Clinical trial NCT05761990: Novel Stretching Versus Post Isometric Relaxation Techniques On Shoulder Disability In Athletes
Official title: Effects Of A Novel Stretching Versus Post Isometric Relaxation Techniques On Shoulder Pain, Range Of Motion And Disability In Overhead Athletes With Glenohumeral Internal Rotation Deficits
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Glenohumeral Internal Rotation Deficit
Keywords: range of motion,pain,shoulder,stretching
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2023-03-09
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: POSTERIOR ISOMETRIC TECHNIQUES

* For 5 to 10 seconds, a submaximal (10-20%) hypertonic muscle contraction is carried out away from the barrier while resistance is supplied in the other side.
* The individual is told to relax while breathing after the isometric contraction. After then, until the next barrier is reached, a gentle stretch is employed to pick up the slack.

NOVEL STRETCHING TECHNIQUE The NS will be performed in a supine posture for Group B participants. Participants will be instructed to open their knees while wearing a resistance band around their knees. Participant will be instructed to bridge as high as he can while keeping his shoulders 90 ° abducted and his elbows 90 ° flexed. By lifting the body weight upward, the bridging motion pins the scapula's medial border against the thorax without immediately squeezing or constricting the posterior shoulder bones.
Primary purpose: TREATMENT

Brief summary: It was a randomized control trial in which thirty (30) participants having GRID, age between 20-40 years were randomly allocated into two groups i-e NS (Novel stretching) Group (30) and PIR (posterior isometric relaxation techniques) Group (30), February 2022 to March 2022.PIR group received the posterior isometric relaxation techniques (three times a week for one month) and NS group received the Novel stretching (three times a week for one month). IR ROM was measured with a goniometer while pain was measured with Numeric Pain Rating Scale intervention and disability of arm, shoulder and hand was measured with DASH score before, immediately, and at week 4 post intervention.


Eligibility criteria: Inclusion Criteria:

* Male and female
* Between the ages of 18 and 40
* Athletes with glenohumeral internal deficit
* Basketball, tennis, javelin, squash, swimmers, volleyball, and weightlifter
* participated in local and regional sporting events
* showed a 10° or higher variation in Internal rotation range of motion between shoulders (dominant versus non-dominant)

Exclusion Criteria:

* Footballer, cricketer, and hockey player
* Recovering from extensive shoulder and elbow surgery that was performed three months ago.
* presently undergoing medical intervention for the shoulder
* Suffer from a life-threatening illness

Primary outcomes:
measure: numeric pain rating scale
timeFrame: 4weeks
measure: RANGE OF MOTION
timeFrame: 4 weeks
measure: Disability of arm,shoulder and hand score
timeFrame: 4 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Multān
country: Pakistan
facility: Muhammad Sulaman
state: Punjab
Study officials:
affiliation: Riphah International University
name: Muhammad Sanaullah, MS
role: PRINCIPAL_INVESTIGATOR
References:
citation: Lacheta L, Horan MP, Nolte PC, Goldenberg BT, Dekker TJ, Millett PJ. SLAP Repair Versus Subpectoral Biceps Tenodesis for Isolated SLAP Type 2 Lesions in Overhead Athletes Younger Than 35 Years: Comparison of Minimum 2-Year Outcomes. Orthop J Sports Med. 2022 Jun 21;10(6):23259671221105239. doi: 10.1177/23259671221105239. eCollection 2022 Jun.
citation: Jung JW, Kim YK. Scapular Dyskinesis in Elite Boxers with Neck Disability and Shoulder Malfunction. Medicina (Kaunas). 2021 Dec 9;57(12):1347. doi: 10.3390/medicina57121347.