Musculoskeletal Diseases or ConditionsNCT04244045
Sub Occipital Muscle Inhibition Versus Slump Stretch Position in Short Hamstring Syndrome Subjects
A study testing Suboccipital muscle inhibition in people with Musculoskeletal Diseases or Conditions, run by Jouf University at 1 site in Egypt.
Trial summary
45 female participants with short hamstring syndrome were devided into one of the three groups; Group I: suboccipital muscle inhinbition plus passive hamstring stretch, group II: Slump stretch position plus Passive hamstring stretch, and group III: Passive stretch of hamstring muscle. Read more about this study
- Who is it for?
- Ages 18 to 28 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Musculoskeletal Diseases or Conditions
- What is being tested?
- Suboccipital muscle inhibition
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 45 participants
- Where
- 1 siteEgypt
- Study dates
- 1 Apr 2019to 30 Dec 2019
- 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 18 to 28 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Being females.
- Age between 18-28 years old.
- BMI: 18-25 kg/square meter.
- All subjects were free from injury or disease expected to affect hamstring length or ability to perform the exercises.
- Straight leg raising test (SLR) is less than 80 degree from supine position.
- Popliteal angle test, operationally defined by a knee flexion angle greater than 15˚ as measured by a screening exam using active knee extension in supine with hip flexed 90˚
Who cannot join
- Hamstring injury within the past year.
- Exceeding 80° in the initial SLR test. Popleteal knee angle less than 15 degree. -
- Verbal report of performing regular lower extremity. Muscle stretching exercises.
- History of neck trauma (whiplash). Neck symptoms.-
- History of recent fracture in any part of the body.
- History of growth disorders,
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effect of Adding Sub-occipital Muscle Inhibition Technique Versus Slump Stretch Position to Passive Hamstring Stretch on Hamstring Flexibility in Patients With Short Hamstring Syndrome
45 female participants with short hamstring syndrome were devided into one of the three groups; Group I: suboccipital muscle inhinbition plus passive hamstring stretch, group II: Slump stretch position plus Passive hamstring stretch, and group III: Passive stretch of hamstring muscle. Assessment methods were Straight leg raising test, forward flexion test and popliteal angle test, were measured at baseline, immediately after 1st treatment session then after 4 weeks of treatment.
Read the detailed description
Forty five university undergraduate female students volunteered to participate in the study, age = 18-25 years old, body mass index 18-25 kg/cm square.
All subjects were free from injury or disease expected to affect hamstring length or ability to perform the exercises Design of the study was single-blind randomized clinical trial. The subjects were randomly assigned in to one of the three methods of treatment, which are group 1 (study group1): suboccipital muscle inhibition plus passive stretch of hamstring muscle, Group II: ( Study groupII): received neural slump test position plus passive stretch of hamstring muscle, Group III (control group): received only passive stretch of hamstring muscle.
Treatment Procedures:
Passive stretching of hamstring muscle:
Patient in comfortable supine lying position and therapist stride standing beside the dominant side of the patient. The patient was asked to flex his hip joint with complete knee extension and ankle in neutral position. The therapist stretches the hamstring of the dominant side; distal hand of the therapist on planter surface of foot for dorsiflexion to increase flexibility of hamstring muscle and proximal hand on the knee to increase the length of the muscle, maintain this stretching for 60 seconds then relax (8)
Sub occipital muscle inhibition:
The Patient is in comfortable supine lying position with eye closed - for more relaxation- and the head out of the bed resting on therapist hand to manipulate the sub occipital area. The therapist stretch the sub occipital, flexes the head of the patient to get the chin to the manibiurim sternii, maintaining this position for 60seconds then relax (9)
Neural dynamic slump stretch:
Patient in comfortable short sitting position at the edge of the bed with the trunk in an millitary straight position then ask the patient to slump the flex his neck and street the knee joint in complete extension the at the end of the procedure do active dorsiflexion at the tested foot .(10)
- Conditions
- Musculoskeletal Diseases or Conditions
- Being tested
- Suboccipital muscle inhibition
- Medical subject headings
- Musculoskeletal Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Suboccipital muscle inhibitionOther
Also called slump stretch position, Passive stretch of the hamstring muscle.
