Effects of Post Isometric Relaxation and Post Facilitation Stretching on Young Fast Bowlers

Not Applicable

Completed

• Conditions: Sports Physical Therapy
• Interventions: Other: Post facilitation stretching; Other: Post isometric relaxation

• Registration Number: NCT06479538
• Lead Sponsor: Riphah International University

Brief Summary

The quadratus lumborum muscle exhibited the highest degree of asymmetry in fast bowlers with low back pain, the identification and correction of this asymmetry is always of interest. Fast bowlers in cricket are more likely to experience non-contact LBP if they use improper technique, prepare less physically, ball too hard, or take on an excessive workload. The quadratus lumborum muscle exhibited the highest degree of asymmetry in fast bowlers with low back pain due to extreme side flexion at non-dominant side and hence results in QL tightness at that side.

The study design will be a Randomized Controlled Trial. This study will be conducted in Pakistan Sports Board (PSB) Lahore. The study will be completed within the time duration of eight to ten months after the approval of the synopsis. The sample size will be 34 subjects. Non-probability convenient sampling technique will be used to recruit the individuals for the study. Then randomization will be done by lottery method to divide the individuals into 2 treatment groups. The experimental group A will be given Post isometric relaxation for 20 minutes for 4 weeks (four times per week) on the other hand experimental group B will receive Post facilitation stretching and after that measure their pre-post values on SPSS. Pain will be measured with VAS, range of motion with inclinometer and functional disability with athlete's disability index questionnaire. In this study, it will be aimed to examine the comparative effects of both techniques that affect pain, range of motion and functional disability with quadratus lumborum tightness in young fast bowlers.

Detailed Description

The main objective of this study is to apply post isometric relaxation and post facilitation stretching techniques and to compare the results to identify their influence on pain, range of motion and functional disability on quadratus lumborum tightness in young fast bowlers.

Study Timeline

• Study Start: 2023-11-23
• Primary Completion: 2024-04-30
• Study Completion: 2024-05-30
• Study First Submitted: 2024-06-24
• Study First Submitted QC: 2024-06-24
• Study First Posted: 2024-06-28
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-15
• Last Update Posted: 2024-07-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

• Age15-19years
• both male and female fast bowlers
• passive pelvic transverse gliding test for Quadratus lumborum tightness +ve
• Low back pain > 6 weeks
• Training sessions of at least 3 days/week

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Exclusion Criteria

1. Congenital causes (Spina bifida, Scoliosis, Spondylosis, Spondylolisthesis)

2. Traumatic cause

   • Prolapsed intervertebral disc
   • fracture of vertebral column

3. Inflammatory cause

   • Ankylosing spondylosis
   • Pott's spine

4. Neoplastic cause

   • Benign
   • Malignant

5. Radiculopathy

6. Any spinal surgery

7. Gynecological cause

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group B	Post facilitation stretching	17 participants will be in experimental group B giving them Post facilitation stretching of Quadratus lumborum for four weeks, measuring all values before giving them protocol and after protocol.
Group A	Post isometric relaxation	17 participants will be in experimental group A giving them Post isometric relaxation of Quadratus lumborum for four weeks, measuring all values before giving them protocol and after protocol.

Primary Outcome Measures

Name	Time	Method
Inclinometer	4 weeks	Range of motion of trunk lateral flexion is measured by inclinometer. An instrument used to measure an object's angles of elevation/depression and slope/tilt with regard to gravity is called an inclinometer, also known as a clinometer. The resultant measurement is expressed as a percentage with respect to a level zero plane or as an angular measurement (degrees, minutes, seconds, etc.) (22)
Athletes Disability Index Questionnaire	4 weeks	The ADI is a self-administered questionnaire designed to evaluate athletes' disabilities related to low back pain. In addition to limitations in activities of daily life, the ADI also covers functional disabilities in sports and exercise. The 12 questions in the ADI cover a variety of topics, including the degree of pain, stretching, strengthening, and weight training exercises, technical skills specific to a sport, rotational back movements and direction changes, fear of pain or (re)injury, sitting, walking, recreational activities, sexual activity, sleep, and self-care (23)
Visual Analogue Scale	4 weeks	Participants are asked to rate their low back pain from 0 to 10. It is a psychometric response scale that is used in Questionnaires. It is used to measure the perceived Pain intensity. The numbers are given from a range of 0-10 classifying as mild, moderate and severe pain. (21)

Trial Locations

Locations (1)

Pakistan Sports Board; 🇵🇰 Lahore, Punajb, Pakistan