NCT07733869

Brief Summary

Compared with shoulder-only training and with continued tennis training alone, will the addition of core strengthening to shoulder training produce significantly greater improvements in flat serve ball speed in healthy tennis players? Secondary Hypothesis:

  • Combined core + shoulder training will produce greater improvement in serve accuracy than shoulder-only training or tennis training alone.
  • Combined core + shoulder training will produce greater improvement in TGAR than shoulder-only training or tennis training alone.
  • Combined core + shoulder training will produce greater improvement in core strength/endurance and shoulder rotational strength than the comparator groups.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
120

participants targeted

Target at P50-P75 for not_applicable

Timeline
1mo left

Started Jun 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

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 Progress49%
Jun 2026Sep 2026

Study Start

First participant enrolled

June 15, 2026

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

July 21, 2026

Completed
8 days until next milestone

First Posted

Study publicly available on registry

July 29, 2026

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 15, 2026

Expected
5 days until next milestone

Study Completion

Last participant's last visit for all outcomes

September 20, 2026

Last Updated

July 29, 2026

Status Verified

July 1, 2026

Enrollment Period

3 months

First QC Date

July 21, 2026

Last Update Submit

July 24, 2026

Conditions

Keywords

Serve SpeedCore TrainingShoulder trainingstrengtheningtotal glenohumeral arc of rotation

Outcome Measures

Primary Outcomes (1)

  • Flat serve ball speed

    Flat serve ball speed (km/h or mph), measured via radar gun (e.g., Stalker Pro II) or equivalent validated device, averaged across the best 5 of 10 flat serves hit into the deuce-side service box, measured at baseline (Week 0) and post-intervention (Week 12).

    measured at baseline (Week 0) and post-intervention (Week 12).

Secondary Outcomes (4)

  • Serve accuracy

    measured at baseline (Week 0) and post-intervention (Week 12).

  • Total glenohumeral arc of rotation (TGAR)

    measured at baseline (Week 0) and post-intervention (Week 12).

  • Shoulder rotational strength

    measured at baseline (Week 0) and post-intervention (Week 12).

  • Core strength/endurance

    measured at baseline (Week 0) and post-intervention (Week 12).

Study Arms (2)

Shoulder+ sham core

ACTIVE COMPARATOR

Shoulder strengthening + sham/placebo core exercises (non-loading trunk mobility).

Other: Shoulder Strengthening Program+ Sham core Treatment

shoulder strengthening exercises+ core strengthening

EXPERIMENTAL

Participants in EG performed the same shoulder strengthening exercises as in CG, coupled with a physical therapy core strengthening program.

Other: Shoulder Strengthening Program+ Core Strengthening Program

Interventions

Delivered 2×/week for 10 weeks under supervision of a licensed physical therapist or certified strength and conditioning specialist. Progressive resistance program including: * External/internal rotation strengthening (resistance band, cable, or dumbbell) at 0° and 90° abduction * Scapular stabilization exercises (rows, Y-T-W raises, serratus punch) * Posterior shoulder stretching (sleeper stretch, cross-body stretch) for the TGAR component * Progressive overload every 2 weeks based on tolerated resistance/repetitions Sham :Low-intensity, non-progressive trunk mobility exercises with minimal loading (e.g., seated trunk rotations without resistance, cat-camel stretches), matched for session time and attention to control for non-specific training effects, without targeting core strength/endurance adaptation.

Shoulder+ sham core

Delivered 2×/week for 10 weeks, same sessions as the shoulder program (combined \~50-60 minute sessions), progressive core program including: * Anti-rotation exercises (Pallof press) * Rotational power exercises (medicine ball rotational throws, cable woodchoppers) * Anterior/lateral/posterior chain stability (plank variations, side plank, bird-dog) * Progressive overload via increased resistance, hold time, or instability surface every 2 weeks

shoulder strengthening exercises+ core strengthening

Eligibility Criteria

Age18 Years - 35 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Healthy adults aged 18-35 years
  • Recreational to competitive non-professional tennis players (currently playing ≥2 sessions/week for ≥1 year; NTRP 3.0-5.0 or equivalent ITN; no professional ranking or tour-level competition history)
  • Right- or left-hand dominant (serve arm recorded)
  • Able to perform a full flat serve without pain
  • Willing to maintain current tennis training routine and refrain from starting other new strength/conditioning programs during the study

You may not qualify if:

  • Current or history of shoulder pain/injury in the past 6 months (e.g., rotator cuff pathology, labral injury, impingement)
  • Low back pain or lumbar spine pathology in the past 6 months
  • Prior shoulder or spine surgery
  • Systemic conditions affecting neuromuscular function (e.g., uncontrolled diabetes, neurological disorders)
  • Pregnancy
  • Current participation in a structured core or shoulder strengthening program

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Beirut Arab University

Beirut, Beirut, 1100, Lebanon

RECRUITING

BAU activities

Beirut, Giza, 2356, Lebanon

RECRUITING

Central Study Contacts

Ahmad El Melhat, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

July 21, 2026

First Posted

July 29, 2026

Study Start

June 15, 2026

Primary Completion (Estimated)

September 15, 2026

Study Completion (Estimated)

September 20, 2026

Last Updated

July 29, 2026

Record last verified: 2026-07

Data Sharing

IPD Sharing
Will not share

Locations