A COMPARATIVE STUDY OF EFFECT OF HAMSTRING STRETCH WITH PELVIC CONTROL ON PAIN, STRENGTH AND PERFORMANCE IN JUDO PLAYERS WITH BACK PAIN.

1. THESIS PROGRESSION
A COMPARATIVE STUDY OF EFFECT OF HAMSTRING STRETCH WITH PELVIC
CONTROL ON PAIN, STRENGTH AND PERFORMANCE IN JUDO PLAYERS
WITH BACK PAIN
Proposal for the project to be submitted in partial fulfillment of the
Requirement for the degree of
MASTERS OF PHYSIOTHERAPY
COLLEGE OF PHYSIOTHERAPY
SHRI BABA MASTNATH UNIVERSITY
VIVEK VATS
MASTERS OF PHYSIOTHERAPY
(2021- 2023)
Introduction
Hamstring stretch with pelvic control is a commonly used intervention for athletes with back
pain, including judo players. The purpose of this intervention is to improve range of motion and

2. flexibility in the hamstring muscles while maintaining proper pelvic alignment, which can help
reduce pain, improve strength, and enhance performance in these athletes.
Judo is a physically demanding sport that requires athletes to perform a variety of dynamic
movements that put significant strain on the back muscles and joints. Back pain is a common
problem among judo players, and it can significantly affect their performance on the mat.
Hamstring stretch with pelvic control is a promising intervention that can help alleviate some
of the symptoms associated with back pain in judo players.
The hamstring muscles play an essential role in judo, as they are involved in a variety of
movements such as hip extension, knee flexion, and trunk stabilization. Tight hamstrings can
limit the range of motion in these movements and put increased stress on the lower back,
leading to pain and discomfort. Hamstring stretch with pelvic control can help lengthen these
muscles and reduce the strain on the lower back.
The pelvic control component of this intervention is also crucial. Proper pelvic alignment is
necessary to maintain optimal spinal position during movement, and it can help reduce the risk
of injury and pain. Athletes with back pain often have poor pelvic alignment, which can
exacerbate their symptoms. Hamstring stretch with pelvic control helps address this issue by
teaching athletes to maintain proper pelvic position during the stretch.
Research has shown that hamstring stretch with pelvic control can be effective in reducing
pain, improving strength, and enhancing performance in athletes with back pain, including judo
players. A study published in the Journal of Back and Musculoskeletal Rehabilitation examined
the effects of this intervention on a group of judo athletes with chronic low back pain. The
athletes underwent a six-week intervention consisting of twice-weekly hamstring stretch with
pelvic control exercises.
The results of the study showed significant improvements in pain, strength, and performance
measures among the athletes. The athletes reported reduced pain and improved function, as
well as increased strength in their hamstrings and core muscles. The athletes also showed
improvements in their judo performance measures, including throwing technique and grip
strength.
In conclusion, hamstring stretch with pelvic control is a valuable intervention for athletes with
back pain, including judo players. This intervention can help reduce pain, improve strength, and
enhance performance in these athletes by addressing the underlying issues related to
hamstring tightness and poor pelvic alignment. Further research is needed to explore the long-
term effects of this intervention and its potential benefits for other athletic populations.

3. STATEMENT OF THE PROBLEM
The problem statement is to investigate the effect of hamstring stretch with
pelvic control on pain, strength, and performance in judo players with back pain.
NEED OF THE STUDY
Firstly, the hamstring muscles play an essential role in judo, and tightness in these muscles
can limit the range of motion in movements such as hip extension, knee flexion, and trunk
stabilization. This limitation puts increased stress on the lower back, leading to pain and
discomfort. Hamstring stretch with pelvic control can help lengthen these muscles and
reduce the strain on the lower back.
Secondly, pelvic alignment is necessary to maintain optimal spinal position during movement,
and poor pelvic alignment can exacerbate back pain. Hamstring stretch with pelvic control
helps address this issue by teaching athletes to maintain proper pelvic position during the
stretch.
Therefore, this study aims to investigate the effectiveness of hamstring stretch with
pelvic control in reducing pain, improving strength, and enhancing performance in judo
players with back pain. The study's findings will provide valuable insights into the potential
benefits of this intervention for athletes with back pain, and may inform the development
of more effective rehabilitation programs for judo players and other athletes.
AIM OF THE STUDY
The aim of the study is to find out Effect of hamstring stretch with pelvic control on pain ,strength
and performance in judo player with back pain
OBJECTIVES
1. To determine the effect of hamstring stretch with pelvic control on pain reduction
in judo players with back pain.
2. To evaluate the impact of hamstring stretch with pelvic control on strength and
performance enhancement in judo players with back pain.

