Effects of Post-Isometric Relaxation Technique Vs Soft Tissue Mobilization in Leg Spin Bowlers
1 other identifier
interventional
34
1 country
1
Brief Summary
Effects of Post-Isometric Relaxation Technique versus Cross Friction Soft Tissue Mobilization in Leg Spin Bowlers with Rotator cuff strain
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2024
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 24, 2024
CompletedFirst Submitted
Initial submission to the registry
January 22, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 10, 2025
CompletedFirst Posted
Study publicly available on registry
February 11, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
February 15, 2025
CompletedFebruary 11, 2025
February 1, 2025
10 months
January 22, 2025
February 10, 2025
Conditions
Keywords
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
EXPERIMENTAL17 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.
cross friction soft tissue mobilization
EXPERIMENTAL17 participants will be in soft tissue mobilization group, Patients in each group will receive12 treatment sessions, 3 days a week for 4 weeks.
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.
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
Eligibility Criteria
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
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: 29264234BACKGROUNDHermans 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: 23982370BACKGROUNDJain 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: 23332909BACKGROUNDTawfik 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: 24976930BACKGROUNDShaffer 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: 24787724BACKGROUNDAvci 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: 38619712BACKGROUNDCoviello 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: 28217425BACKGROUNDBailey 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: 26403207BACKGROUNDKim 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: 28349028BACKGROUNDCunningham 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: 32875297BACKGROUNDBhosale 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: 36171728BACKGROUNDKhan 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: 35698187BACKGROUNDCheatham 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: 30662071BACKGROUNDShamsi 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: 30949343BACKGROUNDvan 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: 30214494BACKGROUNDKiatkulanusorn 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: 38017058BACKGROUNDRodrigues 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
- PRINCIPAL INVESTIGATOR
Saad Arif, DPT
Riphah International University
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
- 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