Sports Physical TherapyNCT06761014
Comparative Effects of Instrumental Assisted Soft Tissue Mobilization and Sustained Stretching Among Hockey Players
A study testing Instrumental assisted soft tissue mobilization and Sustained stretching in people with Sports Physical Therapy, run by Riphah International University at 1 site in Pakistan.
Trial summary
Effect of instrumental assisted soft tissue mobilization over sustained stretching in hockey players on improving quadratus lumborum flexibility. Read more about this study
- Who is it for?
- Ages 16 to 26 yearsHealthy volunteers can take part
- Conditions the study is for
- Sports Physical Therapy
- What is being tested?
- Instrumental assisted soft tissue mobilization and Sustained stretching
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 22 participants
- Where
- 1 sitePakistan
- Study dates
- 24 Apr 2024to 20 Jan 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 16 to 26 years
- All sexes
- Healthy volunteers accepted
- Child, Adult
Who may be able to join
- 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%)
Who cannot join
- 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
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Comparative Effects of Instrumental Assisted Soft Tissue Mobilization and Sustained Stretching on Pain, Range of Motion and Function Among Hockey Players With Quadratus Lumborum Tightness.
Effect of instrumental assisted soft tissue mobilization over sustained stretching in hockey players on improving quadratus lumborum flexibility.
Read the detailed description
To find the effect of instrumental assisted soft tissue mobilization over sustained stretching in hockey players on improving quadratus lumborum flexibility.
- Conditions
- Sports Physical Therapy
- Being tested
- Instrumental assisted soft tissue mobilization, Sustained stretching
- Keywords
- Quadratus lumborum muscle, Low back pain, IASTM, instrument-assisted soft tissue mobilization, Range of motion, Sustained stretching
- Medical subject headings
- Low Back Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
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
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
| Study group | Role | What they receive |
|---|---|---|
| Group A: Instrumental assisted soft tissue mobilization | Experimental | 11 participates will receive IASTM treatment for total of 40 more seconds. Receives: 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. Receives: Other: Sustained stretching |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: 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.
Measured: 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.
Measured: 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jan 2025
- Study start24 Apr 2024
- Primary completion10 Jan 2025 (estimated)
- Study completion20 Jan 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (8)Papers the sponsor has linked to this study.
- Other trials for Sports Physical TherapyStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- 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 Control design
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 22 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Dania Zaheer, DPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06761014
- Sponsor's protocol ID
- REC/RCR&AHS/24/0431
- Status last verified
- Jan 2025
- First submitted
- 1 Jan 2025
- Last updated
- 7 Jan 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
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.
PubMed 34115979Barboza 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.
PubMed 29299879Kim 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.
PubMed 34092603Lee 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.
PubMed 27390432Nazary-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.
PubMed 37330762Osailan 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.
PubMed 34391234El-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.
PubMed 32368203Gunn 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.
PubMed 30692839
Study at a glance
From the registry record, last updated by the sponsor on 7 Jan 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Instrumental Assisted Soft Tissue Mobilization and Sustained Stretching on Pain, Range of Motion and Function Among Hockey Players With Quadratus Lumborum Tightness.
- ClinicalTrials.gov ID
- NCT06761014
- Acronym / sponsor ID
- REC/RCR&AHS/24/0431
- Conditions
- Sports Physical Therapy
- Keywords
- Quadratus lumborum muscle, Low back pain, IASTM, instrument-assisted soft tissue mobilization, Range of motion, Sustained stretching
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 22 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 24 Apr 2024 (actual)
- Primary completion
- 10 Jan 2025 (estimated)
- Study completion
- 20 Jan 2025 (estimated)
- First posted
- 7 Jan 2025 (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.
Effect of instrumental assisted soft tissue mobilization over sustained stretching in hockey players on improving quadratus lumborum flexibility.
Detailed description
To find the effect of instrumental assisted soft tissue mobilization over sustained stretching in hockey players on improving quadratus lumborum flexibility.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- Randomized Control design
| Arm | Type | Receives |
|---|---|---|
| Group A: Instrumental assisted soft tissue mobilization | Experimental | Other: Instrumental assisted soft tissue mobilization11 participates will receive IASTM treatment for total of 40 more seconds. |
| Group B: Sustained stretching | Experimental | Other: Sustained stretching11 participates will receive total of thirty seconds, divided into three sets of stretches at each intervention, with ten seconds of rest in between. |
Who may qualify
- Ages
- 16 to 26 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
Key inclusion criteria (1 listed)
- 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%)
Key exclusion criteria (1 listed)
- 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
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 |
|---|---|---|
| Instrumental assisted soft tissue mobilizationinstrument 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 | Other | Group A: Instrumental assisted soft tissue mobilization |
| Sustained stretchingThe 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 | Other | Group B: Sustained stretching |
Primary outcome
Oswestry Disability Index Questionnaire:
Time frame: 4 weeks
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.
NPRS
Time frame: 4 weeks
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.
Inclinometer:
Time frame: 4 weeks
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.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jan 2025.
- Background: PubMed 34115979Knezevic 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.
- Background: PubMed 29299879Barboza 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.
- Background: PubMed 34092603Kim 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.
- Background: PubMed 27390432Lee 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.
- Background: PubMed 37330762Nazary-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.
- Background: PubMed 34391234Osailan 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.
- Background: PubMed 32368203El-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.
- Background: PubMed 30692839Gunn 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.
- Individual participant dataSharing planned: No
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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.
Dania Zaheer, DPT principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Instrumental assisted soft tissue mobilization and Sustained stretching in people with Sports Physical Therapy, run by Riphah International University 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 1 inclusion and 1 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: under way, not looking for participants, as of the sponsor's last update on 7 Jan 2025. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Oswestry Disability Index Questionnaire: (time frame: 4 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06761014, which also lists 8 linked publications.
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 7 Jan 2025.