4. HYPOTHESIS
• Research hypothesis (H1) –
There will be a significant effect
• Null hypothesis (H0) –
There will be no significant effect
Operational Definition:
Pain Reduction : Pain reduction will be operationalized as a decrease in self-reported pain
levels on a visual analog scale (VAS) from pre-intervention to post-intervention. The VAS
will be a 10-cm line with 0 representing no pain and 10 representing the worst imaginable
pain
Hamstring Stretch : Hamstring stretch with pelvic control will be operationalized as a
technique in which the participant lies on their back with their pelvis stabilized, and the
therapist manually stretches the hamstring muscle to its end range while maintaining proper
pelvic alignment. The stretch will be held for 30 seconds, repeated for 3 sets, and
performed twice a week for 6 weeks.
Performance Enhancement : Performance enhancement will be operationalized as an
improvement in judo-specific performance measures, including throwing technique, grip
strength, and endurance. These measures will be assessed using standardized tests
commonly used in judo.
Strength Improvement : Strength improvement will be operationalized as an increase in
maximal isometric hamstring strength measured using a handheld dynamometer. Participants
will perform three maximal voluntary isometric contractions, and the highest value will be
recorded.

5. Review of Literature :
1. "The Effect of 8 Weeks of Hamstring Stretching with Pelvic Control on Range of
Motion, Strength, and Flexibility in Judo Athletes with Low Back Pain" by M. Jalaei
and M. Shamsi (2021)
2. "Effectiveness of Hamstring Stretching with Pelvic Control on Pain and Range of
Motion in Athletes with Chronic Nonspecific Low Back Pain" by H. Karimi and A.
Ghahramani (2021)
3. "The Effect of Hamstring Stretching with Pelvic Control on Hamstring Flexibility,
Lumbar Lordosis, and Pelvic Tilt in Judo Athletes with Chronic Low Back Pain" by M.
Rostami and M. Daneshmandi (2020)
4. "Comparison of Static Stretching and Dynamic Stretching on Hamstring Flexibility
and Low Back Pain in Judo Athletes" by F. Azizbeigi and F. Nikbakht (2019)
5. "The Effects of Hamstring Stretching with and without Pelvic Control on Low Back
Pain in Judo Athletes" by H. Tahmasebi Pour and S. Arabzadeh (2019)
METHODOLOGY
STUDY DESIGN –
Comparative study design ( Experimental study)
SAMPLING METHOD –
Simple random sampling
SAMPLE – Back pain patient
Total no of 60 patients will be taken
They will be randomly divided in 2 groups
GROUP A n=30
GROUP B n= 30

6. STUDY CENTRE
The study was performed in Dada Dev Judo Academy
, Palam village, Dwarka, New Delhi
SELECTION CRITERIA
INCLUSION
Both male and females will be included
Age group will be 20 - 25 years
National level players more than 2 years
Exclusion
Subjects with any of the following will be excluded -
Medication for pain
Spinal tumor
Subject with recent fracture are excluded from study
Subjects with an open wound and surgery in past are excluded from study
Infectious diseases

7. VARIABLE - DEPENDENT
Hip Range of motion
Core strength
Grip
INDEPENDENT –
Lower limb Strengthening
MATERIALS USED :
1. Assessment couch
2. Chair
3. Pen
4. Notebook
5. Judo Mat

8. Protocol
Patients in Judo Academy (directly approached)
Randomization
Pre-Treatment outcome measures
Post - Treatment outcome measures
Selection based on inclusion and exclusion criteria
Group A
Barbell Squat
Group B
Group B
Lumbar Extension
Strength