The patient was asked to flex his hip joint with complete knee extension and ankle in neutral position. The therapist stretches the hamstring of the dominant side; distal hand of the therapist on planter surface of foot for dorsiflexion. and proximal hand on the knee to increase the length of the muscle, maintain this stretching for 60 seconds then relax .Sub occipital muscle inhibition:
The Patient is supine, The therapist stretch the sub occipital, flexes the head of the patient to get the chin to the manibiurim sternii, maintaining this position for 60seconds then relax Slump strtch position:Patient in comfortable short sitting position at the edge of the bed with the trunk in an millitary straight position then ask the patient to slump the flex his neck and street the knee joint in complete extension the at the end of the procedure do active dorsiflexion at the tested foot
| Study group | Role | What they receive |
|---|---|---|
| Experimental group 1 | Experimental | suboccipital muscle inhibition plus passive stretch of hamstring muscle. Receives: Other: Suboccipital muscle inhibition |
| Experimental group 2 | Experimental | Neural slump strtch position plus passive stretch of hamstring muscle. Receives: Other: Suboccipital muscle inhibition |
| Control group | Active comparator | passive stretch of hamstring muscle Receives: Other: Suboccipital muscle inhibition |
What is being measured
The primary outcome is the main question the study is designed to answer.
Straight leg raising test
the patient was supine lying position with hip and knee extension at the starting position, then the patient was asked to actively flex hip joint as much as possible while maintaining the knee in extension position. Then with the goniometer the therapist started to determine the angle of hip flexion, patients were excluded if the SRL was more than 80˚at the initial evaluation
Measured: after 4 weeks of intervention.
Secondary outcomes (2)
Popliteal Angle Test
while the patient was in supine line position, the hip and knee joint was flexed to 90˚ then the patient was asked to extend the knee joint as much as possible with maintaining the hip in flexion 90˚. Then with the goniometer the therapist determines the angle of the knee flexion, subjects were excluded if their angle of flexion less than 15 ˚
Measured: after 4 weeks of intervention.
Forward flexion test
the patient was stride standing on footstep facing the therapist and then asked to flex her trunk with his hands facing forward, maintaining the knee in extended position. The therapist then measures the distance between the middle finger and the ground while the trunk is in complete flexion.
Measured: after 4 weeks of treatment.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jan 2020
- Study start1 Apr 2019
- Primary completion30 Dec 2019
- Study completion30 Dec 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Musculoskeletal Diseases or ConditionsStudies 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
- Masking
- None (open label)
- Enrolment
- 45 participants (actual)
Sponsor and investigators
- Lead sponsor
- Jouf University
- Sponsor type
- University, hospital or other
- Collaborators
- Cairo University, Olfat Ibrahim Ali, Alaa Mohamed Al abbas, Sara Hamed Elzarea
- Responsible party
- Principal investigator, Hadaya Mosaad, Jouf University
- Investigators
- Hadaya M El Adl, Phd, Study director, Jouf University, Collage of applied medical science.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04244045
- Sponsor's protocol ID
- P.T.REC/012/002566
- Status last verified
- Jan 2020
- First submitted
- 22 Jan 2020
- Last updated
- 28 Jan 2020
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Informed consent form, Study protocol
Study at a glance
From the registry record, last updated by the sponsor on 28 Jan 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Adding Sub-occipital Muscle Inhibition Technique Versus Slump Stretch Position to Passive Hamstring Stretch on Hamstring Flexibility in Patients With Short Hamstring Syndrome
- ClinicalTrials.gov ID
- NCT04244045
- Acronym / sponsor ID
- P.T.REC/012/002566
- Conditions
- Musculoskeletal Diseases or Conditions
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 45 participants (actual)
- Lead sponsor
- Jouf UniversityUniversity, hospital or other
- Collaborators
- Cairo University, Olfat Ibrahim Ali, Alaa Mohamed Al abbas, Sara Hamed Elzarea
- Study start
- 1 Apr 2019 (actual)
- Primary completion
- 30 Dec 2019 (actual)
- Study completion
- 30 Dec 2019 (actual)
- First posted
- 28 Jan 2020 (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.
45 female participants with short hamstring syndrome were devided into one of the three groups; Group I: suboccipital muscle inhinbition plus passive hamstring stretch, group II: Slump stretch position plus Passive hamstring stretch, and group III: Passive stretch of hamstring muscle. Assessment methods were Straight leg raising test, forward flexion test and popliteal angle test, were measured at baseline, immediately after 1st treatment session then after 4 weeks of treatment.
Detailed description
Forty five university undergraduate female students volunteered to participate in the study, age = 18-25 years old, body mass index 18-25 kg/cm square.
