Clinical trial NCT03866070: Stretching the Posterior Capsule of the Shoulder in the Stability and the Throwing Performance in Handball Players
Official title: Efficacy of a Physiotherapy Intervention by Stretching the Posterior Capsule of the Shoulder in the Stability of the Glenohumeral Joint and the Throwing Performance in Handball Players. A Randomized Clinical Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Shoulder Injuries and Disorders
Keywords: Handball
Physiotherapy
Shoulder instability
Scapular dyskinesia
Female
Lead sponsor: Investigación en Hemofilia y Fisioterapia
Sponsor class: NETWORK
First posted: 2019-03-07
Enrollment: 60
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 37
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Introduction: Handball is a sport with a high prevalence of shoulder injuries due to the overuse that causes a glenohumeral internal rotation deficit, and excess of external rotation and scapular dyskinesia. Stretching is essential to restore physiological movement and improve strength.

Aim: To evaluate the efficacy of a posterior capsule stretching and strengthening of the shoulder and scapular program in handball players from 18 to 37 years old.

Study design: randomized clinical trial, multicenter, single-blind with follow-up period.

Methods: 60 handball players will be randomly assigned to the two study groups (experimental and control). The intervention will last 4 weeks, with 3 weekly sessions with a duration of 21 and 12 minutes each. The study variables will be: range of motion in internal and external rotation (goniometer), throwing speed (Ball Throwing Speed Test), functionality (DASH questionnaire), perceived exertion (Borg scale), glenohumeral stability (CKCUEST y YBT-UQ Test) and the throwing force (Overhead Medicine Ball Throw). The intervention will consist in the application of stretching of the posterior shoulder capsule with an exercise protocol. A Kolmogorov-Smirnov analysis will calculate the normality of the distribution. In case of homogeneity of the groups, with the t-student test of repeated measurements and an ANOVA of repeated averages, the difference between the different evaluations and the intra- and inter-subject effect will be calculated.

Expected results: Improved range of motion of the shoulder, strength and throwing speed after the intervention.


Eligibility criteria: Inclusion Criteria:

* Female
* Handball players federated in the Madrid Handball Federation
* With an age range between 18 and 37 years
* More than 2 years of handball sports
* Currently participate in amateur competitions of First National Women's category.

Exclusion Criteria:

* Have suffered a shoulder injury in the last six months
* Who are currently doing some physiotherapy treatment
* Who fail to participate in the established intervention and evaluation sessions
* Refusing to sign the informed consent document.

Primary outcomes:
measure: Change from baseline functionality of the shoulder after treatment and at month
timeFrame: Screening visit, within the first seven days after treatment and after one month follow-up visit
Secondary outcomes:
measure: Change from baseline perception of effort after treatment and at month
timeFrame: Screening visit, within the first seven days after treatment and after one month follow-up visit
measure: Change from baseline launch speed after treatment and at month
timeFrame: Screening visit, within the first seven days after treatment and after one month follow-up visit
measure: Change from baseline shoulder stability after treatment and at month
timeFrame: Screening visit, within the first seven days after treatment and after one month follow-up visit
measure: Change from baseline distance range after treatment and at month
timeFrame: Screening visit, within the first seven days after treatment and after one month follow-up visit
measure: Change from baseline strength of upper limbs after treatment and at month
timeFrame: Screening visit, within the first seven days after treatment and after one month follow-up visit
measure: Change from baseline shoulder range of motion after treatment and at month
timeFrame: Screening visit, within the first seven days after treatment and after one month follow-up visit
Other outcomes:
Locations:
city: Madrid
country: Spain
facility: Universidad Europea de Madrid
state: Comunity Of Madrid
Study officials:
affiliation: Universidad Europea de Madrid
name: Rubén Cuesta-Barriuso, PhD
role: PRINCIPAL_INVESTIGATOR
References: