Effect of Pilates Core Stabilization in Adjunct With Plyometric Shoulder Training on Low Back Pain in Fast Bowlers(RCT)

NCT06901804 | Active Not Recruiting DMC

• 1 other identifier: MSRSW/Batch-Fall23/777
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This RCT will seek to determine both the Pilates core stabilization and plyometric shoulder training on LBP in fast bowlers. The research problem will emphasize the absence of detailed rehabilitation protocols that address the upper and lower limb strength dysfunction, pain, quality of life, and biomechanics of fast bowlers. Prior literature has not examined the combined use of these two training interventions to address LBP, which affects the performance of fast bowlers. In this study, participants will be randomly assigned to two groups. Group A (experimental) will receive Pilates core stabilization and plyometric shoulder training, while Group B (control) will receive conventional physiotherapy for LBP. There will be two sessions per week for six weeks, and the intensity of the exercises will gradually increase to address athletes' strength, flexibility, and movement control.

Conditions

Low Back Pain

Outcome Measures

Primary Outcomes (3)

• NPRS (Numeric Pain Rating Scale)

  The NPRS denotes pain severity on a whole-number scale, ranging from 0 to 10, with 0 meaning no pain at all and 10 signifying the worst pain one has ever experienced. A lower score on the scale indicates a reduced level of pain as perceived by the patients having ICC 0.95.

  12 Months

• CBTT (Cricket Ball Throw Test)

  This test evaluates upper limb strength and coordination by documenting the distance a cricket ball attained (in meters). More separation suggests better strength of the upper limbs and better place and movement of the limbs with ICC: 0.92.

  12 months

• VJT (Vertical Jump Test)

  The VJT quantifies lower limb explosive power by only assessing the vertical jump height expressed in centimeters. Higher values denote better control of the lower extremities with ICC 0.95.

  12 months

Study Arms (2)

Experimental Group

EXPERIMENTAL

Diagnostic Test: Experimental Group (training and stabilization)

Control Group

ACTIVE COMPARATOR

Combination Product: Control Group (physiotherapy and exercise)

Interventions

Experimental Group (training and stabilization) DIAGNOSTIC_TEST

Plyometric Shoulder Training \[28\] and Pilates Core Stabilization \[27\] Exercise 1-2 weeks (rep × kg) 3-4 weeks (rep × kg) 5-6 weeks (rep × kg) Throwing Movements Medicine ball chest pass 8 × 1 kg 10 × 2 kg 12 × 3 kg Medicine ball step and pass 8 × 1 kg 10 × 2 kg 12 × 3 kg Medicine ball side throw 8 × 1 kg 10 × 2 kg 12 × 3 kg Tubing Plyos IR/ER 8 × 10 10 × 10 12 × 12 Tubing Plyos Diagonal 8 × 10 10 × 10 12 × 12 Tubing Plyos Biceps 8 × 10 10 × 10 12 × 12 Plyo Push-ups (boxes) 8 × 10 10 × 10 12 × 12 Push-ups (clappers) 8 × 10 10 × 10 12 × 12

Experimental Group

Control Group (physiotherapy and exercise) COMBINATION_PRODUCT

Physiotherapy Care for Low Back Pain \[30\] Exercise Week 1-2 (Sets x Reps/Duration) Week 3-4 (Sets x Reps/Duration) Week 5-6 (Sets x Reps/Duration) Plank 3 x 20 sec 3 x 30 sec 4 x 45 sec Bicycle Crunches 3 x 12 3 x 15 4 x 20-25 Leg Raises 3 x 12 3 x 15 4 x 20-25 Russian Twists 3 x 20 3 x 25 4 x 30-35 Slump Exercise 3 x 10 3 x 12 4 x 15-18 Bridge Exercise with Swiss Ball 3 x 12 3 x 15 4 x 18

Control Group

Eligibility Criteria

• Age: 17 Years - 25 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Age between 17-25 years
• Male cricket players
• Playing cricket for more than 2 years
• Low back pain without radiation
• Chronic low back pain for more than 3 months
• Non-specific mechanical type without identifiable specific anatomical or neurophysiological causative factors and medically fit

You may not qualify if:

• Any pathological condition of the spine, hip, knee, and pelvis.
• Any history of musculoskeletal injury in the past 6 months.
• Any history of a neurological condition.
• Uncontrolled metabolic disorders such as Diabetes Mellitus
• Any surgical h/o shoulder or elbow in the past 6 months

Sponsors & Collaborators

• Superior University: lead

Study Sites (1)

Pakistan Cricket Board

Lahore, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Low Back Pain

Interventions

Control Groups; Physical Therapy Modalities; Exercise

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods; Therapeutics; Rehabilitation; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 23, 2025
• First Posted: March 30, 2025
• Study Start: March 20, 2025
• Primary Completion: June 15, 2025
• Study Completion: February 1, 2026
• Last Updated: March 30, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)