perform the following strengthening of adductors which includes adductor isometrics, Side-lying adductor strengthening, and Adductor resistance with a stepper and will be done 10 repetitions, 3 times a week. After the performance of the Adductor strengthening protocol, Group A will be given the Active release technique while Group B will be given post-isometric relaxation by the therapist.

ART GroupPIR Group
Active release techniquePROCEDURE

Step 1: Place the body in a position (Dorsiflex ankle, flex the knee, extend the hip, flex the spine) so that the nerve is moved proximally. In this position, the nerve is relaxed on the distal side of the entrapment site and the nerve is tractioned on the proximal side. Step 2: Place contact between the distal Gracilis and the Sartorius and push the muscle proximally. The contact should not compress the nerve. Step 3: Move each joint so that the nerve moves distally past the muscle. The new position (Plantarflex and evert the ankle, extend the knee, flex the hip, extend the spine) will be achieved. Step 4: Move the contact to the proximal side of the muscles and push the muscle distally. Step 5: Move the nerve proximally again by pushing the muscle distally. This brings the position of the patient back to Step 1. Contact will be held for a short time 5-20 seconds with repetitions 3-5 times to the injury site and 2 sessions per week.

ART Group
Post-Isometric RelaxationPROCEDURE

Step 1: Position the patient's limb at a point with the highest resistance felt during abduction. Step 2: The patient is asked to bring the leg back into adduction using only 20% of strength against firm resistance given by the therapist. Step 3: The patient will contract the agonist (the muscle that needs to be released) while holding an inhaled breath. Contraction should be held between 7-10 seconds without any jerking, bouncing, or wobbling. Step 4: The patient is asked to release their effort slowly and completely. As the patient relaxes, the limb is guided into a new resistance barrier where a bind is felt again. Step 5: After PIR, a 10-20-second latency period exists and the muscle can be stretched more easily. Contract adductor muscle for 7-10 seconds and relax the same for 7-10 seconds with repetitions 7 times and 2 sessions per week.

PIR Group

Eligibility Criteria

Age20 Years - 35 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Both male and female genders
  • Ages 20-35 years
  • Professional Mixed Martial Arts fighters involved in kicking, sprinting, jumping, hiking
  • Grade 1 or 2 adductor strain
  • Clinical adductor dysfunction (pain reproduced by palpation of the enthesis, passive stretching of the adductors, and active resisted adduction)
  • Numeric Pain Rating Scale (NPRS) 1-8
  • Positive Bent Knee Fall Out (BKFO test)

You may not qualify if:

  • Any clinical or radiographic evidence of pathological involvement of the hip joint (femoroacetabular impingement: pincer and/or cam features, dysplasia)
  • Grade 3 adductor strain
  • History of recent fracture

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

RECRUITING

MeSH Terms

Interventions

Cryotherapy

Intervention Hierarchy (Ancestors)

Therapeutics

Central Study Contacts

Qandeel Khalid, MS-MSKPT*

CONTACT

03349549410qemy31@gmail.com

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Randomized Controlled Trial
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 23, 2024

First Posted

April 29, 2024

Study Start

July 15, 2023

Primary Completion

November 20, 2023

Study Completion

November 20, 2024

Last Updated

April 29, 2024

Record last verified: 2024-04

Locations

PA(1)