Clinical trial NCT06841588: The Effect of Mulligan's Mobilization with Movement Versus Dry Needling on Pain,Function,and Range of Motion Among Athletes with Hip Adductor Related Groin Pain and Dysfunction
Official title: The Effect of Mulligan's Mobilization with Movement Versus Dry Needling on Pain, Function, and Range of Motion Among Athletes with Hip Adductor Related Groin Pain and Dysfunction
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hip Adduction Strength
Groin Pain
Groin Injury
Keywords: Athletes
hip adductor
groin pain
athletes with groin pain
athletes with hip dysfunction
Lead sponsor: Al-Quds University
Sponsor class: OTHER
First posted: 2025-02-24
Enrollment: 30
Sex: MALE
Minimum age (years): 15
Maximum age (years): 35
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study aims to highlight and investigate the effectiveness of two common management practices in physiotherapy, dry needling intervention as a soft tissue technique and Mulligan mobilization with movements MWM as a joint technique, on pain, function, and range of motion among athletes with hip adductor-related groin pain and dysfunction.

Detailed description: Background:

Injuries are considered a common challenge in the sports field, 31% of the injuries are muscular, especially in the lower extremities. Injuries in the groin area are a major and serious problem because they are common, lead to prolonged symptoms, and had a high recurrence rate.

Study objective:

This study aims to highlight and investigate the effectiveness of two common management practices in physiotherapy, dry needling DN intervention as a soft tissue technique and Mulligan mobilization with movements MWM as a joint technique.

Methods:

A convenience sampling of thirty football players who were diagnosed with hip adductor-related groin pain and dysfunction were recruited from different cities in the west bank who participated in this randomized clinical trial, the participants were randomly divided into two groups, the dry needling group (15), and dry needling combined with Mulligan mobilization MWM (15).

Numiric Pain Rating Scale (NPRS), Five-Second Copenhagen Squeeze test, Hip Abduction Range of Motion, Adductor Squeeze Test, Flexion Abduction External Rotation Test (FABER), Y Balance Test, and The Copenhagen Hip and Groin Outcome Score (HAGOS) were used as outcome measures (NPRS and 5-second squeeze test performed each session for the two groups).

Eligibility criteria: Inclusion Criteria:

1. Athletes suffered from unilateral adductor-related groin pain, grades 1 and 2.
2. Acute, subacute, or chronic athletes with hip adductor-related groin pain and dysfunction.
3. Groin pain during or after activities.
4. Pain at palpation of the adductors and their origin.
5. Pain on resistance against adduction.
6. Aged 15- 35 years old.

Exclusion criteria:

Patients with other causes of groin pain such as:

1. Lymphadenitis.
2. Prostatitis, Urinary infections, Malignancy.
3. Spinal pathology.
4. Hip joint osteoarthritis.
5. Inguinal-related or Iliopsoas-related groin pain.
6. Femoral or Inguinal hernia.
7. Referral pain and adductor strain grade 3.
8. Current use of medication.

Primary outcomes:
measure: Sheet of Demographic Data
timeFrame: pre and 1 day post treatment
measure: Numeric Pain Rating Scale NPRS
timeFrame: pre and 1 day post treatment
measure: Y-Balance Test YBT
timeFrame: pre and 1 day post treatment
measure: FABER Test
timeFrame: pre and 1 day post treatment
measure: Five Seconds Copenhagen Squeeze Test
timeFrame: pre and 1 day post treatment
Secondary outcomes:
Other outcomes:
Locations:
city: Ramallah
country: Palestinian Territory, occupied
facility: Ayman Daragmah
Study officials:
affiliation: Al-Quds University
name: Daragmah, Master degree
role: PRINCIPAL_INVESTIGATOR
References: