CClinicalTrials.gg
CompletedNCT05970003Updated Apr 30, 2024

Comparative Effects of Copenhagen and Holmich Exercises in Hip Adductor

An interventional study of Copenhagen exercises and Holmich exercises in Groin Strain, sponsored by Riphah International University. Completed at 1 site in Pakistan. Open to male participants aged 18 Years to 30 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-30.

Sponsored by Riphah International University · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
46
Allocation
Randomized
Ages
18 Years to 30 Years
Sex
Male
01

Study summary

Groin pain that relates to the adductor muscle usually represents in the groin region specifically in superior internal thigh. Tears or strains may happen within the muscles itself, tears or strains mainly occurs at musculotendinous junctions or within the tendons. Adductor strain is a familiar but mostly ignored cause of groin injury and pain among athletes. Risk factors include past hip or groin injury, age, weak adductors, muscle fatigue, lessen range of motion, and deficient stretching of the adductor muscle complex.

Read the detailed description

This study will be a randomized clinical trial and will be conducted in Pakistan sports board and coaching center. Non-probability consecutive sampling will be used to collect the data. Sample size of this research is 46 subjects with age group between 18-30 years will be taken. Data will be collected from the patients of adductor strain that causes groin pain by using tools Numeric Pain Rating Scale for pain, Adductor Muscle Strength Test by Hand Held Dynamometer, The Copenhagen Hip and Groin Outcome Score (HAGO's) questionnaire and Lower Extremity Functional Scale (LEFS). An informed consent will be taken. Squeeze test will be performed to evaluate the adductor related groin pain. The subjects will be divided into two groups i.e. Group A and Group B. Group A will receive the Copenhagen exercise, also known as the adductor strengthening protocol, is a dynamic and high-intensity exercise. It doesn't require any special equipment and can be done in any training center. Group B will receive Holmich continues to provide the strongest evidence for the efficacy of exercise as an ARGP treatment. Both groups will perform their routine warm ups and cool downs the total duration of the protocol is 6 weeks, 3 times a week the duration of each session 3 sets of 10 repetitions with 15 sec recovery period Keywords groin pain, Holmich protocol, Copenhagen exercise, adductor strain.

02

Conditions studied

  • Groin Strain

Browse trials for

Keywords

  • Holmich protocol
  • Copenhagen exercises
  • groin pain
  • adductor strain
03

In context

Sprains and Strains

217 studies on the registry are indexed under Sprains and Strains; 44 are open to participants now.

This study's enrollment of 46 is below the median of 60 across 166 interventional studies indexed under Sprains and Strains.

Browse Sprains and Strains studies →

Lead sponsor

Riphah International University is the lead sponsor of 2,133 studies on the registry; 633 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 30 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

    • Male soccer player age group 18-30 years

      • Groin pain during or after game
      • Persistent groin pain over 2-3 weeks
      • Pain at palpation of groin
      • Positive pain with Adductor squeeze test

Exclusion criteria

Exclusion Criteria:

    • Low back pain

      • Infection (UTI)
      • Malignancy
      • Recent fractures or injuries
      • Hip osteoarthritis
      • Inguinal hernia
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
46 participants (actual)

Study arms

  • Active comparator
    Group A: Copenhagen exercise

    Group A will receive the Copenhagen exercise, also known as the adductor strengthening protocol, is a dynamic and high-intensity exercise. It doesn't require any special equipment and can be done in any training center. There are 3 different levels of exercise were performed by players. 1. Level 1: Side-lying hip adduction exercise. 2. Level 2: Copenhagen adduction exercises while both arms support at the knee. 3. Level 3: Copenhagen adduction exercise - primary support at the ankle and minor support at the knee.

    Other: Copenhagen exercises

  • Active comparator
    Group B : Holmich Exercises

    Group B will receive Holmich continues to provide the strongest evidence for the efficacy of exercise as an ARGP treatment. The Holmich treatment protocol exercise includes static and dynamic and/or isometric and isotonic strengthening exercises for hip adductors and abductors and also for abdominal muscles. There are 6 Different types of exercises were performed by players who were a participant with 3 sets of 10 repetitions with 15 sec recovery period.

