Clinical trial NCT06240819: Cross Body vs Sleeper Stretch on Pain, Range of Motion and Functional Performance in Cricket Bowlers.
Official title: Comparison of Cross Body and Sleeper Stretch on Pain, Range of Motion and Functional Performance in Cricket Bowlers With Glenohumeral Internal Rotation Deficiency(GIRD).
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Pain
Range of Motion
Physical Functional Performance
Keywords: Cross body Stretch
Sleeper stretch
Functional Performance
Glenohumeral internal rotation deficit
Cricket bowlers
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-02-05
Enrollment: 22
Sex: ALL
Minimum age (years): 20
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: randomized clinical trail
Primary purpose: OTHER

Brief summary: The study is randomized and single-blinded. Ethical approval is taken from ethical committee of Riphah International University, Lahore. Participants who meet the inclusion criteria will be enrolled and allocated in group A \& B through sealed envelope method by Non-probability Convenient random sampling technique. Subjects in Group A will receive sleeper stretch in a side lying position. Group B will receive cross-body stretch will be done in sitting position

Detailed description: The objective of the study is to determine the comparison of sleeper stretch and cross body stretch on pain, range of motion and functional performance in cricket bowlers with GIRD. The study is randomized and single-blinded. Ethical approval is taken from ethical committee of Riphah International University, Lahore. Participants who meet the inclusion criteria will be enrolled and allocated in group A \& B through sealed envelope method by Non-probability Convenient random sampling technique. Subjects in Group A will receive sleeper stretch in a side lying position. Group B will receive cross-body stretch will be done in sitting position. A universal goniometer, Upper limb functional index (UEFI) scale and Numeric pain rating scale (NPRS) will be used at the baseline and after the completion of treatment at 6 weeks.

The data will be analyzed by SPSS, version 25. Statistical significance is P=0.05.

Eligibility criteria: Inclusion Criteria:

* Age 20 to 30years,
* Both male and female,
* \>10% IR deficit,
* \>25% IR deficit related to contralateral limb,
* Athletes one year of regular practice,
* Lift off test for shoulder internal rotation positive.

Exclusion Criteria:

* Non players,
* Any nerve lesions of upper limb,
* Players with history of shoulder pain or fracture or dislocation in less than twelve months

Primary outcomes:
measure: Shoulder Pain
timeFrame: pre and 6 weeks post interventional
measure: Range of motion
timeFrame: pre and 6 weeks post interventional
measure: Functional Performance
timeFrame: pre and 6 weeks post interventional
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Pakistan sports board
state: Punjab
Study officials:
affiliation: Study Principal Investigator
name: Sitara Jabeen, DPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Giles K, Musa I. A survey of glenohumeral joint rotational range and non-specific shoulder pain in elite cricketers. Phys Ther Sport. 2008 Aug;9(3):109-16. doi: 10.1016/j.ptsp.2008.03.002. Epub 2008 May 9.
citation: Rose MB, Noonan T. Glenohumeral internal rotation deficit in throwing athletes: current perspectives. Open Access J Sports Med. 2018 Mar 19;9:69-78. doi: 10.2147/OAJSM.S138975. eCollection 2018.
citation: Wilk KE, Hooks TR, Macrina LC. The modified sleeper stretch and modified cross-body stretch to increase shoulder internal rotation range of motion in the overhead throwing athlete. J Orthop Sports Phys Ther. 2013 Dec;43(12):891-4. doi: 10.2519/jospt.2013.4990. Epub 2013 Oct 30.
citation: Aldridge R, Stephen Guffey J, Whitehead MT, Head P. The effects of a daily stretching protocol on passive glenohumeral internal rotation in overhead throwing collegiate athletes. Int J Sports Phys Ther. 2012 Aug;7(4):365-71.
citation: Mine K, Nakayama T, Milanese S, Grimmer K. Effectiveness of Stretching on Posterior Shoulder Tightness and Glenohumeral Internal-Rotation Deficit: A Systematic Review of Randomized Controlled Trials. J Sport Rehabil. 2017 Jul;26(4):294-305. doi: 10.1123/jsr.2015-0172. Epub 2016 Aug 24.
citation: Johnson JE, Fullmer JA, Nielsen CM, Johnson JK, Moorman CT 3rd. Glenohumeral Internal Rotation Deficit and Injuries: A Systematic Review and Meta-analysis. Orthop J Sports Med. 2018 May 22;6(5):2325967118773322. doi: 10.1177/2325967118773322. eCollection 2018 May.
citation: Dutton M, Tam N, Divekar N, Prins D, Gray J. The association between gird and overhead throwing biomechanics in cricket. J Biomech. 2021 Sep 20;126:110658. doi: 10.1016/j.jbiomech.2021.110658. Epub 2021 Jul 29.
citation: Moradi M, Hadadnezhad M, Letafatkar A, Khosrokiani Z, Baker JS. Efficacy of throwing exercise with TheraBand in male volleyball players with shoulder internal rotation deficit: a randomized controlled trial. BMC Musculoskelet Disord. 2020 Jun 13;21(1):376. doi: 10.1186/s12891-020-03414-y.