Sleeper's and Adduction Stretch to Increase Shoulder ROM

Study Overview
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Brief Summary
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The study aimed to compare the efficacy of modified sleeper stretch and modified cross-body adduction stretch in improving shoulder internal rotation range of motion and upper limb function. Thirty male lawn tennis players aged between 20 to 35, with more than 150 glenohumeral internal rotation deficiency (GIRD) on the dominant shoulder (compared to the nondominant side) participate in the study and divided into two groups (A and B). Group A received a modified sleeper stretch and group B received a modified cross-body adduction stretch for four weeks, five times per week. The outcome measures were the internal rotation range of motion measured by a universal goniometer and upper limb functions measured by the Disability of the Arm, Shoulder, and Hand (DASH) scale.

Official Title
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Effectiveness of Modified Sleeper Stretch And Modified Cross-Body Adduction Stretch To Increase Shoulder Internal Rotation Range of Motion In Tennis Players

Conditions
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Stiffness of Shoulder, Not Elsewhere Classified

Intervention / Treatment
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* Other: Modified sleeper stretching
* Other: Modified cross-body adduction stretch


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Lawn Tennis Players Male more than 15 degree glenohumeral internal rotation deficiency Exclusion Criteria: systemic or metabolic disorders a positive test for labral lesions or rotator cuff tears a history of recent fracture a history of orthopaedic surgery in the upper limbs or cervical region

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Two-group two-factor research design was used.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Modified Sleeper Stretch Group<br>Modified sleeper stretch was performed for four weeks. | Other: Modified sleeper stretching<br>* Modified sleeper stretching was performed on shoulder joint to increase internal rotation range of motion.<br>|
| Active Comparator: Modified Cross-Body Adduction Stretch Group<br>Modified cross-body adduction stretch was performed for four weeks. | Other: Modified cross-body adduction stretch<br>* Modified cross-body adduction stretching was performed on shoulder joint to increase internal rotation range of motion.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Internal rotation range of motion | Internal rotation range of motion (ROM) was measured using the universal goniometer before and after the completion of the intervention. The greater the ROM, the better the prognosis. | 4 weeks. | 
| Upper limb functions | The Disability of the Arm, Shoulder, and Hand (DASH) scale was used to assess the upper limb functions. The DASH consists mainly of a 30-item disability/symptom scale, scored 0 (no disability) to 100. The higher the score, the worse the prognosis. | 4 weeks. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Range of Motion, Sleeper Stretch, Cross-Body Stretch, Shoulder, Tennis Players