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

Al-Quds University

Status: Completed

Conditions: Groin Injury; Hip Adduction Strength; Groin Pain

Treatments: Other: Dry Needling (DN); Other: Mulligan's Mobilization with Movement and Dry Needling

Study type: Interventional

Funder types: Other

Identifiers

NCT06841588

118/REC/2020

Details and patient eligibility

About

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.

Full 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).

Enrollment: 30 patients

Sex: Male

Ages: 15 to 35 years old

Volunteers: Accepts Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Mulligan's Mobilization with Movement and Dry Needling

Active Comparator group

Description:

the intervention group 1 was treated using Mulligan Mobilization with Movements and Dry Needling (DN\&MWM) for soft tissue trigger points, (N=15).

Treatment:

Other: Mulligan's Mobilization with Movement and Dry Needling

Dry Needling

Active Comparator group

Description:

the intervention group 2 was treated using Dry Needling (DN) for soft tissue trigger points, (N=15).

Treatment:

Other: Dry Needling (DN)