Comparative Effects of Closed Kinetic Chain Exercises and Thrower's Ten Exercises in Glenohumeral Instability

NCT07724977 | Recruiting DMC

• 1 other identifier: REC/RCR & AHS/25/0419
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The study is randomized and single-blinded. Ethical approval is taken from ethical committee of Riphah International University, Lahore. Participants who meet the inclusion criteria will be enrolled and allocated in group A \& B through sealed envelope method by Non-probability Convenient random sampling technique. Subjects in Group A will receive closed kinetic chain exercises. Group B will receive thrower's ten exercises.

Conditions

Instability, Joint

Keywords

closed chain kinetic exercises; thrower's ten exercises; instability

Outcome Measures

Primary Outcomes (3)

• Pain measure through NPRS

  Pain measure through NPRS, The NPRS scoring system is a widely used tool in healthcare for assessing pain intensity. It typically uses a scale from 0 to 10, where 0 indicates no pain and 10 represents the worst possible pain.

  Pre and 6 week post interventional

• Mobility measure through Goniometry

  Mobility measure through Goniometry, Goniometry measures glenohumeral (shoulder) mobility by placing a goniometer axis on the humeral head or acromion process to score active and passive range of motion degrees. Normal adult values typically reach 170°-180° for flexion and abduction, 70°-90° for internal rotation, and 90°-100° for external rotation

  Pre and 6 week post interventional

• performance measure through upper limb rotation test

  performance measure through upper limb rotation test, The Upper Limb Rotation Test (ULRT) for the glenohumeral joint is scored by counting the total number of valid repetitions (touches) achieved across three 15-second trials. The final score is the average or sum of valid touches per side, reflecting shoulder stability, dynamic control, and trunk rotation coordination

  Pre and 6 week post interventional

Study Arms (2)

closed chain kinetic exercises

EXPERIMENTAL

The group participated in 6 weeks of training session lasting for 45-50 minutes.The individual was positioned standing with the elbow joint completely extended, palm on the wall, and shoulder flexion at a 90° angle

Other: closed kinetic chain exercises

Thrower's ten exercises

EXPERIMENTAL

Throwers ten exercise are used to improve strength and endurance of rotator cuff muscles and scapular stabilizers, pre and post assessment is done as my study will be randomized clinical trial , 5-10 minutes of warm up , 45 minutes of resistance training and 5-10 minutes of cool down is added.

Other: thrower's ten exercises

Interventions

closed kinetic chain exercises OTHER

The group participated in 6 weeks of training session lasting for 45-50 minutes.The individual was positioned standing with the elbow joint completely extended, palm on the wall, and shoulder flexion at a 90° angle

closed chain kinetic exercises

thrower's ten exercises OTHER

Throwers ten exercise are used to improve strength and endurance of rotator cuff muscles and scapular stabilizers, pre and post assessment is done as my study will be randomized clinical trial , 5-10 minutes of warm up , 45 minutes of resistance training and 5-10 minutes of cool down is added.

Thrower's ten exercises

Eligibility Criteria

• Age: 16 Years - 25 Years
• Gender Eligibility Details: only males
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Male bowlers are included in this study
• Healthy athletes with age group 16-25y
• Athletes having 2 years of bowling experience

You may not qualify if:

• Bowlers with prior history of trauma and shoulder injuries from past 6 months bowlers with any medical issues such as hypertension, any , neurological , cardiovascular and psychological problems
• if athlete suffered from any upper extremity orthopedic or musculoskeletal injury from last 6 months

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pakistan sports board

Lahore, Punjab Province, 54660, Pakistan

RECRUITING

Related Publications (2)

• Gokalp O, Kirmizigil B. Effects of Thrower's Ten exercises on upper extremity performance: A randomized controlled study. Medicine (Baltimore). 2020 Oct 16;99(42):e22837. doi: 10.1097/MD.0000000000022837.

  PMID: 33080765 BACKGROUND

• Shah R, Thakkar S, Patel GJJP-TJoIAoP. Effect of Thrower's ten exercises versus core strengthening exercise on upper extremity performance in handball players. 2024;18(2):156-60.

  BACKGROUND

MeSH Terms

Conditions

Joint Instability

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• Sidra Rabbani, DPT

  Study Principal Investigator

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Amna Shahid, t-dpt

CONTACT

0334-4512823; amna.shahid@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: single
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 21, 2026
• First Posted: July 24, 2026
• Study Start: October 15, 2025
• Primary Completion: August 15, 2026
• Study Completion: August 30, 2026
• Last Updated: August 12, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)