The Effect of Mulligan's Mobilization with Movement Versus Dry Needling on Pain,Function,and Range of Motion Among Athletes with Hip Adductor Related Groin Pain and Dysfunction

NCT06841588 | Completed

• 1 other identifier: 118/REC/2020
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to highlight and investigate the effectiveness of two common management practices in physiotherapy, dry needling intervention as a soft tissue technique and Mulligan mobilization with movements MWM as a joint technique, on pain, function, and range of motion among athletes with hip adductor-related groin pain and dysfunction.

Conditions

Hip Adduction Strength; Groin Pain; Groin Injury

Keywords

Athletes; hip adductor; groin pain; athletes with groin pain; athletes with hip dysfunction

Outcome Measures

Primary Outcomes (5)

• Sheet of Demographic Data

  Demographic, personal data, and injury history were obtained at baseline from the patient interview and recorded on a data collection sheet

  pre and 1 day post treatment

• Numeric Pain Rating Scale NPRS

  The Numeric Pain Rating Scale (NPRS) is valid and reliable, a self-assessing questionnaire , used to assess the severity of pain. 0- 10 scale where 0 represents "no pain" and 10 representing "unbearable pain." Each participant was asked to indicate the pain level before and after treatment.

  pre and 1 day post treatment

• Y-Balance Test YBT

  The Y balance test was developed from the star excursion balance test (SEBT) and assesses performance during single-leg balance with reaching in the 3 directions: anterior, posteromedial, and posterolateral. the patient stands on one leg while reaching out in 3 different directions with the other lower extremity.

  pre and 1 day post treatment

• FABER Test

  To assess the adductor muscle tightness and shortening due to injury. FABER test is used as a provocation special test but has also been used as a measurement of combined hip range of motion, also useful tools for the hip examination, particularly for anterior hip or groin pain. The patient lies supine on the examination table. The hip and knee of the tested leg are flexed, abducted, and externally rotated, as the foot of the tested leg is placed on the contralateral thigh just proximal to the knee. While stabilizing the pelvis on the contralateral side, gentle pressure is applied downwards on the knee of the tested leg, also measuring the distance from the lateral condyle of the knee to the surface of the examination table for both affected and none affected knees.

  pre and 1 day post treatment

• Five Seconds Copenhagen Squeeze Test

  The therapist placed his arms between the athlete's knees and asked the athlete to squeeze the legs as hard as possible for five seconds, then, scored any pain in the groin area on a scale of 0 to 10 NPRS Scale

  pre and 1 day post treatment

Study Arms (2)

Mulligan's Mobilization with Movement and Dry Needling

ACTIVE COMPARATOR

the intervention group 1 was treated using Mulligan Mobilization with Movements and Dry Needling (DN\&MWM) for soft tissue trigger points, (N=15).

Other: Mulligan's Mobilization with Movement and Dry Needling

Dry Needling

ACTIVE COMPARATOR

the intervention group 2 was treated using Dry Needling (DN) for soft tissue trigger points, (N=15).

Other: Dry Needling (DN)

Interventions

Mulligan's Mobilization with Movement and Dry Needling OTHER

the intervention group 1 was treated using Mulligan Mobilization with Movements and Dry Needling (DN\&MWM) for soft tissue trigger points, (N=15). The treatment duration was 6 sessions, 3 sessions per week ( day after day).

Mulligan's Mobilization with Movement and Dry Needling

Dry Needling (DN) OTHER

The intervention group 2 was treated using Dry Needling (DN) for soft tissue trigger points, (N=15). The treatment duration was 6 sessions, 3 sessions per week ( day after day).

Dry Needling

Eligibility Criteria

• Age: 15 Years - 35 Years
• Gender Eligibility Details: Athletes males
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Athletes suffered from unilateral adductor-related groin pain, grades 1 and 2.
• Acute, subacute, or chronic athletes with hip adductor-related groin pain and dysfunction.
• Groin pain during or after activities.
• Pain at palpation of the adductors and their origin.
• Pain on resistance against adduction.
• Aged 15- 35 years old.

You may not qualify if:

• Patients with other causes of groin pain such as:
• Lymphadenitis.
• Prostatitis, Urinary infections, Malignancy.
• Spinal pathology.
• Hip joint osteoarthritis.
• Inguinal-related or Iliopsoas-related groin pain.
• Femoral or Inguinal hernia.
• Referral pain and adductor strain grade 3.
• Current use of medication.

Sponsors & Collaborators

• Al-Quds University: lead

Study Sites (1)

Ayman Daragmah

Ramallah, P125, Palestinian Territories

Location

MeSH Terms

Interventions

Movement; Dry Needling

Intervention Hierarchy (Ancestors)

Physiological Phenomena; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Complementary Therapies; Therapeutics; Physical Therapy Modalities

Study Officials

• Daragmah, Master degree

  Al-Quds University

  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: January 20, 2025
• First Posted: February 24, 2025
• Study Start: May 1, 2020
• Primary Completion: March 15, 2021
• Study Completion: August 17, 2021
• Last Updated: February 24, 2025

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)