Comparitive Effects of Reciprocal Inhibtion and Static Stretching Among Female Athletes

NCT06696924 | Active Not Recruiting DMC

• 1 other identifier: REC/RCR and AHS/24/0412
• Study Type: interventional
• Target: 56
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to determine the Comparative effects of Reciprocal Inhibition and Static Stretching on Serratus anterior Muscle on Pain, range of Motion, and Functional ability among Female Amateur Athletes

Conditions

Sports Physical Therapy

Keywords

Reciprocal inhibition; Static stretching; Serratus Anterior

Outcome Measures

Primary Outcomes (3)

• Pain scale

  For measuring pain, the Numeric Pain Rating Scale (NPRS) will be used. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable"). This will be asked prior to exercise and after 6 weeks .

  6 weeks

• Range of motion

  It will be assessed using a goniometer for the shoulder before starting the exercises and after 6 weeks.

  6 weeks

• Upper Extremity Functional Scale

  It is a questionnaire related to daily activities which are asked by athletes who have upper extremity issues to check in which activity they are facing issues.

  6 weeks

Study Arms (2)

Reciprocal inhibition

EXPERIMENTAL

First Subjects will start doing baseline warmup exercises which are mentioned then they will perform reciprocal inhibition of the serratus muscle in side-lying. After identifying the antagonist muscles of the serratus anterior, which are typically the rhomboids or the middle and lower trapezius. Athletes will perform a gentle contraction of the antagonist's muscles by retracting or squeezing their shoulder blades together. While the antagonist muscles are contracting, we will ask the athlete to simultaneously relax and lengthen the serratus anterior muscle. The patient can achieve this by protracting or pushing their shoulder blades forward and away from each other.

Other: Reciprocal inhibition

Static Stretching

EXPERIMENTAL

After performing baseline warmup exercises, Athlete will perform 2 exercises Standing wall stretch and seated cross body stretch

Other: Static stretching

Interventions

Reciprocal inhibition OTHER

First Subjects will start doing baseline warmup exercises which are mentioned then they will perform reciprocal inhibition of the serratus muscle in supine or side-lying. After identifying the antagonist muscles of the serratus anterior, which are typically the rhomboids or the middle and lower trapezius. Athletes will perform a gentle contraction of the antagonist's muscles by retracting or squeezing their shoulder blades together. While the antagonist muscles are contracting, we will ask the athlete to simultaneously relax and lengthen the serratus anterior muscle. The patient can achieve this by protracting or pushing their shoulder blades forward and away from each other.

Reciprocal inhibition

Static stretching OTHER

Subjects will perform 2 stretches 1. Standing Wall Stretch: Stand facing a wall with your feet about hip-width apart. Place their palms on the wall at shoulder height, slightly wider than shoulder-width apart. will Lean their body forward, keeping their arms straight, until feel a stretch in their serratus anterior. Hold the stretch for 15 to 30 seconds, then slowly release. Instead of using a wall or object, the athlete will use their opposite hand to hold the stretched arm in position. 2. Seated Cross-Body Stretch: Sit on the edge of a chair or bench. Cross one arm over your chest, placing your hand on the opposite shoulder. The athlete will use the other hand to gently pull the crossed arm closer to your body, feeling a stretch in the serratus anterior. Hold the stretch for 15 to 30 seconds or more, and then switch sides and repeat.

Static Stretching

Eligibility Criteria

• Age: 17 Years - 30 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Females
• Ages between 17-30 years
• Amateur athletes ( badminton, weight lifting, Volleyball, tennis)
• Pain in the upper limb ( Moderate pain 5-6 level on NPRS scale)
• To check Serratus anterior ( females with strength test positive and shakiness weakness on pressing or overhead activities )
• Overhead range of motion of the shoulder ( those with less than 180 degrees)

You may not qualify if:

• Fractures
• Musculoskeletal problems ( radiculopathy, myelopathy, inflammatory arthritis)
• International athletes
• Recent surgery thoracic spine

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pakistan Sports Board

Lahore, Punjab Province, 05450, Pakistan

Location

Related Publications (10)

• Barcia AM, Makovicka JL; MRAB Study Group; Spenciner DB, Chamberlain AM, Jacofsky MC, Gabriel SM, Moroder P, von Rechenberg B, Sengun MZ, Tokish JM. Scapular motion in the presence of rotator cuff tears: a systematic review. J Shoulder Elbow Surg. 2021 Jul;30(7):1679-1692. doi: 10.1016/j.jse.2020.12.012. Epub 2021 Feb 2.

