Comparison Between Effects of Active Release Technique and Post Isometric Relaxation on Adductor Strain in Mixed Martial Arts Fighters

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.

Study Overview

• Status: Recruiting
• Conditions: Adductor Strain
• Intervention / Treatment: Procedure: Cryotherapy; Procedure: Strengthening of adductors; Procedure: Active release technique; Procedure: Post-Isometric Relaxation

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 )

1. Numeric pain rating scale
2. Goniometer
3. Bent Knee Fall Out Test
4. 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 Type: Interventional
• Enrollment (Estimated): 40
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Qandeel Khalid, MS-MSKPT*; Phone Number: 03349549410; Email: qemy31@gmail.com

Study Locations

• Pakistan
  • Punjab
    • Rawalpindi, Punjab, Pakistan, 46000
      • Recruiting
      • Foundation University College of Physical Therapy
      • Contact: Furqan Yaqoob, MS-OMPT,PHD*; Phone Number: 03465333101; Email: furqan.yaqoob@fui.edu.pk

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• 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)

Exclusion Criteria:

• 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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: ART Group; 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	Procedure: Cryotherapy; 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.; Procedure: Strengthening of adductors; 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.; Procedure: Active release technique; 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.
Experimental: PIR Group; 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	Procedure: Cryotherapy; 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.; Procedure: Strengthening of adductors; 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.; Procedure: Post-Isometric Relaxation; 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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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.	2 weeks
Range of motion	It will be measured through goniometer	2 weeks
Functionality	It will be measured through lower extremity functional scale (LEFS)	2 weeks
Flexibility	It will be measured through bent knee fall out test	2 weeks

Collaborators and Investigators

• Sponsor: Foundation University Islamabad

Study record dates

Study Major Dates

• Study Start (Actual): July 15, 2023
• Primary Completion (Actual): November 20, 2023
• Study Completion (Estimated): November 20, 2024

Study Registration Dates

• First Submitted: April 23, 2024
• First Submitted That Met QC Criteria: April 23, 2024
• First Posted (Actual): April 29, 2024

Study Record Updates

• Last Update Posted (Actual): April 29, 2024
• Last Update Submitted That Met QC Criteria: April 23, 2024
• Last Verified: April 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries; Sprains and Strains
• Other Study ID Numbers: FUI/CTR/2024/6

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No