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IRCT20220401054381N1 IRCT 2022-12-09 Tehran University of Medical Sciences Comparison of Dry Needling and Kinesio taping for the treatment of Individuals with hamstring tightness. Kinesio tape (KT) Dry needling (DN) Comparison of Immediate Effectiveness of Dry Needling Versus Kinesio taping on Hamstring Muscles Flexibility, Range of Motion and Performance in Individuals with Hamstring Muscles Tightness, A Randomized Controlled Trial. 2022-11-02 anticipated 34 Complete https://irct.ir/trial/66614 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: After the baseline assessment, the participants will be randomized into one of the two intervention groups using simple randomization procedure. Thirty-four cards will be collected inside a ball without any clinical involvement in the study to ensure allocation concealment. A computer generated list of random number will be used. Receptionists who is impartial will dispense to either Dry needle or Kinesio Tape according to a computer generated randomization list includes the sequential numbers using an online randomization website (https://www.graphpad.com/quickcalcs/randomize1.cfm). Each number and it's allocate group will be written on a piece of paper and will be concealed in an opaque envelope. The receptionist will inform the therapist about patients’ allocation according to the selected index card after the baseline measurements will be taken, Blinding description: As already mentioned, the study is double blinded. The physiotherapist performing the baseline evaluations is blinded to the group the participant belongs to (assessor blind). The physiotherapist performing the post treatment evaluation is blinded to which group the patient belonged to. The data analyzer is also unaware of which study group the data belongs to. After recruitment and random allocation into their groups, the participants read and sign the consent form. N/A Hamstring muscles shortness. Intervention 1: Intervention group: Group A will receive dry needling treatment (0.30mm˟50 mm, Huan-Qiu, China) on 1 randomly picked limb where needle is inserted in the muscle at three different points on (A) Long head of biceps femoris, (B) Short head of biceps femoris, (C) Semitendinosus and semimembranosus. An appropriate dry needle will be inserted at the above mentioned points using the 30 seconds of Pistoning and 5 minute in situ followed by static stretching. Intervention 2: Intervention group: Group B will receive Inhibitory Kinesio taping on 1 limb picked randomly where hamstring muscle tape is applied from hamstring muscles insertion to origin (distal to proximal). A 15-25% stretch is used for inhibition techniques using a Y-strip application of the kinesio Tex tape( Kinesio® tape, Kenzo Kase, Japan) followed by static stretching. Yes - There is a plan to make this available What will be shared: All data is potentially shareable after de-identifying individuals When: The access period starts 3 months after the articles are published. To whom: For researchers working in academic, scientific and hospital institutions and clinicians. Conditions: Researchers and clinicians working on musculoskeletal disorders and sports physical therapy. Where to obtain: Applicants for documentation can contact Dr. Sara Fereydoonnia via email. s-fereydounnia@sina.tums.ac.ir How to obtain: Once they have the necessary criteria, the information will be provided to them within a month. Comments:
public Sara Fereydounnia
School of Rehabilitation, Piche- Shemiran, Enghelab Street
Tehran Iran (Islamic Republic of) 1148965111 +98 21 7752 8468 s-fereydounnia@sina.tums.ac.ir Tehran University of Medical Sciences scientific Seyed Mohsen Mir
School of Rehabilitation, Piche- Shemiran, Enghelab Street
Tehran Iran (Islamic Republic of) 1148965111 +98 21 7752 8468 smmir@tums.ac.ir Tehran University of Medical Sciences Iran (Islamic Republic of) Normal Male Individuals. Hamstring length deficit of more than 20 degrees as measured by passive knee extension 90/90 test. Age must be between 18 to 45 years old. 18 years 45 years Male Surgical history of the lower limb Allergy to kinesio tape Seizure Bleeding disorders Fractures of the lower limb Congenital deformities Trauma Neurological disorders Inflammatory skin diseases Immunodeficiency’s Consuming anticoagulant Metal allergies Radiculopathies Reluctance to participate and withdrawal from the study at any time Rehabilitation Rehabilitation Intervention group: Group A will receive dry needling treatment (0.30mm˟50 mm, Huan-Qiu, China) on 1 randomly picked limb where needle is inserted in the muscle at three different points on (A) Long head of biceps femoris, (B) Short head of biceps femoris, (C) Semitendinosus and semimembranosus. An appropriate dry needle will be inserted at the above mentioned points using the 30 seconds of Pistoning and 5 minute in situ followed by static stretching. Intervention group: Group B will receive Inhibitory Kinesio taping on 1 limb picked randomly where hamstring muscle tape is applied from hamstring muscles insertion to origin (distal to proximal). A 15-25% stretch is used for inhibition techniques using a Y-strip application of the kinesio Tex tape( Kinesio® tape, Kenzo Kase, Japan) followed by static stretching. Active straight leg raising range of motion. Timepoint: Before intervention and immediately after the intervention. Method of measurement: Participants will be positioned in supine position and will be instructed to flex the hip when knee is in extended position as much as possible. Hip flexion range of motion will be measured by a universal handheld goniometer. The axis, moving arm, and stable arm of the goniometer will be placed on greater trochanter of the femur, parallel to the femur, and parallel to the trunk, respectively. Passive knee extension test. Timepoint: Before intervention and immediately after the intervention. Method of measurement: Subjects will be asked to lie in supine position and flex the intended hip till 90˚ hip flexion. Contralateral limb will be positioned in extended position. Another clinician extends the knee gradually until reaching the maximal tolerable stretch of the hamstring muscle as indicated by the patient with the ipsilateral hip remaining in 90 degrees of flexion. Knee extension range of motion will be measured by a universal handheld goniometer. The axis, moving arm, and stable arm will be placed over the knee joint, parallel to shin, and femur, respectively. Perceived hamstring tightness. Timepoint: Before intervention and immediately after the intervention. Method of measurement: The participants will be asked to rate their perceived level of hamstring tightness by using a visual analogue scale of 100mm that has two ends. One end of the scale is 0mm representing no tightness or pain and the other end will be at 100mm representing maximum pain or tightness. The subjects will be asked to rate the pain on stretch on the scale when a therapist extends the knee passively while the other limb is stabilized on the table. Modified sit and reach test. Timepoint: Before intervention and immediately after the intervention. Method of measurement: Participants will be asked to sit with their back against a solid wall and fix the feet against the sit and reach box and their arms stretched out to mark the starting position. When the intended knee is in extended position, and contralateral knee placed in slightly flexed position, participants will be asked to reach forward as much as possible. Y-balance test. Timepoint: Before intervention and immediately after intervention. Method of measurement: Y-balance test will be performed in standing position. The subject stands on one leg while reaching out in 3 different directions (anterior, posteromedial and posterolateral) on measuring tapes stuck to the floor. The data acquired will be normalized based on the obtained values of the participants’ lower limb length, height and BMI. Tehran University of Medical Sciences Approved 2022-10-25 Ethics Committee of Tehran University of Medical Sciences Vice Chancellor for Research, 6th Floor, Central University Organization, Corner of Ghods St, Keshavarz Blvd. Tehran Tehran Iran (Islamic Republic of)