Novel Stretching Versus Post Isometric Relaxation Techniques On Shoulder Disability In Athletes

NCT05761990 | Completed

• 1 other identifier: REC/RCR & AHS/22/0412
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

It was a randomized control trial in which thirty (30) participants having GRID, age between 20-40 years were randomly allocated into two groups i-e NS (Novel stretching) Group (30) and PIR (posterior isometric relaxation techniques) Group (30), February 2022 to March 2022.PIR group received the posterior isometric relaxation techniques (three times a week for one month) and NS group received the Novel stretching (three times a week for one month). IR ROM was measured with a goniometer while pain was measured with Numeric Pain Rating Scale intervention and disability of arm, shoulder and hand was measured with DASH score before, immediately, and at week 4 post intervention.

Conditions

Glenohumeral Internal Rotation Deficit

Keywords

range of motion,pain,shoulder,stretching

Outcome Measures

Primary Outcomes (3)

• numeric pain rating scale

  A respondent uses the Numeric pain rating scale, a numerical variant of the visual analogue scale (VAS), to select a whole number (0-10 integers) that best captures the severity of their pain.

  4weeks

• RANGE OF MOTION

  The ROM is measured by GONIOMETER

  4 weeks

• Disability of arm,shoulder and hand score

  The DASH is a 30-item questionnaire that offers response options using 5-point Likert scales. Scores vary from 0 (no disability) to 100 (complete disability) (most severe disability). This score was created to help patients with any upper-limb musculoskeletal problem

  4 weeks

Study Arms (2)

POST ISOMTERIC RELAXATION TECHNIQUES

EXPERIMENTAL

Participants in Group A will instruct to perform the PIR techniques These steps are taken when using the PIR approach: * Stretching the hypertonic muscle to the point when movement resistance is initially felt or just past the point of discomfort. * For 5 to 10 seconds, a submaximal (10-20%) hypertonic muscle contraction is carried out away from the barrier while resistance is supplied in the other side. To help with this, the individual should breathe in. * The individual is told to relax while breathing after the isometric contraction. After then, until the next barrier is reached, a gentle stretch is employed to pick up the slack. * Starting with this new barrier, the procedure is carried out two or three more times.

Other: POST ISOMTERIC RELAXATION TECHNIQUE

NOVEL STRETCHING

EXPERIMENTAL

The NS will be performed in a supine posture for Group B participants. Participants will be instructed to open their knees while wearing a resistance band around their knees. Participant will be instructed to bridge as high as he can while keeping his shoulders 90 ° abducted and his elbows 90 ° flexed. By lifting the body weight upward, the bridging motion pins the scapula's medial border against the thorax without immediately squeezing or constricting the posterior shoulder bones. This position is thought to provide more flexibility of mobility while causing less discomfort. The subjects were instructed to hold this position while tightening or "squeezing" their gluteal muscles. They were also instructed to stretch by jerkily turning their shoulders inward as far as possible. Using the second hand, the stretch was pushed forward to the point of mild discomfort while contraction was maintained.

Other: NOVEL STRETCHING

Interventions

POST ISOMTERIC RELAXATION TECHNIQUE OTHER

POST ISOMETRIC RELAXATION TECHNIQUES * Stretching the hypertonic muscle to the point when movement resistance is initially felt or just past the point of discomfort. * For 5 to 10 seconds, a submaximal (10-20%) hypertonic muscle contraction is carried out away from the barrier while resistance is supplied in the other side. To help with this, the individual should breathe in. * The individual is told to relax while breathing after the isometric contraction. After then, until the next barrier is reached, a gentle stretch is employed to pick up the slack. * Starting with this new barrier, the procedure is carried out two or three more times.

POST ISOMTERIC RELAXATION TECHNIQUES

NOVEL STRETCHING OTHER

NOVEL STRETCHING The NS will be performed in a supine posture for Group B participants. Participants will be instructed to open their knees while wearing a resistance band around their knees. Participant will be instructed to bridge as high as he can while keeping his shoulders 90 ° abducted and his elbows 90 ° flexed. By lifting the body weight upward, the bridging motion pins the scapula's medial border against the thorax without immediately squeezing or constricting the posterior shoulder bones. This position is thought to provide more flexibility of mobility while causing less discomfort. The subjects were instructed to hold this position while tightening or "squeezing" their gluteal muscles. They were also instructed to stretch by jerkily turning their shoulders inward as far as possible. Using the second hand, the stretch was pushed forward to the point of mild discomfort while contraction was maintained.

NOVEL STRETCHING

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Male and female
• Between the ages of 18 and 40
• Athletes with glenohumeral internal deficit
• Basketball, tennis, javelin, squash, swimmers, volleyball, and weightlifter
• participated in local and regional sporting events
• showed a 10° or higher variation in Internal rotation range of motion between shoulders (dominant versus non-dominant)

You may not qualify if:

• Footballer, cricketer, and hockey player
• Recovering from extensive shoulder and elbow surgery that was performed three months ago.
• presently undergoing medical intervention for the shoulder
• Suffer from a life-threatening illness

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Muhammad Sulaman

Multan Khurd, Punjab Province, 75500, Pakistan

Location

Related Publications (2)

• Lacheta L, Horan MP, Nolte PC, Goldenberg BT, Dekker TJ, Millett PJ. SLAP Repair Versus Subpectoral Biceps Tenodesis for Isolated SLAP Type 2 Lesions in Overhead Athletes Younger Than 35 Years: Comparison of Minimum 2-Year Outcomes. Orthop J Sports Med. 2022 Jun 21;10(6):23259671221105239. doi: 10.1177/23259671221105239. eCollection 2022 Jun.

  PMID: 35757237 BACKGROUND

• Jung JW, Kim YK. Scapular Dyskinesis in Elite Boxers with Neck Disability and Shoulder Malfunction. Medicina (Kaunas). 2021 Dec 9;57(12):1347. doi: 10.3390/medicina57121347.

  PMID: 34946291 BACKGROUND

Study Officials

• Muhammad Sanaullah, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: POSTERIOR ISOMETRIC TECHNIQUES * For 5 to 10 seconds, a submaximal (10-20%) hypertonic muscle contraction is carried out away from the barrier while resistance is supplied in the other side. * The individual is told to relax while breathing after the isometric contraction. After then, until the next barrier is reached, a gentle stretch is employed to pick up the slack. NOVEL STRETCHING TECHNIQUE The NS will be performed in a supine posture for Group B participants. Participants will be instructed to open their knees while wearing a resistance band around their knees. Participant will be instructed to bridge as high as he can while keeping his shoulders 90 ° abducted and his elbows 90 ° flexed. By lifting the body weight upward, the bridging motion pins the scapula's medial border against the thorax without immediately squeezing or constricting the posterior shoulder bones.

Study Record Dates

• First Submitted: November 24, 2022
• First Posted: March 9, 2023
• Study Start: July 17, 2022
• Primary Completion: September 17, 2022
• Study Completion: September 17, 2022
• Last Updated: March 9, 2023

Record last verified: 2023-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)