Clinical trial NCT06819397: Effects of Post-Isometric Relaxation Technique Vs Soft Tissue Mobilization in Leg Spin Bowlers
Official title: Effects of Post-Isometric Relaxation Technique Versus Cross Friction Soft Tissue Mobilization on Pain, Range of Motion, and Endurance in Leg Spin Bowlers With Rotator Cuff Strain
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Sports Physical Therapy
Keywords: cross friction soft tissue mobilization, spin bowlers
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-02-11
Enrollment: 34
Sex: MALE
Minimum age (years): 16
Maximum age (years): 30
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: parallel assignment randomized clinical design
Primary purpose: TREATMENT

Brief summary: Effects of Post-Isometric Relaxation Technique versus Cross Friction Soft Tissue Mobilization in Leg Spin Bowlers with Rotator cuff strain

Detailed description: The existing body of research on Pakistani Cyclists lacks comprehensive investigation into the role of sciatic nerve flossing and active release technique, creating a noticeable gap in understanding the impact of such techniques on the performance, improving flexibility, and overall physical well-being of these athletes. Given the unique physical demands of Cyclists and the potential benefits associated with lower limb muscle strength, a focused exploration in this area is crucial to inform training strategies, enhance athletic performance, and contribute to the holistic development of Pakistani cyclists. To determine the comparative impact of sciatic nerve flossing and active release technique on pain, flexibility, and functionality in the lower limbs of cyclists with sciatica.

Eligibility criteria: Inclusion Criteria:

* age 16-30 years
* Symptomatic male bowlers (leg spinners)
* Pain from at least 2 months
* Playing regularly from at least 1 year.
* Difference of ROM as compared to contralateral extremity.

Exclusion Criteria:

* Prior History of shoulder surgery
* Shoulder symptoms requiring medical treatment.
* Cricketers not involved in any other sports.

Primary outcomes:
measure: Numeric Pain Rating Scale (NPRS):
timeFrame: 4weeks
measure: Goniometer
timeFrame: 4weeks
measure: Standard test for push-up (STPU) for measuring endurance
timeFrame: 4weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Jallo Cricket Academy
state: Punjab
Study officials:
affiliation: Riphah International University
name: Saad Arif, DPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Pandey V, Jaap Willems W. Rotator cuff tear: A detailed update. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2015 Feb 11;2(1):1-14. doi: 10.1016/j.asmart.2014.11.003. eCollection 2015 Jan.
citation: Hermans J, Luime JJ, Meuffels DE, Reijman M, Simel DL, Bierma-Zeinstra SM. Does this patient with shoulder pain have rotator cuff disease?: The Rational Clinical Examination systematic review. JAMA. 2013 Aug 28;310(8):837-47. doi: 10.1001/jama.2013.276187.
citation: Jain NB, Wilcox RB 3rd, Katz JN, Higgins LD. Clinical examination of the rotator cuff. PM R. 2013 Jan;5(1):45-56. doi: 10.1016/j.pmrj.2012.08.019.
citation: Tawfik AM, El-Morsy A, Badran MA. Rotator cuff disorders: How to write a surgically relevant magnetic resonance imaging report? World J Radiol. 2014 Jun 28;6(6):274-83. doi: 10.4329/wjr.v6.i6.274.
citation: Shaffer B, Huttman D. Rotator cuff tears in the throwing athlete. Sports Med Arthrosc Rev. 2014 Jun;22(2):101-9. doi: 10.1097/JSA.0000000000000022.
citation: Avci O, Rohrle O. Determining a musculoskeletal system's pre-stretched state using continuum-mechanical forward modelling and joint range optimization. Biomech Model Mechanobiol. 2024 Jun;23(3):1031-1053. doi: 10.1007/s10237-024-01821-x. Epub 2024 Apr 15.
citation: Coviello JP, Kakar RS, Reynolds TJ. SHORT-TERM EFFECTS OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION ON PAIN FREE RANGE OF MOTION IN A WEIGHTLIFTER WITH SUBACROMIAL PAIN SYNDROME. Int J Sports Phys Ther. 2017 Feb;12(1):144-154.
citation: Bailey LB, Shanley E, Hawkins R, Beattie PF, Fritz S, Kwartowitz D, Thigpen CA. Mechanisms of Shoulder Range of Motion Deficits in Asymptomatic Baseball Players. Am J Sports Med. 2015 Nov;43(11):2783-93. doi: 10.1177/0363546515602446. Epub 2015 Sep 24.
citation: Kim J, Sung DJ, Lee J. Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application. J Exerc Rehabil. 2017 Feb 28;13(1):12-22. doi: 10.12965/jer.1732824.412. eCollection 2017 Feb.
citation: Cunningham G, Charbonnier C, Ladermann A, Chague S, Sonnabend DH. Shoulder Motion Analysis During Codman Pendulum Exercises. Arthrosc Sports Med Rehabil. 2020 Jun 26;2(4):e333-e339. doi: 10.1016/j.asmr.2020.04.013. eCollection 2020 Aug.
citation: Bhosale P, Kolke Pt S. Effectiveness of instrument assisted soft tissue mobilization (IASTM) and muscle energy technique (MET) on post-operative elbow stiffness: a randomized clinical trial. J Man Manip Ther. 2023 Oct;31(5):340-348. doi: 10.1080/10669817.2022.2122372. Epub 2022 Sep 28.
citation: Khan ZK, Ahmed SI, Baig AAM, Farooqui WA. Effect of post-isometric relaxation versus myofascial release therapy on pain, functional disability, rom and qol in the management of non-specific neck pain: a randomized controlled trial. BMC Musculoskelet Disord. 2022 Jun 13;23(1):567. doi: 10.1186/s12891-022-05516-1.
citation: Cheatham SW, Stull KR, Kolber MJ. Roller massage: is the numeric pain rating scale a reliable measurement and can it direct individuals with no experience to a specific roller density? J Can Chiropr Assoc. 2018 Dec;62(3):161-169.
citation: Shamsi M, Mirzaei M, Khabiri SS. Universal goniometer and electro-goniometer intra-examiner reliability in measuring the knee range of motion during active knee extension test in patients with chronic low back pain with short hamstring muscle. BMC Sports Sci Med Rehabil. 2019 Mar 22;11:4. doi: 10.1186/s13102-019-0116-x. eCollection 2019.
citation: van Rijn SF, Zwerus EL, Koenraadt KL, Jacobs WC, van den Bekerom MP, Eygendaal D. The reliability and validity of goniometric elbow measurements in adults: A systematic review of the literature. Shoulder Elbow. 2018 Oct;10(4):274-284. doi: 10.1177/1758573218774326. Epub 2018 Jun 3.
citation: Kiatkulanusorn S, Luangpon N, Srijunto W, Watechagit S, Pitchayadejanant K, Kuharat S, Beg OA, Suato BP. Analysis of the concurrent validity and reliability of five common clinical goniometric devices. Sci Rep. 2023 Nov 27;13(1):20931. doi: 10.1038/s41598-023-48344-6.
citation: Rodrigues da Silva Barros B, Dal'Ava Augusto D, de Medeiros Neto JF, Michener LA, Silva RS, Sousa CO. Isometric versus isotonic exercise in individuals with rotator cuff tendinopathy-Effects on shoulder pain, functioning, muscle strength, and electromyographic activity: A protocol for randomized clinical trial. PLoS One. 2023 Nov 13;18(11):e0293457. doi: 10.1371/journal.pone.0293457. eCollection 2023.