Glenohumeral Rotation After Throwing: RCT Comparing the Sleeper Stretch to the 90/90 Hip Lift With Balloon Blow Exercise

NCT03091530 | Completed

• 1 other identifier: Pro00081964
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

The primary purpose of this study is to determine if the loss of internal rotation following a throwing session is best restored through soft tissue stretching with the sleeper stretch or with scapular repositioning with the 90/90 hip lift with balloon blow exercise. This study will progress the body of research related to internal rotation deficits with regards to baseball throwers. The research will be relevant to clinicians who treat patients with baseball players with internal rotation loss. High school baseball players will be the targeted subjects for this study. They will perform two exercises (one per week) designed to increase shoulder internal rotation over the course of three weeks with one week of rest between intervention weeks. The primary outcome will be shoulder internal rotation range of motion improvements over the course of one week's time. There are no known adverse risks to either intervention.

Conditions

Internal Rotation Contracture-shoulder

Keywords

Throwing; Sleeper Stretch; Balloon Blow; GIRD (Glenohumeral internal rotation deficit)

Outcome Measures

Primary Outcomes (1)

• Change In Shoulder Internal Rotation Range of Motion

  Goniometric measurement of passive shoulder internal rotation

  baseline, 2 hours, 1 day, 2 days, 3 days, 4 days

Study Arms (2)

Sleeper Stretch THEN Balloon Blow

EXPERIMENTAL

Sleeper Stretch CROSSOVER TO 90/90 Hip Lift with Balloon Blow Exercise

Other: Sleeper Stretch; Other: 90/90 Hip Lift with Balloon Blow Exercise

Balloon Blow THEN Sleeper Stretch

EXPERIMENTAL

90/90 Hip Lift with Balloon Blow Exercise CROSSOVER TO Sleeper Stretch

Other: Sleeper Stretch; Other: 90/90 Hip Lift with Balloon Blow Exercise

Interventions

Sleeper Stretch OTHER

The sleeper stretch protocol will follow the process described by Wilk with the subject lying on his throwing shoulder side, with the lateral border of the scapula on the table, and the glenohumeral and elbow joints both at 90 degrees of flexion. Participants will be instructed to passively internally rotate the shoulder with gentle overpressure applied on the dorsum of the dominant arm wrist by the nondominant hand to the point of stretch on the posterior aspect of the shoulder. Stretches will be held for 20 seconds each and repeated 4 times for optimal sustained collagen elongation. This protocol will be performed on days 0-4 after the throwing session.

Balloon Blow THEN Sleeper Stretch; Sleeper Stretch THEN Balloon Blow

90/90 Hip Lift with Balloon Blow Exercise OTHER

The 90/90 Hip Lift with Balloon Blow Exercise (BBE) will follow the guidelines described by the Postural Restoration Institute. The subjects will lie supine with hips and knees flexed to 90 degrees, the right arm flexed to end range and resting on the floor. Using the left arm to hold the balloon, subjects will inhale fully and exhale into a balloon while holding a posterior pelvic tilt. The subjects inhale and then exhale into the balloon fully, then hold their breath for 5 seconds while putting their tongue on the roof of their mouth.

Balloon Blow THEN Sleeper Stretch; Sleeper Stretch THEN Balloon Blow

Eligibility Criteria

• Age: 15 Years - 19 Years
• Sex: male
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Active participation in competitive high school baseball at the time of study participation.
• Ability to read, write, and speak the English language.

You may not qualify if:

• Prior surgery to the dominant (throwing) shoulder
• Any current upper extremity injury or limitation that restricts full participation in sport
• Latex allergy secondary to use of latex material of the balloon
• Any known inability to be physically present for daily testing during the weeks of the study

Sponsors & Collaborators

• Duke University: lead

Study Sites (1)

Duke University

Durham, North Carolina, 27710, United States

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 21, 2017
• First Posted: March 27, 2017
• Study Start: January 1, 2018
• Primary Completion: April 14, 2018
• Study Completion: April 14, 2018
• Last Updated: May 8, 2018

Record last verified: 2018-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)