Effects of Lumbosacral Mobility Program on Tight Hamstrings
Condition: Hamstring Tightness
Study type: Interventional

Summary: 
      The study will be randomized controlled trial to determine the effects of lumbosacral
      mobility program on muscle length in sedentary young adults with tight hamstrings. Only the
      eligible subjects who fulfill the inclusion criteria will be included in the study. A sample
      of 78 subjects will be taken and randomly allocated into two groups with 39 each. Group A
      will be given three treatments. Manual therapy, mobility exercise therapy and home based self
      stretching program. Manual therapy mobilization posterior-anterior glides at lumber facets
      joints, transverse glides at spinous process & Posterior-anterior glides at SI joint. Glides
      will be performed 3 times with 5 repetitions. Mobility exercise therapy (Single knee to
      chest, double knee to chest, Lumbar rotation, Lumbar extension, Pelvic tilting). A total of
      30 min sessions three times a week on alternate days for 1 week & home-based self-stretches
      program twice a day for three times a week on alternate days for 1 week. Group B will be
      given home-based self-stretching program twice a day for three times a week on alternate days
      for 1 week .The baseline values of all the dependent variable will be recorded on day one and
      at the end of the 1-week treatment session, using goniometry, active and passive knee
      extension test, passive straight leg raising and lower extremity functional scale will be
      used
    

Detailed description: 
      The hamstring muscle group consists of four muscles (semitendinosus, semimembranosus, biceps
      femoris long head, biceps femoris short head). It's a two-joint muscle working simultaneously
      to act as a hip extensor and knee flexor. It also functions to maintain the stability of the
      knee joint. The hamstring plays important role in daily activities like running & walking. A
      lot of factors affecting hamstring function, one of them is flexibility, it is defined as the
      extent to which muscle length contributes to maximal joint range of motion. It is a
      well-known muscle of has a shortening tendency. There are many methods for treating
      hamstrings flexibility/tightness/shortening. Routinely, physiotherapists are using stretching
      & strengthening exercises, instruments assisted in soft tissue mobilization. The current
      study focuses on two treatments manual therapy & lumber mobility exercises
    

Intervention name(s): Lumbosacral manual therapy mobilization, lumber mobility exercises and home based self strechings program.; home based self strechings program only.
Intervention type(s): Other; Other
Intervention description(s): Manual therapy, mobility exercise therapy and a home-based self-stretching program. Manual mobilization postero-anterior glides at lumber facets joints, Transverse glides at spinous process & Posterior-anterior glides at SI joint. Glides will be performed 3 times with 5 repetitions. Mobility exercise therapy.; Home based self-stretching program includes 3 repetitions of 15 seconds duration stretch (with 20 seconds rest between each repetition). Repeat stretching exercises twice a day for 3 alternate days for 1 week. Piriformis stretch: in supine crook lying, placing the lateral side of the foot over the contralateral knee and pulling towards the chest with the hands. Quadriceps stretch: stand on your left leg, one knee touching the other, hold a chair or the wall to keep you steady if needed, grab your right foot, using your right hand, and pull it towards your butt. Hamstring stretch: To stretch the right leg, sit on the ground with the left leg bent at the knee with the foot facing inward. This is called the butterfly position. Extend the right leg, keeping it slightly bent at the knee. Bend forward at the waist, making sure to keep the back straight.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: manual therapy; lumbar mobility; mobilization