All subjects were free from injury or disease expected to affect hamstring length or ability to perform the exercises Design of the study was single-blind randomized clinical trial. The subjects were randomly assigned in to one of the three methods of treatment, which are group 1 (study group1): suboccipital muscle inhibition plus passive stretch of hamstring muscle, Group II: ( Study groupII): received neural slump test position plus passive stretch of hamstring muscle, Group III (control group): received only passive stretch of hamstring muscle.
Treatment Procedures:
Passive stretching of hamstring muscle:
Patient in comfortable supine lying position and therapist stride standing beside the dominant side of the patient. The patient was asked to flex his hip joint with complete knee extension and ankle in neutral position. The therapist stretches the hamstring of the dominant side; distal hand of the therapist on planter surface of foot for dorsiflexion to increase flexibility of hamstring muscle and proximal hand on the knee to increase the length of the muscle, maintain this stretching for 60 seconds then relax (8)
Sub occipital muscle inhibition:
The Patient is in comfortable supine lying position with eye closed - for more relaxation- and the head out of the bed resting on therapist hand to manipulate the sub occipital area. The therapist stretch the sub occipital, flexes the head of the patient to get the chin to the manibiurim sternii, maintaining this position for 60seconds then relax (9)
Neural dynamic slump stretch:
Patient in comfortable short sitting position at the edge of the bed with the trunk in an millitary straight position then ask the patient to slump the flex his neck and street the knee joint in complete extension the at the end of the procedure do active dorsiflexion at the tested foot .(10)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Experimental group 1 | Experimental | Other: Suboccipital muscle inhibitionsuboccipital muscle inhibition plus passive stretch of hamstring muscle. |
| Experimental group 2 | Experimental | Other: Suboccipital muscle inhibitionNeural slump strtch position plus passive stretch of hamstring muscle. |
| Control group | Active comparator | Other: Suboccipital muscle inhibitionpassive stretch of hamstring muscle |
Who may qualify
- Ages
- 18 to 28 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Being females.
- Age between 18-28 years old.
- BMI: 18-25 kg/square meter.
- All subjects were free from injury or disease expected to affect hamstring length or ability to perform the exercises.
- Straight leg raising test (SLR) is less than 80 degree from supine position.
Key exclusion criteria (6 listed)
- Hamstring injury within the past year.
- Exceeding 80° in the initial SLR test. Popleteal knee angle less than 15 degree. -
- Verbal report of performing regular lower extremity. Muscle stretching exercises.
- History of neck trauma (whiplash). Neck symptoms.-
- History of recent fracture in any part of the body.
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 |
|---|---|---|
| Suboccipital muscle inhibitionAlso: slump stretch position, Passive stretch of the hamstring muscle.The patient was asked to flex his hip joint with complete knee extension and ankle in neutral position. The therapist stretches the hamstring of the dominant side; distal hand of the therapist on planter surface of foot for dorsiflexion. and proximal hand on the knee to increase the length of the muscle, maintain this stretching for 60 seconds then relax .Sub occipital muscle inhibition: The Patient is supine, The therapist stretch the sub occipital, flexes the head of the patient to get the chin to the manibiurim sternii, maintaining this position for 60seconds then relax Slump strtch position:Patient in comfortable short sitting position at the edge of the bed with the trunk in an millitary straight position then ask the patient to slump the flex his neck and street the knee joint in complete extension the at the end of the procedure do active dorsiflexion at the tested foot | Other | Control group, Experimental group 1, Experimental group 2 |
Primary outcome
Straight leg raising test
Time frame: after 4 weeks of intervention.
the patient was supine lying position with hip and knee extension at the starting position, then the patient was asked to actively flex hip joint as much as possible while maintaining the knee in extension position. Then with the goniometer the therapist started to determine the angle of hip flexion, patients were excluded if the SRL was more than 80˚at the initial evaluation
2 secondary outcomes
Popliteal Angle Test
Time frame: after 4 weeks of intervention.
Forward flexion test
Time frame: after 4 weeks of treatment.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Jan 2020.
- Individual participant dataSharing planned: Yes. Informed consent form, Study protocol
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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.
Hadaya M El Adl, Phd study director
Jouf University, Collage of applied medical science.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Suboccipital muscle inhibition in people with Musculoskeletal Diseases or Conditions, run by Jouf University at 1 site in Egypt.
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 6 inclusion and 6 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: finished, as of the sponsor's last update on 28 Jan 2020. 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 Egypt. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Straight leg raising test (time frame: after 4 weeks of intervention.). 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 28 Jan 2020.