Inspiratory Muscle Training on Diaphragm Thickness, Inspiratory Muscle Strength and Shoulder Pain in Tennis Player

NCT06186180 | Unknown

• 1 other identifier: 46/2022
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 2

Brief Summary

Shoulder pain is one of the most common musculoskeletal conditions among athletes and sports enthusiasts who engage in overhead sports, and it can be highly disabling. Since the shoulder is one of the joints with the greatest range of motion in the human body, it is important to seek strategies that address trunk stability comprehensively to achieve full and effective joint mobility. The central role of the diaphragm in trunk stabilization has been the subject of research for over 50 years, although the exact mechanisms are still not fully understood. The objective of this study is to assess the effects of inspiratory muscle training on diaphragm thickness, inspiratory muscle strength, and shoulder pain in adult tennis players with non-specific shoulder pain. This is a single-blind, randomized controlled clinical trial. The intervention will last for 8 weeks. Patients with non-specific shoulder pain will be randomly assigned to one of two groups. The experimental group will undergo specific inspiratory muscle training, while the control group will receive no specific training intervention. Measurements of diaphragm thickness, inspiratory muscle strength, and shoulder pain will be taken before and after the intervention.

Conditions

Shoulder Pain; Inspiratory Muscle Training

Outcome Measures

Primary Outcomes (1)

• diaphragm thickness

  The thickness of the diaphragm will be measured using ultrasound, with a Toshiba Xario 100 ultrasound machine. Image acquisition will be performed by a physiotherapist experienced in musculoskeletal ultrasound. A linear probe (Toshiba PLT-805AT) with a frequency range of 8 to 12 MHz and a 54 mm probe footprint will be used to perform transcostal measurements at rest and in the supine position, using the B-Mode of ultrasound imaging (preset at 3 cm depth, 12MHz frequency, 64 gain points, 64 dynamic range points, and a single focus point located at 2 cm depth). Bilateral transcostal images will be obtained with the linear probe placed perpendicular to the last intercostal space, allowing for adequate visualization of the diaphragm without invasion of lung tissue during normal breathing

  before and after the 8 weeks of inspiratory muscle training

Secondary Outcomes (4)

• maximal inspiratory pressure

  before and after the 8 weeks of inspiratory muscle training

• shoulder pain through VAS

  before and after the 8 weeks of inspiratory muscle training

• Upper trapezius, levator scapulae and middle deltoid pain pressure threshold

  before and after the 8 weeks of inspiratory muscle training

• The Shortened Disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH)

  before and after the 8 weeks of inspiratory muscle training

Study Arms (2)

inspiratory muscle training

EXPERIMENTAL

They will perform 5 sets of 10 repetitions with a 1-minute rest between sets, 5 days a week, using a specific respiratory muscle training device.

Other: inspiratory muscle training

control

NO INTERVENTION

no intervention

Interventions

inspiratory muscle training OTHER

They will perform 5 sets of 10 repetitions with a 1-minute rest between sets, 5 days a week, using a specific respiratory muscle training device

inspiratory muscle training

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• tennis player who suffered from inespecific shoulder pain
• training at least two times per week
• Have experienced at least 1 episode of non-specific shoulder pain in the last month
• A positive result on diagnostic tests performed: Neer Test and Jobe Test

You may not qualify if:

• Having taken anti-inflammatories or muscle relaxants within the last 72 hours before the study
• pregnancy
• Previous diagnosis of respiratory or neurological diseases
• Previous surgeries, fractures, and dislocations in the dominant shoulder
• Inability to follow instructions during the study
• All those for whom measuring maximum inspiratory pressure is contraindicated: unstable angina, recent myocardial infarction (within 4 weeks of the event) or myocarditis, uncontrolled systemic hypertension, recent pneumothorax, post-lung biopsy surgery of less than one week, postoperative abdominal or genitourinary surgery of less than 6 months, and urinary incontinence

Sponsors & Collaborators

• Universidad Francisco de Vitoria: lead

Study Sites (2)

Davinia Vicente-Campos

Pozuelo de Alarcón, Madrid, 28223, Spain

RECRUITING

Universidad Francisco de Vitoria

Pozuelo de Alarcón, Madrid, 28223, Spain

RECRUITING

MeSH Terms

Conditions

Shoulder Pain

Condition Hierarchy (Ancestors)

Arthralgia; Joint Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Davinia Vicente-Campos

CONTACT

627900087; davinia.vicente@ufv.es

Study Design

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

Model Details: Single blinded randomized clinical trial

Study Record Dates

• First Submitted: December 8, 2023
• First Posted: December 29, 2023
• Study Start: January 1, 2024
• Primary Completion: January 1, 2024
• Study Completion: February 1, 2024
• Last Updated: December 29, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

ES (2)