NCT06819397

Brief Summary

Effects of Post-Isometric Relaxation Technique versus Cross Friction Soft Tissue Mobilization in Leg Spin Bowlers with Rotator cuff strain

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
34

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Apr 2024

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 24, 2024

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

January 22, 2025

Completed
19 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 10, 2025

Completed
1 day until next milestone

First Posted

Study publicly available on registry

February 11, 2025

Completed
4 days until next milestone

Study Completion

Last participant's last visit for all outcomes

February 15, 2025

Completed
Last Updated

February 11, 2025

Status Verified

February 1, 2025

Enrollment Period

10 months

First QC Date

January 22, 2025

Last Update Submit

February 10, 2025

Conditions

Keywords

cross friction soft tissue mobilization, spin bowlers

Outcome Measures

Primary Outcomes (3)

  • Numeric Pain Rating Scale (NPRS):

    The patient's degree of pain is measured using the 11-point NPRS. The words "no pain" on the left and "worst imaginable pain" on the right serve as the scale's anchors. (34) Patients score how much pain they are in right now, as well as how much pain they have had in the past 24 hours.

    4weeks

  • Goniometer

    Studies have shown intra-rater reliability for goniometric measurements can vary but often falls within acceptable ranges. For instance, a study reported intra-rater reliability with an intra-class correlation coefficient (ICC) ranging from 0.80 to 0.95, indicating good to excellent reliability.

    4weeks

  • Standard test for push-up (STPU) for measuring endurance

    Standard push-up test (STPU)" starts from either a prone position or a straight arm support position. Arms are about shoulder-width apart, palms are flat on the ground, and fingers are pointing forward. Legs should be together, ankles flexed, and knees locked. The only parts of the body that touch the ground are the balls of the feet and the palms of the hands. Until the chin, nose, or chest reaches the ground, the body is lowered.

    4weeks

Study Arms (2)

post isometric relaxation

EXPERIMENTAL

17 participants will be in post isometric group, After telling the bowler to calm down, a fresh movement barrier will be activated. This will be done three times a week for four weeks, for a total of five sets of five repetitions.

Other: post isometric relaxation

cross friction soft tissue mobilization

EXPERIMENTAL

17 participants will be in soft tissue mobilization group, Patients in each group will receive12 treatment sessions, 3 days a week for 4 weeks.

Other: cross friction soft tissue mobilization

Interventions

the athlete will be given instructions to perform a 7-second isometric contraction in the direction of horizontal abduction at about 25% of peak effort, while the examiner will apply an opposing force at the distal humerus.

post isometric relaxation

by identifying the fascia restriction, patients in group B will be treated with the cross friction soft tissue mobilization approach, which comprised applying a low load and prolonged stretch through the knuckles or elbows to the constricted fascia. The therapist will then give the contralateral side of rotation resistance for ten seconds

cross friction soft tissue mobilization

Eligibility Criteria

Age16 Years - 30 Years
Sexmale(Gender-based eligibility)
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • age 16-30 years
  • Symptomatic male bowlers (leg spinners)
  • Pain from at least 2 months
  • Playing regularly from at least 1 year.
  • Difference of ROM as compared to contralateral extremity.

You may not qualify if:

  • Prior History of shoulder surgery
  • Shoulder symptoms requiring medical treatment.
  • Cricketers not involved in any other sports.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Jallo Cricket Academy

Lahore, Punjab Province, 0423, Pakistan

Location

Related Publications (17)

  • Pandey V, Jaap Willems W. Rotator cuff tear: A detailed update. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2015 Feb 11;2(1):1-14. doi: 10.1016/j.asmart.2014.11.003. eCollection 2015 Jan.

    PMID: 29264234BACKGROUND
  • Hermans J, Luime JJ, Meuffels DE, Reijman M, Simel DL, Bierma-Zeinstra SM. Does this patient with shoulder pain have rotator cuff disease?: The Rational Clinical Examination systematic review. JAMA. 2013 Aug 28;310(8):837-47. doi: 10.1001/jama.2013.276187.

    PMID: 23982370BACKGROUND
  • Jain NB, Wilcox RB 3rd, Katz JN, Higgins LD. Clinical examination of the rotator cuff. PM R. 2013 Jan;5(1):45-56. doi: 10.1016/j.pmrj.2012.08.019.

    PMID: 23332909BACKGROUND
  • Tawfik AM, El-Morsy A, Badran MA. Rotator cuff disorders: How to write a surgically relevant magnetic resonance imaging report? World J Radiol. 2014 Jun 28;6(6):274-83. doi: 10.4329/wjr.v6.i6.274.

    PMID: 24976930BACKGROUND
  • Shaffer B, Huttman D. Rotator cuff tears in the throwing athlete. Sports Med Arthrosc Rev. 2014 Jun;22(2):101-9. doi: 10.1097/JSA.0000000000000022.