    Other: Holmich exercises

Interventions

  • OtherCopenhagen exercises

    Group A performs copenhagen exercises Both groups will perform their routine warm ups and cool downs the total duration of the protocol is 6 weeks, 3 times a week the duration of each session 3 sets of 10 repetitions with 15 sec recovery period. Hip extensor and flexor stretching and strengthening.

  • OtherHolmich exercises

    The Holmich treatment protocol exercise includes static and dynamic and/or isometric and isotonic strengthening exercises for hip adductors and abductors and also for abdominal muscles. There are 6 Different types of exercises were performed by players who were a participant with 3 sets of 10 repetitions with 15 sec recovery period. Both groups will perform their routine warm ups and cool downs the total duration of the protocol is 6 weeks, 3 times a week the duration of each session 3 sets of 10 repetitions with 15 sec recovery period. Hip extensor and flexor stretching and strengthening.

06

What researchers measure

Primary outcomes

  1. Numerical pain rating scale (NPRS)

    Numeric Pain Rating Scale for Pain In a Numerical Rating Scale (NRS), patients are asked to circle the number between 0 and 10, 0 and 20 or 0 and 100 that fits best to their pain intensity. Zero usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible.

    Time frame: upto 4th weeks

  2. Lower Extremity Functional Scale (LEFS)

    Lower Extremity Functional Scale (LEFS) The Lower Extremity Functional Scale (LEFS) is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. The LEFS can be used by clinicians as a measure of patients' initial function, ongoing progress and outcome, as well as to set functional goals. The LEFS can be used to evaluate the functional impairment of a patient with a disorder of one or both lower extremities. It can be used to monitor the patient over time and to evaluate the effectiveness of an intervention. The final version of the LEFS consists 20 items, each with a maximum score of 4. The total possible score of 80 indicates a high functional level (Appendix). The scale is one page, can be filled out by most patients in less than 2 minutes, and is scored by tallying the responses for all of the items. Scoring is performed without the use of a calculator or computer and requires approximately 20 seconds

    Time frame: upto 4th weeks

  3. Manual Muscle Testing

    MMT grades are usually labelled with the following terms: "zero," "trace," "poor," "fair," "good," and "normal." In addition, manual muscle testing grades can be further described using a numerical scale from 0 through 5.

    Time frame: upto 4th weeks

07

Study locations

1 site
  • Pakistan Sports Board
    Lahore, Punjab 54000, Pakistan
08

References and documents

Publications

  • Mercurio M, Corona K, Galasso O, Cerciello S, Morris BJ, Guerra G, Gasparini G. Soccer players show the highest seasonal groin pain prevalence and the longest time loss from sport among 500 athletes from major team sports. Knee Surg Sports Traumatol Arthrosc. 2022 Jun;30(6):2149-2157. doi: 10.1007/s00167-022-06924-5. Epub 2022 Mar 8. PubMed 35258646 ↗
  • Haroy J, Clarsen B, Wiger EG, Oyen MG, Serner A, Thorborg K, Holmich P, Andersen TE, Bahr R. The Adductor Strengthening Programme prevents groin problems among male football players: a cluster-randomised controlled trial. Br J Sports Med. 2019 Feb;53(3):150-157. doi: 10.1136/bjsports-2017-098937. Epub 2018 Jun 10. PubMed 29891614 ↗
  • Schaber M, Guiser Z, Brauer L, Jackson R, Banyasz J, Miletti R, Hassen-Miller A. The Neuromuscular Effects of the Copenhagen Adductor Exercise: A Systematic Review. Int J Sports Phys Ther. 2021 Oct 1;16(5):1210-1221. doi: 10.26603/001c.27975. eCollection 2021. PubMed 34631242 ↗
  • Almeida MO, Silva BN, Andriolo RB, Atallah AN, Peccin MS. Conservative interventions for treating exercise-related musculotendinous, ligamentous and osseous groin pain. Cochrane Database Syst Rev. 2013 Jun 6;2013(6):CD009565. doi: 10.1002/14651858.CD009565.pub2. PubMed 23740671 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 30, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05970003
Lead sponsor
Riphah International University
Responsible party
Sponsor
First posted
Aug 1, 2023
Start date
Oct 5, 2023
Primary completion
Mar 8, 2024
Completion
Mar 10, 2024
Last update
Apr 30, 2024

Study contacts

Samrood Akram, Mphil
principal investigator · Riphah International University,Lahore

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion