The influence of global pelvic manipulation on groin pain, hamstring length and piriformis trigger point in football players with range of motion asymmetry of the coxofemoral joint: immediate and post training effect.

In football players with range of motion asymmetry in coxofemoral joint, does the global pelvic manipulation reduce groin pain, hamstring length, and piriformis trigger point compared with placebo manipulation?

Status

Not yet recruiting

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12616001408471

Enrollment

115

Registered

2016-10-10

Start date

2017-09-30

Completion date

2017-10-30

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This research paper aims to evaluate the effects of global pelvic manipulation (GPM) on football players with asymmetric rotation in the coxofemoral joint. We are seeking to evaluate limitation of the hip joint as a suitable indicator for injury prognosis. We will determine if coxofemoral limitation engages the sacroiliac joint (SIJ), and how this involvement will affect unspecified pain in the pubis, pyramidal syndrome and/or reduction of the hamstring musculature. During the preliminary phase we will study the range of coxofemoral joint rotation in each member of the club’s first team, reserve team and the three junior teams (a total of 115 players between ages 15 and 36). Following the preliminary study, we will identify those subjects with a difference between the internal and external range of hip rotation. These subjects will make up the study group. To carry out the study we will first take an initial series of pre-intervention measurements to determine pyramidal trigger point 1 (TP1) and pain in the pubic ramus using algometer, pyramidal elasticity and hamstring musculature using an inclinometer. We will divide the sample into two groups: the intervention group (IG) on which we will apply GPM, and a control group (CG) on which we will apply a placebo manipulation. We will carry out a new evaluation of the parameters post-intervention, and will reevaluate the effect of training on all the values. Additionally, we will develop a statistical evaluation of the results, comparing recorded values pre-intervention and post-intervention, post-training. We will identify any differences between the intervention group and the control group in order to define the effectiveness of the manipulation on the parameters of study.

Interventions

GLOBAL PELVIC MANIPULATION Manipulation focused on sacroiliac joint (SIJ) and L5-S1. Used to improve the local movement in those joints. It will be applied bilaterally, with a high speed and low amplitude impulse. The manipulation will be applied by a Phisiotherapist, with a manual intervention on massage table. The phisioterapist will manipulate each SIJ once time before training. That intervention will not be repeated.

Study design

Allocation

Non-randomised trial

Intervention model

Parallel

Primary purpose

Treatment

Masking

Blinded (masking used) (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender

Male

Age

14 Years to 45 Years

Healthy volunteers

Yes

Inclusion criteria

- Football players. - Men - At least 10 degrees of coxofemoral joint internal rotation asymmetry - Informed consent signature

Exclusion criteria

- Less than 10 degrees of coxofemoral joint internal rotation asimmetry - Radiological abnormalities of coxofemoral joint. - Physiotherapy or osteopathic treatments three weeks before- Spine disseases with intervertebral disc affectation - Acute dissease of sacroiliac joint - Hamstring injury 4 weeks before - Contraindication of any study intervention - Difficulty to finish all the trial

Outcome results