Adductor StrainNCT06387602
Comparison Between Effects of Active Release Technique and Post Isometric Relaxation on Adductor Strain in Mixed Martial Arts Fighters
A study testing Cryotherapy, Strengthening of adductors and Active release technique in people with Adductor Strain, run by Foundation University Islamabad at 1 site in Pakistan.
Trial 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. Read more about this study
- Who is it for?
- Ages 20 to 35 years
- Conditions the study is for
- Adductor Strain
- What is being tested?
- Cryotherapy, Strengthening of adductors and Active release technique
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 sitePakistan
- Study dates
- 15 Jul 2023to 20 Nov 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 35 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- 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)
Who cannot join
- 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
Trial locations and contacts
1 site in 1 country.
Pakistan1 site, 1 recruiting
- Recruiting
Foundation University College of Physical Therapy
Rawalpindi, Punjab Province, 46000
Furqan Yaqoob, MS-OMPT,PHD*, 03465333101, furqan.yaqoob@fui.edu.pk
About this study
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.
Read the detailed description
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 on flexibility, pain, range of motion, and functionality, in adults (age: 20-35 years )
- Numeric pain rating scale
- Goniometer
- Bent Knee Fall Out Test
- Lower extremity functional scale Data will be collected before and after the intervention protocol for each participant.
Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Pre and post-intervention scores will be recorded.
- Conditions
- Adductor Strain
- Being tested
- Cryotherapy, Strengthening of adductors, Active release technique, Post-Isometric Relaxation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CryotherapyProcedure or surgery
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.
Strengthening of adductorsProcedure or surgery
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.
Active release techniqueProcedure or surgery
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.
Post-Isometric RelaxationProcedure or surgery
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.
| Study group | Role | What they receive |
|---|---|---|
| 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 Receives: Procedure: Cryotherapy; Procedure: Strengthening of adductors; Procedure: 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 Receives: Procedure: Cryotherapy; Procedure: Strengthening of adductors; Procedure: Post-Isometric Relaxation |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: 2 weeks
Range of motion
It will be measured through goniometer
Measured: 2 weeks
Functionality
It will be measured through lower extremity functional scale (LEFS)
Measured: 2 weeks
Flexibility
It will be measured through bent knee fall out test
Measured: 2 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Apr 2024
- Study start15 Jul 2023
- Primary completion20 Nov 2023
- Study completion20 Nov 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Adductor StrainStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Randomized Controlled Trial
- Masking
- None (open label)
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Foundation University Islamabad
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06387602
- Sponsor's protocol ID
- FUI/CTR/2024/6
- Status last verified
- Apr 2024
- First submitted
- 23 Apr 2024
- Last updated
- 29 Apr 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 29 Apr 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison Between Effects of Active Release Technique and Post Isometric Relaxation on Adductor Strain in Mixed Martial Arts Fighters
- ClinicalTrials.gov ID
- NCT06387602
- Acronym / sponsor ID
- FUI/CTR/2024/6
- Conditions
- Adductor Strain
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Foundation University IslamabadUniversity, hospital or other
- Study start
- 15 Jul 2023 (actual)
- Primary completion
- 20 Nov 2023 (actual)
- Study completion
- 20 Nov 2024 (estimated)
- First posted
- 29 Apr 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
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 on flexibility, pain, range of motion, and functionality, in adults (age: 20-35 years )
- Numeric pain rating scale
- Goniometer
- Bent Knee Fall Out Test
- Lower extremity functional scale Data will be collected before and after the intervention protocol for each participant.
Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Pre and post-intervention scores will be recorded.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Randomized Controlled Trial
| Arm | Type | Receives |
|---|---|---|
| ART Group | Experimental | Procedure: Cryotherapy, Procedure: Strengthening of adductors, Procedure: Active release techniqueWeek 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 |
| PIR Group | Experimental | Procedure: Cryotherapy, Procedure: Strengthening of adductors, Procedure: Post-Isometric RelaxationWeek 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 |
Who may qualify
- Ages
- 20 to 35 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- 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)
Key exclusion criteria (3 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CryotherapyTake 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. | Procedure or surgery | ART Group, PIR Group |
| Strengthening of adductorsBoth 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. | Procedure or surgery | ART Group, PIR Group |
| Active release techniqueStep 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. | Procedure or surgery | ART Group |
| Post-Isometric RelaxationStep 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. | Procedure or surgery | PIR Group |
Primary outcome
Pain Intensity
Time frame: 2 weeks
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.
Range of motion
Time frame: 2 weeks
It will be measured through goniometer
Functionality
Time frame: 2 weeks
It will be measured through lower extremity functional scale (LEFS)
Flexibility
Time frame: 2 weeks
It will be measured through bent knee fall out test
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Apr 2024.
Related trials for Adductor Strain
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Adductor Strain
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Cryotherapy, Strengthening of adductors and Active release technique in people with Adductor Strain, run by Foundation University Islamabad at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 29 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Qandeel Khalid, MS-MSKPT* (03349549410, qemy31@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pain Intensity (time frame: 2 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Apr 2024.