Hip Adduction StrengthNCT06841588
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
A study testing Mulligan's Mobilization with Movement and Dry Needling and Dry Needling (DN) in people with Hip Adduction Strength and Groin Pain, run by Al-Quds University at 1 site in Palestinian Territories.
Trial 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… Read more about this study
- Who is it for?
- Ages 15 to 35 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Hip Adduction Strength, Groin Pain, Groin Injury
- What is being tested?
- Mulligan's Mobilization with Movement and Dry Needling and Dry Needling (DN)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 sitePalestinian Territories
- Study dates
- 1 May 2020to 17 Aug 2021
- 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 15 to 35 years
- Men only
- Healthy volunteers accepted
- Child, Adult
Who may be able to join
- 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.
Who cannot join
- 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.
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- Femoral or Inguinal hernia.
- Referral pain and adductor strain grade 3.
- Current use of medication.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: 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
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.
Read the detailed description
Background:
Injuries are considered a common challenge in the sports field, 31% of the injuries are muscular, especially in the lower extremities. Injuries in the groin area are a major and serious problem because they are common, lead to prolonged symptoms, and had a high recurrence rate.
Study objective:
This study aims to highlight and investigate the effectiveness of two common management practices in physiotherapy, dry needling DN intervention as a soft tissue technique and Mulligan mobilization with movements MWM as a joint technique.
Methods:
A convenience sampling of thirty football players who were diagnosed with hip adductor-related groin pain and dysfunction were recruited from different cities in the west bank who participated in this randomized clinical trial, the participants were randomly divided into two groups, the dry needling group (15), and dry needling combined with Mulligan mobilization MWM (15).
Numiric Pain Rating Scale (NPRS), Five-Second Copenhagen Squeeze test, Hip Abduction Range of Motion, Adductor Squeeze Test, Flexion Abduction External Rotation Test (FABER), Y Balance Test, and The Copenhagen Hip and Groin Outcome Score (HAGOS) were used as outcome measures (NPRS and 5-second squeeze test performed each session for the two groups).
- Conditions
- Hip Adduction Strength, Groin Pain, Groin Injury
- Being tested
- Mulligan's Mobilization with Movement and Dry Needling, Dry Needling (DN)
- Keywords
- Athletes, hip adductor, groin pain, athletes with groin pain, athletes with hip dysfunction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mulligan's Mobilization with Movement and Dry NeedlingOther
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).
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).
| Study group | Role | What they receive |
|---|---|---|
| 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). Receives: 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). Receives: Other: Dry Needling (DN) |
What is being measured
The primary outcome is the main question the study is designed to answer.
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
Measured: 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.
Measured: 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.
Measured: 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.
Measured: 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
Measured: pre and 1 day post treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Feb 2025
- Study start1 May 2020
- Primary completion15 Mar 2021
- Study completion17 Aug 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hip Adduction StrengthStudies 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
- Single blind
- Who is masked
- Participant
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- Al-Quds University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Daragmah, Master degree, Principal investigator, Al-Quds University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06841588
- Sponsor's protocol ID
- 118/REC/2020
- Status last verified
- Jun 2023
- First submitted
- 20 Jan 2025
- Last updated
- 24 Feb 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- 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
- ClinicalTrials.gov ID
- NCT06841588
- Acronym / sponsor ID
- 118/REC/2020
- Conditions
- Hip Adduction Strength, Groin Pain, Groin Injury
- Keywords
- Athletes, hip adductor, groin pain, athletes with groin pain, athletes with hip dysfunction
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- Al-Quds UniversityUniversity, hospital or other
- Study start
- 1 May 2020 (actual)
- Primary completion
- 15 Mar 2021 (actual)
- Study completion
- 17 Aug 2021 (actual)
- First posted
- 24 Feb 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.
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.
Detailed description
Background:
Injuries are considered a common challenge in the sports field, 31% of the injuries are muscular, especially in the lower extremities. Injuries in the groin area are a major and serious problem because they are common, lead to prolonged symptoms, and had a high recurrence rate.
Study objective:
This study aims to highlight and investigate the effectiveness of two common management practices in physiotherapy, dry needling DN intervention as a soft tissue technique and Mulligan mobilization with movements MWM as a joint technique.
Methods:
A convenience sampling of thirty football players who were diagnosed with hip adductor-related groin pain and dysfunction were recruited from different cities in the west bank who participated in this randomized clinical trial, the participants were randomly divided into two groups, the dry needling group (15), and dry needling combined with Mulligan mobilization MWM (15).
Numiric Pain Rating Scale (NPRS), Five-Second Copenhagen Squeeze test, Hip Abduction Range of Motion, Adductor Squeeze Test, Flexion Abduction External Rotation Test (FABER), Y Balance Test, and The Copenhagen Hip and Groin Outcome Score (HAGOS) were used as outcome measures (NPRS and 5-second squeeze test performed each session for the two groups).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Mulligan's Mobilization with Movement and Dry Needling | Active comparator | Other: Mulligan's Mobilization with Movement and Dry Needlingthe intervention group 1 was treated using Mulligan Mobilization with Movements and Dry Needling (DN\&MWM) for soft tissue trigger points, (N=15). |
| Dry Needling | Active comparator | Other: Dry Needling (DN)the intervention group 2 was treated using Dry Needling (DN) for soft tissue trigger points, (N=15). |
Who may qualify
- Ages
- 15 to 35 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
Key inclusion criteria (6 listed)
- 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.
Key exclusion criteria (9 listed)
- Lymphadenitis.
- Prostatitis, Urinary infections, Malignancy.
- Spinal pathology.
- Hip joint osteoarthritis.
- Inguinal-related or Iliopsoas-related groin pain.
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 |
|---|---|---|
| Mulligan's Mobilization with Movement and Dry Needlingthe 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). | Other | Mulligan's Mobilization with Movement and Dry Needling |
| Dry Needling (DN)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). | Other | Dry Needling |
Primary outcome
Sheet of Demographic Data
Time frame: pre and 1 day post treatment
Demographic, personal data, and injury history were obtained at baseline from the patient interview and recorded on a data collection sheet
Numeric Pain Rating Scale NPRS
Time frame: pre and 1 day post treatment
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.
Y-Balance Test YBT
Time frame: pre and 1 day post treatment
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.
FABER Test
Time frame: pre and 1 day post treatment
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.
Five Seconds Copenhagen Squeeze Test
Time frame: pre and 1 day post treatment
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
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 24 Feb 2025.
- Individual participant dataSharing planned: No
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.
Daragmah, Master degree principal investigator
Al-Quds 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 Mulligan's Mobilization with Movement and Dry Needling and Dry Needling (DN) in people with Hip Adduction Strength and Groin Pain, run by Al-Quds University at 1 site in Palestinian Territories.
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 9 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 24 Feb 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 Palestinian Territories. 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?
Sheet of Demographic Data (time frame: pre and 1 day post treatment). The study lists 5 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 24 Feb 2025.