Novel Stretching Versus Post Isometric Relaxation Techniques On Shoulder Disability In Athletes

Not Applicable

Completed

• Conditions: Glenohumeral Internal Rotation Deficit
• Interventions: Other: POST ISOMTERIC RELAXATION TECHNIQUE; Other: NOVEL STRETCHING

• Registration Number: NCT05761990
• Lead Sponsor: Riphah International University

Brief Summary

It was a randomized control trial in which thirty (30) participants having GRID, age between 20-40 years were randomly allocated into two groups i-e NS (Novel stretching) Group (30) and PIR (posterior isometric relaxation techniques) Group (30), February 2022 to March 2022.PIR group received the posterior isometric relaxation techniques (three times a week for one month) and NS group received the Novel stretching (three times a week for one month). IR ROM was measured with a goniometer while pain was measured with Numeric Pain Rating Scale intervention and disability of arm, shoulder and hand was measured with DASH score before, immediately, and at week 4 post intervention.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-07-17
• Primary Completion: 2022-09-17
• Study Completion: 2022-09-17
• Study First Submitted: 2022-11-24
• Status Verified: 2023-03
• Study First Submitted QC: 2023-03-07
• Last Update Submitted: 2023-03-07
• Study First Posted: 2023-03-09
• Last Update Posted: 2023-03-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Male and female
• Between the ages of 18 and 40
• Athletes with glenohumeral internal deficit
• Basketball, tennis, javelin, squash, swimmers, volleyball, and weightlifter
• participated in local and regional sporting events
• showed a 10° or higher variation in Internal rotation range of motion between shoulders (dominant versus non-dominant)

Exclusion Criteria

• Footballer, cricketer, and hockey player
• Recovering from extensive shoulder and elbow surgery that was performed three months ago.
• presently undergoing medical intervention for the shoulder
• Suffer from a life-threatening illness

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
POST ISOMTERIC RELAXATION TECHNIQUES	POST ISOMTERIC RELAXATION TECHNIQUE	Participants in Group A will instruct to perform the PIR techniques These steps are taken when using the PIR approach: * Stretching the hypertonic muscle to the point when movement resistance is initially felt or just past the point of discomfort. * For 5 to 10 seconds, a submaximal (10-20%) hypertonic muscle contraction is carried out away from the barrier while resistance is supplied in the other side. To help with this, the individual should breathe in. * The individual is told to relax while breathing after the isometric contraction. After then, until the next barrier is reached, a gentle stretch is employed to pick up the slack. * Starting with this new barrier, the procedure is carried out two or three more times.
NOVEL STRETCHING	NOVEL STRETCHING	The NS will be performed in a supine posture for Group B participants. Participants will be instructed to open their knees while wearing a resistance band around their knees. Participant will be instructed to bridge as high as he can while keeping his shoulders 90 ° abducted and his elbows 90 ° flexed. By lifting the body weight upward, the bridging motion pins the scapula's medial border against the thorax without immediately squeezing or constricting the posterior shoulder bones. This position is thought to provide more flexibility of mobility while causing less discomfort. The subjects were instructed to hold this position while tightening or "squeezing" their gluteal muscles. They were also instructed to stretch by jerkily turning their shoulders inward as far as possible. Using the second hand, the stretch was pushed forward to the point of mild discomfort while contraction was maintained.

Primary Outcome Measures

Name	Time	Method
RANGE OF MOTION	4 weeks	The ROM is measured by GONIOMETER
Disability of arm,shoulder and hand score	4 weeks	The DASH is a 30-item questionnaire that offers response options using 5-point Likert scales. Scores vary from 0 (no disability) to 100 (complete disability) (most severe disability). This score was created to help patients with any upper-limb musculoskeletal problem
numeric pain rating scale	4weeks	A respondent uses the Numeric pain rating scale, a numerical variant of the visual analogue scale (VAS), to select a whole number (0-10 integers) that best captures the severity of their pain.

Trial Locations

Locations (1)

Muhammad Sulaman; 🇵🇰 Multān, Punjab, Pakistan