<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20250106064292N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2025-02-11</date_registration>
      <primary_sponsor>The University Of faisalabad</primary_sponsor>
      <public_title>Effects of Instrumental Assisted Soft Tissues Mobilization and MET( post isometric relaxation)on Gastrocnemius and Soleus muscle tightness</public_title>
      <acronym></acronym>
      <scientific_title>Comparing the Effects of Instrumental Assisted Soft Tissue Mobilization and Muscle Energy Technique on Improving Range of Motion and Reducing Pain in Patients with Gastrocnemius and Soleus Muscle Tightness A Randomized Clinical Trail</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2025-02-20</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>24</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/81276</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Other, Purpose: Health service research, Randomization description: Participants will be screened according to criteria and 24 Participants who met the inclusion criteria of study will be selected. Participants will be divided randomly into 2 treatment groups.12 each ,by using lottery method.each participants will be asked to choose between 2 pieces of paper,with group A and group B written on them participants will be allocated into treatment groups according to piece of paper they will choose.after completing 12 participants in one group,all other participants will be assigned to the other treatment group.so that both treatment groups have equal participants, Blinding description: Each participants will be asked to choose between  two pieces of paper,with group A and group B written on them participants will be allocated into treatment groups according to the piece of paper they choose.the patients will not know in which Group he/she is enrolled to avoid bias.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Gastrocnemius and Soleus Muscles Tightness.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: group A will receive instrument-assisted soft-tissue mobilization 2 sessions per week for 6 weeks.in one session 10 minutes apply Instrumental Assisted Soft Tissues Mobilization on Gastrocnemius and Soleus Muscles. Intervention 2: Intervention group: group B will receive 2 sessions of post isometric relaxation techniques per week.this apply on Gastrocnemius and Soleus Muscles .in one session 3 repetitions will be performed.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is It is not yet known if there will be a plan to make this available</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr.Hania Mahmood</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>West canal, faisalabad</address>
        <city>Faisalabad</city>
        <country1>Pakistan</country1>
        <zip>38000</zip>
        <telephone>+92 313 6000725</telephone>
        <email>Haniamahmood08@gmail.com</email>
        <affiliation>The University Of faisalabad</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr .Hania Mahmood</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>West canal, faisalabad</address>
        <city>Faisalabad</city>
        <country1>Pakistan</country1>
        <zip>38000</zip>
        <telephone>+92 313 6000725</telephone>
        <email>Haniamahmood08@gmail.com</email>
        <affiliation>The University Of faisalabad</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
      <country2>Pakistan</country2>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Teaching Experience more than 2 years.Teachers who stand for prolonged period at least 3-5 hours per day .Positive Knee to wall test/ Silfverskiold Test.Pain mild to moderate.If ankle dorsiflexion and plantarflexion ranges limited.
Both genders male and female.Age range 25-40 year.
All participants must be currently employed as primary and secondary school teachers.</inclusion_criteria>
      <agemin>25 years</agemin>
      <agemax>40 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients with history of any recent traumatic lower limb injury.History of Bursitis, fasciitis, ligamentous injury or tendinopathy.Patients with symptoms of sensory loss in lower extremities .History of diabetes .Patients with visible foot deformities (Cavus, flat feet, hammer toe, hallux valgus)
Patients with planter cones , foot warts , calluses.Patient had history of surgery.Not willing to participate in study</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M62.9</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Disorder of muscle, unspecified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: group A will receive instrument-assisted soft-tissue mobilization 2 sessions per week for 6 weeks.in one session 10 minutes apply Instrumental Assisted Soft Tissues Mobilization on Gastrocnemius and Soleus Muscles</i_keyword>
      <i_keyword>Intervention group: group B will receive 2 sessions of post isometric relaxation techniques per week.this apply on Gastrocnemius and Soleus Muscles .in one session 3 repetitions will be performed</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Gastrocnemius and Soleus Muscles pain. Timepoint: Gastrocnemius and soleus muscle tightness measured three times.before the start of 1st session,after 3 weeks and third time after 6 weeks. Method of measurement: Numeric Pain Rating Scale.</prim_outcome>
      <prim_outcome>Gastrocnemius and soleus muscle range of motion. Timepoint: Gastrocnemius and soleus muscle tightness measured three times.before the start of 1st session,after 3 weeks and third time after 6 weeks. Method of measurement: Universal goniometer.</prim_outcome>
      <prim_outcome>Functional Scale. Timepoint: Gastrocnemius and soleus muscle tightness measured three times.before the start of 1st session,after 3 weeks and third time after 6 weeks. Method of measurement: Lower Extremity Functional Scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>All financial expenses are bear by myself</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-01-06</approval_date>
        <contact_name>Ethics committee of The University of Faisalabad</contact_name>
        <contact_address>West canal ,faisalabad Faisalabad Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