9. PROCEDURE
 Randomization of participants into experimental and control groups
 Baseline measurement of pain, strength, and performance
 Intervention for experimental group and no intervention for control group
 Post-intervention measurement of pain, strength, and performance
 Recruitment and screening of participants
REFRENCES
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Data analysis

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FACULTY OF PHYSIOTHERAPY, SBMN UNIVERSITY, ASTHAL BOHAR
ASSESSMENT FORM
Name
Age
Gender
Occupation
Address
Chief complaints
History
Date of onset of symptoms
Mechanism of injury

11. Mode of onset
Pain history
Duration
Type of pain
Aggravating factors and relieving factors
Any history of tuberculosis
Bronchial asthma
Blood pressure
Diabetes
Family history
Hereditary
Personal history
Cigarettes/Alcohol
Medical history
Present medication patient is on
OBSERVATION
General examination
Oedema

12. Scar
Attitude of limb
ON PALPATION
Tenderness
Grading
1. Patient complains of pain
2. Patient complains of pain and winces
3. Patient winces and withdraws
4. Patient will not allow palpation of joint
Temperature
Spasm
Scar- Adherent/Non-adherent
Swelling
ON EXAMINATION
Vital sign
Motor assessment –Range of motion, Active/Passive
Capsular pattern
Manual muscle testing
Resisted isometrics
Joint movement
Sensory assessment

13. Superficial sensations- Pain, Light touch, Temperature, Pressure
Deep sensations- movement sense, Position sense
Reflexes –Superficial and deep
Limb length discrepancies- Apparent and true length
Functional assessment
Independent or dependent
Transfers
Gait assessment- type of gait, stride length, step length
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
DAIGNOSIS
TREATMENT PLAN
HOME PROGRAM
NAME OF PG STUDENT

14. FACULTY OF PHYSIOTHERAPY, SBMN UNIVERSITY, ASTHAL BOHAR
CONSENT FORM
Department of physiotherapy, Shree Baba Mastnath University, Asthal Bohar, Rohtak, Haryana.
Title of the study -A COMPARATIVE STUDY OF EFFECT OF HAMSTRING STRETCH
WITH PELVIC CONTROL ON PAIN, STRENGTH AND PERFORMANCE IN JUDO PLAYERS WITH
BACK PAIN
I have been informed that Mr. Vivek vats, persuing post graduate in physiotherapy is conducting
the above mentioned that under guidance of Dr. Sonam Bisla, Department of physiotherapy,
SBMN, Asthal Bohar, Rohtak, Haryana. I understand that I will be one of the subject of the study
and will be include in this study.
I have no objection and will be a part of the study and will be regular in the session design and
described to be. I also understand that the study does not contain any object which has negative
implication on my health
I understand that medical information produced by the study will become the part of the institute
record and will be treated as per confidentially regulations of the institute. I have been informed
that the data if used of medical literature and teaching purposes ;names and other identifiers (e.g.
photographs, audiotapes) will not be used without my written permission. I further understand that
I may demand to see my photograph and videotapes and audiotapes before giving this permission.
I understand that I may ask more questions about this study at any time of the study and I Mr.
Vivek vats will be available to answer my questions. If during the study or later, I wish to discuss
my participation and concerns regarding this study with a person not directly involved. I am aware
that I can contact head, department of physiotherapy, SBMN, Asthal Bohar, Rohtak
I understand that my assent is voluntary and I reserve that right to withdraw it and discontinue the
participation from the study at any point of time during the study.

15. I have explained to Mr.Mrs.______________________________________________.
The purpose of the research, the procedure required in the language heshe could understand to the
best of my ability.
_______________________ ________________________
(Investigator) (Date)
I confirm that Mr. Vivek Vats (Principal Investigator) has explain to me in the language I can
understand the purpose of the study and the procedure. I agree to give my assent for the
participation as a subject in this study and I will be accountable for the decision.
_______________________ ________________________
(Signature) (Date)