Comparison of Immediate Effects of Different Shoulder Stretching Techniques in Overhead Athletes

NCT04687683 | Unknown

• 1 other identifier: 5002-GOA
• Study Type: interventional
• Target: 81
• Locations: 0 countries
• Sites: N/A

Brief Summary

81 overhead athletes with Glenohumeral Internal Rotation Deficit (GIRD) will be included in this study. Participants will be randomly divided into 3 different groups of 26 people. In each group will be applied posterior shoulder stretching exercises (PSSE) performed with different Muscle Energy Techniques (MET).

Conditions

Glenohumeral Internal Rotation Deficit

Outcome Measures

Primary Outcomes (1)

• Shoulder internal rotation range of motion

  Change of shoulder internal rotation range of motion (with bubble inclinometer)

  baseline measurements, 3 minutes and 30 minutes

Secondary Outcomes (5)

• Subacromial space

  baseline measurements, 3 minutes and 30 minutes

• Posterior capsule thickness

  baseline measurements, 3 minutes and 30 minutes

• Functional Throwing Performance Index

  baseline measurements, 3 minutes and 30 minutes

• Shoulder Total rotation range of motion

  baseline measurements, 3 minutes and 30 minutes

• Posterior shoulder tightness

  baseline measurements, 3 minutes and 30 minutes

Study Arms (3)

Post Isometric Relaxation Group

EXPERIMENTAL

The participants in this group will receive post isometric relaxation stretching in modified cross body position.

Other: Post Isometric Relaxation Group

Isolytic Stretching Group

EXPERIMENTAL

The participants in this group will receive isolytic stretching in modified cross body position.

Other: Isolytic Stretching Group

Static Stretching Group Group

EXPERIMENTAL

The participants in this group will receive static stretching in modified cross body position.

Other: Static Stretching Group Group

Interventions

Post Isometric Relaxation Group OTHER

Athletes will be positioned in a modified cross-body position. They will be asked to actively bring their underlying arm in the direction of horizontal adduction up to the physiological barrier barrier. The participants will be asked to perform an isometric contraction for 5 seconds in the horizontal abduction direction with 20% of the maximum muscle strength. After the relaxation, the arm will be moved towards horizontal adduction and 15 seconds active-assistive stretching will be applied. Participants will be given a 5-second rest period between contractions. This stretching exercise will be applied in 5 repetitions for one session.

Post Isometric Relaxation Group

Isolytic Stretching Group OTHER

Athletes will be positioned in a modified cross-body position. They will be asked to actively bring their underlying arm in the direction of horizontal adduction up to the physiological barrier barrier. The participants will be asked to perform a contraction in the horizontal abduction direction with 20% of the maximum muscle strength. When the muscle contraction occurs, the arm will be moved quickly in 2-4 seconds towards horizontal adduction and 15 seconds active-assistive stretching will be applied. Participants will be given a 5-second rest period between stretches. This stretching exercise will be applied in 5 repetitions for one session.

Isolytic Stretching Group

Static Stretching Group Group OTHER

Athletes will be positioned in a modified cross-body position. They will be asked to actively bring their underlying arm in the direction of horizontal adduction up to the physiological barrier. Then, the arm will be moved towards horizontal adduction and 15 seconds active-assistive stretching will be applied. Participants will be given a 5-second rest period between stretching exercises. This stretching exercise will be applied in 5 repetitions for one session.

Static Stretching Group Group

Eligibility Criteria

• Age: 13 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Being overhead athlete
• Glenohumeral internal rotation range of motion of the affected shoulder should be less than other shoulder and bilateral shoulder internal rotation range of motion difference should be ≥15 º

You may not qualify if:

• Shoulder pain required medical attention for the last year.
• Current shoulder pain
• Cervical pain during upper extremity movement
• History of fracture to the shoulder girdle
• Systemic musculoskeletal disease
• History of shoulder surgery,
• Glenohumeral instability (positive apprehension, relocation, or positive sulcus test) or positive findings for a full thickness rotator cuff tear (positive lag sign, positive drop arm test, or marked weakness with shoulder external rotation)

Sponsors & Collaborators

• Dokuz Eylul University: lead

Study Officials

• Sevgi Sevi Yeşilyaprak, Phd

  Dokuz Eylul University

  STUDY DIRECTOR

Central Study Contacts

Gonca Sahiner Pıçak, MSc

CONTACT

+905058081268; gncshnr@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 15, 2020
• First Posted: December 29, 2020
• Study Start: February 1, 2023
• Primary Completion: February 1, 2024
• Study Completion: December 1, 2024
• Last Updated: January 10, 2023

Record last verified: 2023-01