  PMID: 33540119 BACKGROUND

• Arntz F, Markov A, Behm DG, Behrens M, Negra Y, Nakamura M, Moran J, Chaabene H. Chronic Effects of Static Stretching Exercises on Muscle Strength and Power in Healthy Individuals Across the Lifespan: A Systematic Review with Multi-level Meta-analysis. Sports Med. 2023 Mar;53(3):723-745. doi: 10.1007/s40279-022-01806-9. Epub 2023 Jan 31.

  PMID: 36719536 BACKGROUND

• Xu X, Lin JH, McGorry RW. A regression-based 3-D shoulder rhythm. J Biomech. 2014 Mar 21;47(5):1206-10. doi: 10.1016/j.jbiomech.2014.01.043. Epub 2014 Jan 30.

  PMID: 24534377 BACKGROUND

• Wagner ER, Hussain ZB, Karzon AL, Warner JJP, Elhassan BT, Sanchez-Sotelo J. The Scapula: The Greater Masquerader of Shoulder Pathologies. Instr Course Lect. 2024;73:587-607.

  PMID: 38090927 BACKGROUND

• Gillani SN, Ain Q-, Rehman SU, Masood T. Effects of eccentric muscle energy technique versus static stretching exercises in the management of cervical dysfunction in upper cross syndrome: a randomized control trial. J Pak Med Assoc. 2020 Mar;70(3):394-398. doi: 10.5455/JPMA.300417.

  PMID: 32207413 BACKGROUND

• Osama M, Shakil Ur Rehman S. Effects of static stretching as compared to autogenic inhibition and reciprocal inhibition muscle energy techniques in the management of mechanical neck pain: a randomized controlled trial. J Pak Med Assoc. 2020 May;70(5):786-790. doi: 10.5455/JPMA.9596.

  PMID: 32400728 BACKGROUND

• Jawade S, Chitale N Jr, Phansopkar P. The Effect of Reciprocal Inhibition Techniques on Pain, Range of Motion, and Functional Activities in Patients With Upper Trapezitis. Cureus. 2023 Feb 1;15(2):e34487. doi: 10.7759/cureus.34487. eCollection 2023 Feb.

  PMID: 36874329 BACKGROUND

• Joshi R, Poojary N. The Effect of Muscle Energy Technique and Posture Correction Exercises on Pain and Function in Patients with Non-specific Chronic Neck Pain Having Forward Head Posture-a Randomized Controlled Trail. Int J Ther Massage Bodywork. 2022 Jun 1;15(2):14-21. doi: 10.3822/ijtmb.v15i2.673. eCollection 2022 Jun.

  PMID: 35686175 BACKGROUND

• Hsu FY, Tsai KL, Lee CL, Chang WD, Chang NJ. Effects of Dynamic Stretching Combined With Static Stretching, Foam Rolling, or Vibration Rolling as a Warm-Up Exercise on Athletic Performance in Elite Table Tennis Players. J Sport Rehabil. 2020 Apr 28;30(2):198-205. doi: 10.1123/jsr.2019-0442.

  PMID: 32350145 BACKGROUND

• Zeleznik P, Jelen A, Kalc K, Behm DG, Kozinc Z. Acute effects of static and proprioceptive neuromuscular facilitation stretching on hamstrings muscle stiffness and range of motion: a randomized cross-over study. Eur J Appl Physiol. 2024 Mar;124(3):1005-1014. doi: 10.1007/s00421-023-05325-x. Epub 2023 Oct 6.

  PMID: 37803178 BACKGROUND

MeSH Terms

Interventions

Muscle Stretching Exercises

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Areeza hamid, DPT

  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

Study Record Dates

• First Submitted: November 18, 2024
• First Posted: November 20, 2024
• Study Start: May 24, 2024
• Primary Completion: February 15, 2025
• Study Completion: February 20, 2025
• Last Updated: February 12, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)