Comparison of Pragmatic Posterior Capsular Stretch and Crossbody Stretch on the Shoulder Mobility

Study Overview
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Brief Summary
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Various stretches are used to lengthen the posterior shoulder capsule. No study has reported the comparison of the pragmatic posterior capsular stretch and cross body stertch

Detailed Description
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Background: Posterior capsular tightness (PCT) is frequently seen in shoulders in athletic population and shoulder disoders. PCT leads to variation in scapular and humeral kinematics. Two techniques considered in our study for regaining normal range of motion at shoulder joint and improving PCT, one is the pragmatic posterior capsular stretch (PPCS) & the other one is cross body stretch (CBS) Objective: The aim of our study id to compare the short term/intermediate term effect of PPCS and CBS on range of motion on shoulder joint in healthy individuals. And to evaluate the feedback of subjects regarding both the interventions. Methodology: Sixty a symtomatic shoulder of 30 subjects (15 males, 15 females) were recruited for this restricted randomised control trials. A simple random sampling technique was used. Subjects were screen through a functional movement screening tool of shoulder mobility. The change in hand behind neck and hand behind back will be measured through measuring tape. Shoulder ROM and functional movements for both the stretches will be campared. Particpants will be follwed for 4 weeks for the change in their shoulder range of motion.

Official Title
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Comparision of Shoulder Stretches

Conditions
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Shoulder Impingement, Shoulder Pain, Adhesive Capsulitis, Rotator Cuff Tears, Posterior Capsule Tear, Glenohumeral Subluxation, Glenohumeral Dysplasia, Acromioclavicular; Sprain (Strain), Internal Rotation Contracture-shoulder, External Rotation Contracture-Shoulder, Flexion Contracture, Extension Contracture-Shoulder

Intervention / Treatment
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* Other: pragmatic posterior capsular stretch
* Other: cross body stretch


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age groups of males and females including 20-35 years Subjects who fall in grade 1 and 2 of functional movement screening of shoulder during the screening process. Exclusion Criteria: Individual with shoulder pain, fracture or dislocation less than 1 year Individuals with any known shoulder pathology Subjects receiving current physiotherapy treatment Subjects having enough range of motion( can reach T2 hand behind neck)

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

Sexes Eligible for Study
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All

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: RCT
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: PPCS<br>Novel intervention | Other: pragmatic posterior capsular stretch<br>* pragmatic posterior stretch is used to increase the length of the posterior capsule<br>|
| Active Comparator: CBS<br>Cross arm stretch gave to individuals | Other: cross body stretch<br>* crossbody stretch performed by an individual<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| shoulder flexion | range of motion of shoulder flexion | 4 week | 
| shoulder abduction | range of motion of shoulder abduction | 4 week | 
| shoulder internal rotation | range of motion of shoulder internal rotation | 4 week | 
| shoulder external rotation | range of motion of shoulder external rotation | 4 week | 
| hand behind neck | range of hand behind neck | 4 week | 
| hand behind back | range of hand behind back | 4 week |