    PMID: 24787724BACKGROUND
  • Avci O, Rohrle O. Determining a musculoskeletal system's pre-stretched state using continuum-mechanical forward modelling and joint range optimization. Biomech Model Mechanobiol. 2024 Jun;23(3):1031-1053. doi: 10.1007/s10237-024-01821-x. Epub 2024 Apr 15.

    PMID: 38619712BACKGROUND
  • Coviello JP, Kakar RS, Reynolds TJ. SHORT-TERM EFFECTS OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION ON PAIN FREE RANGE OF MOTION IN A WEIGHTLIFTER WITH SUBACROMIAL PAIN SYNDROME. Int J Sports Phys Ther. 2017 Feb;12(1):144-154.

    PMID: 28217425BACKGROUND
  • Bailey LB, Shanley E, Hawkins R, Beattie PF, Fritz S, Kwartowitz D, Thigpen CA. Mechanisms of Shoulder Range of Motion Deficits in Asymptomatic Baseball Players. Am J Sports Med. 2015 Nov;43(11):2783-93. doi: 10.1177/0363546515602446. Epub 2015 Sep 24.

    PMID: 26403207BACKGROUND
  • Kim J, Sung DJ, Lee J. Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application. J Exerc Rehabil. 2017 Feb 28;13(1):12-22. doi: 10.12965/jer.1732824.412. eCollection 2017 Feb.

    PMID: 28349028BACKGROUND
  • Cunningham G, Charbonnier C, Ladermann A, Chague S, Sonnabend DH. Shoulder Motion Analysis During Codman Pendulum Exercises. Arthrosc Sports Med Rehabil. 2020 Jun 26;2(4):e333-e339. doi: 10.1016/j.asmr.2020.04.013. eCollection 2020 Aug.

    PMID: 32875297BACKGROUND
  • Bhosale P, Kolke Pt S. Effectiveness of instrument assisted soft tissue mobilization (IASTM) and muscle energy technique (MET) on post-operative elbow stiffness: a randomized clinical trial. J Man Manip Ther. 2023 Oct;31(5):340-348. doi: 10.1080/10669817.2022.2122372. Epub 2022 Sep 28.

    PMID: 36171728BACKGROUND
  • Khan ZK, Ahmed SI, Baig AAM, Farooqui WA. Effect of post-isometric relaxation versus myofascial release therapy on pain, functional disability, rom and qol in the management of non-specific neck pain: a randomized controlled trial. BMC Musculoskelet Disord. 2022 Jun 13;23(1):567. doi: 10.1186/s12891-022-05516-1.

    PMID: 35698187BACKGROUND
  • Cheatham SW, Stull KR, Kolber MJ. Roller massage: is the numeric pain rating scale a reliable measurement and can it direct individuals with no experience to a specific roller density? J Can Chiropr Assoc. 2018 Dec;62(3):161-169.

    PMID: 30662071BACKGROUND
  • Shamsi M, Mirzaei M, Khabiri SS. Universal goniometer and electro-goniometer intra-examiner reliability in measuring the knee range of motion during active knee extension test in patients with chronic low back pain with short hamstring muscle. BMC Sports Sci Med Rehabil. 2019 Mar 22;11:4. doi: 10.1186/s13102-019-0116-x. eCollection 2019.

    PMID: 30949343BACKGROUND
  • van Rijn SF, Zwerus EL, Koenraadt KL, Jacobs WC, van den Bekerom MP, Eygendaal D. The reliability and validity of goniometric elbow measurements in adults: A systematic review of the literature. Shoulder Elbow. 2018 Oct;10(4):274-284. doi: 10.1177/1758573218774326. Epub 2018 Jun 3.

    PMID: 30214494BACKGROUND
  • Kiatkulanusorn S, Luangpon N, Srijunto W, Watechagit S, Pitchayadejanant K, Kuharat S, Beg OA, Suato BP. Analysis of the concurrent validity and reliability of five common clinical goniometric devices. Sci Rep. 2023 Nov 27;13(1):20931. doi: 10.1038/s41598-023-48344-6.

    PMID: 38017058BACKGROUND
  • Rodrigues da Silva Barros B, Dal'Ava Augusto D, de Medeiros Neto JF, Michener LA, Silva RS, Sousa CO. Isometric versus isotonic exercise in individuals with rotator cuff tendinopathy-Effects on shoulder pain, functioning, muscle strength, and electromyographic activity: A protocol for randomized clinical trial. PLoS One. 2023 Nov 13;18(11):e0293457. doi: 10.1371/journal.pone.0293457. eCollection 2023.

    PMID: 37956135BACKGROUND

Study Officials

  • Saad Arif, DPT

    Riphah International University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
single (participant) the participants are blind
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: parallel assignment randomized clinical design
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 22, 2025

First Posted

February 11, 2025

Study Start

April 24, 2024

Primary Completion

February 10, 2025

Study Completion

February 15, 2025

Last Updated

February 11, 2025

Record last verified: 2025-02

Data Sharing

IPD Sharing
Will not share

Locations