NCT06761014

Brief Summary

Effect of instrumental assisted soft tissue mobilization over sustained stretching in hockey players on improving quadratus lumborum flexibility.

Trial Health

55
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
22

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Apr 2024

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
active not recruiting

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 24, 2024

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

January 1, 2025

Completed
6 days until next milestone

First Posted

Study publicly available on registry

January 7, 2025

Completed
3 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 10, 2025

Completed
10 days until next milestone

Study Completion

Last participant's last visit for all outcomes

January 20, 2025

Completed
Last Updated

January 7, 2025

Status Verified

January 1, 2025

Enrollment Period

9 months

First QC Date

January 1, 2025

Last Update Submit

January 1, 2025

Conditions

Sports Physical Therapy

Keywords

Quadratus lumborum muscleLow back painIASTMinstrument-assisted soft tissue mobilizationRange of motionSustained stretching

Outcome Measures

Primary Outcomes (3)

  • Oswestry Disability Index Questionnaire:

    The Oswestry disability index (ODI), which is frequently used to evaluate reported limitations in individuals with low back pain, was employed to measure the disability index. It has two items about pain and eight items about activities of daily life. Each item has a point value between 0 and 5. The disability index increases with the overall score, which is represented as a percentage. A revised scale with nine items was utilized since it was determined that the sex life-related questions on the tenth item were inappropriate for persons of Korean descent. This test's test-retest reliability was ICC=0.85-0.94, and its intra-rater reliability was ICC=0.81-0.90.

    4 weeks

  • NPRS

    The score for each item ranges from 0 to 10, measured in units of length up to the location where the patient indicated the level of pain. NPRS is known to have a high sensitivity to pain and is proportional to the pain. This is the most widely used measurement method for chronic pain as well as acute pain with a good reliability.

    4 weeks

  • Inclinometer:

    Inclinometers are a commonly used instrument in clinical practice. The recordings from digital inclinometers could be more objective. Given its non-invasive nature, ease of use, and utility in evaluating lumbar or thoracolumbar range of motion. Inter-rater: ICC = 0.60, test-retest: r = 0.13-0.87.

    4 weeks

Study Arms (2)

Group A: Instrumental assisted soft tissue mobilization

EXPERIMENTAL

11 participates will receive IASTM treatment for total of 40 more seconds.

Other: Instrumental assisted soft tissue mobilization

Group B: Sustained stretching

EXPERIMENTAL

11 participates will receive total of thirty seconds, divided into three sets of stretches at each intervention, with ten seconds of rest in between.

Other: Sustained stretching

Interventions

Instrumental assisted soft tissue mobilizationOTHER

instrument will be held at 45° angle and the IASTM treatment will be administered for about 20 seconds in a direction parallel to the muscle fibers being treated with deep strokes

Group A: Instrumental assisted soft tissue mobilization
Sustained stretchingOTHER

The therapist will apply the pressure or ask to maintain the stretch. A total of thirty seconds, divided into three sets of stretches at each intervention, with ten seconds of rest in between

Group B: Sustained stretching

Eligibility Criteria

Age16 Years - 26 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Age group of 16-26 years. Male and female Deficit of thoracolumbar Range of Motion with QL tightness Participates with moderate pain as per the ODI (20%-40%)

You may not qualify if:

  • Not fit in the age group Who have muscles injury from last 6 months Who have ODI score less than 20% Who do not involve QL tightness

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Pakistan sports board

Lahore, Punjab Province, Pakistan

Location

Related Publications (8)

  • Knezevic NN, Candido KD, Vlaeyen JWS, Van Zundert J, Cohen SP. Low back pain. Lancet. 2021 Jul 3;398(10294):78-92. doi: 10.1016/S0140-6736(21)00733-9. Epub 2021 Jun 8.

    PMID: 34115979BACKGROUND

  • Barboza SD, Joseph C, Nauta J, van Mechelen W, Verhagen E. Injuries in Field Hockey Players: A Systematic Review. Sports Med. 2018 Apr;48(4):849-866. doi: 10.1007/s40279-017-0839-3.

    PMID: 29299879BACKGROUND

  • Kim YK, Cho SY, Lee KH. Effects of transcutaneous electrical nerve stimulation and instrument-assisted soft tissue mobilization combined treatment on chronic low back pain: A randomized controlled trial. J Back Musculoskelet Rehabil. 2021;34(5):895-902. doi: 10.3233/BMR-200369.

    PMID: 34092603BACKGROUND

  • Lee JH, Lee DK, Oh JS. The effect of Graston technique on the pain and range of motion in patients with chronic low back pain. J Phys Ther Sci. 2016 Jun;28(6):1852-5. doi: 10.1589/jpts.28.1852. Epub 2016 Jun 28.

    PMID: 27390432BACKGROUND

  • Nazary-Moghadam S, Yahya-Zadeh A, Zare MA, Ali Mohammadi M, Marouzi P, Zeinalzadeh A. Comparison of utilizing modified hold-relax, muscle energy technique, and instrument-assisted soft tissue mobilization on hamstring muscle length in healthy athletes: Randomized controlled trial. J Bodyw Mov Ther. 2023 Jul;35:151-157. doi: 10.1016/j.jbmt.2023.04.079. Epub 2023 Apr 21.

    PMID: 37330762BACKGROUND

  • Osailan A, Jamaan A, Talha K, Alhndi M. Instrument assisted soft tissue mobilization (IASTM) versus stretching: A comparison in effectiveness on hip active range of motion, muscle torque and power in people with hamstring tightness. J Bodyw Mov Ther. 2021 Jul;27:200-206. doi: 10.1016/j.jbmt.2021.03.001. Epub 2021 Mar 11.

    PMID: 34391234BACKGROUND

  • El-Hafez HM, Hamdy HA, Takla MK, Ahmed SEB, Genedy AF, Abd El-Azeim ASS. Instrument-assisted soft tissue mobilisation versus stripping massage for upper trapezius myofascial trigger points. J Taibah Univ Med Sci. 2020 Mar 6;15(2):87-93. doi: 10.1016/j.jtumed.2020.01.006. eCollection 2020 Apr.

    PMID: 32368203BACKGROUND

  • Gunn LJ, Stewart JC, Morgan B, Metts ST, Magnuson JM, Iglowski NJ, Fritz SL, Arnot C. Instrument-assisted soft tissue mobilization and proprioceptive neuromuscular facilitation techniques improve hamstring flexibility better than static stretching alone: a randomized clinical trial. J Man Manip Ther. 2019 Feb;27(1):15-23. doi: 10.1080/10669817.2018.1475693. Epub 2018 Aug 1.

    PMID: 30692839BACKGROUND

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back PainPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Dania Zaheer, DPT

    Riphah International University

    PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

First Submitted

January 1, 2025

First Posted

January 7, 2025

Study Start

April 24, 2024

Primary Completion

January 10, 2025

Study Completion

January 20, 2025

Last Updated

January 7, 2025

Record last verified: 2025-01

Data Sharing

IPD Sharing
Will not share

Locations

PA(1)