Combined Effects of Mulligan Mobilization With Movement and Kinetic Medial Rotation Control for Shoulder on Pain, Range of Motion, and Function Among Fast Bowlers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Pain Intensity
研究概览
简要总结
The goal of this clinical trial is to determine combined effects of the Kinetic control for shoulder on pain, range, and function among fast bowlers. The main question it aims to answer is:
Does mulligan mobilization with movement along with kinetic medial rotation control work in decreasing pain, improving shoulder internal range of motion and shoulder function in fast bowlers with glenohumeral internal rotation deficit? Is the combination of Mulligan mobilization with movement along with kinetic control therapy effective in fast bowlers with glenohumeral internal rotation deficit? Treatment arm will receive movement retraining exercises to develop kinetic control with mulligan mobilization and comparison arm will receive standard physical therapy exercises with mulligan mobilization.
Treatment group will receive shoulder warm up exercises, movement retraining exercises and mulligan mobilization with movement.
Comparison group will receive shoulder warm up exercises, modified sleeper stretch, shoulder isometrics and mulligan mobilization with movement.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Male cricketers aged 18-45 years.
- •Participants experiencing persistent mild to moderate shoulder pain during overhead movements for more than 3 months.
- •Fast bowlers actively participating in regular cricket training sessions.
- •Presence of Glenohumeral Internal Rotation Deficit (GIRD) greater than 10 degrees, measured with a goniometer by comparing internal rotation of the dominant and non-dominant shoulders.
排除标准
- •Cricketers who have undergone shoulder (e.g., rotator cuff repair, arthroscopic labrum repair) or elbow surgery within the past 3 months.
- •Participants presenting with numbness or tingling sensations in the upper extremity.
- •Individuals with comorbidities such as a history of cardiac or pulmonary diseases.
- •Subjects with a history of recurrent shoulder dislocations or shoulder instability.
研究组 & 干预措施
Movement control exercises with the concept of kinetic control and mobilization with movement
Each person will follow this program three times a week. The session starts with a shoulder movement test to check how well the shoulder rotates-60 degrees inward and 45 degrees outward-without the shoulder blade or upper arm moving incorrectly.
Next, movement retraining exercises are used to fix any incorrect shoulder movements. This includes helping the shoulder and shoulder blade move properly using hands-on support, along with exercises that may be supported or unsupported. Visual cues (like mirrors), touch, and manual guidance are used to teach correct movement.
Lastly, Mobilization with Movement (MWM) is performed. This involves gently pushing the shoulder joint backward
干预措施: Kinetic control for shoulder internal rotation with mobilization with movement (Other)
Stretches, strengthening and mobilization with movement
Each person in the control group will do these exercises three times a week. The session starts with shoulder warm-up exercises like arm circles, shoulder rolls, and reaching overhead. These are done in 2 sets of 10 reps.
Next is the modified sleeper stretch. This is repeated 3 times, with a 30-second rest between each stretch.
Then, isometric shoulder exercises are done in standing. The person pushes their arm inward against resistance without actually moving it.
Finally, Mobilization with Movement (MWM) is used.
干预措施: stretches, strengthening and mobilization with movement (Other)
结局指标
主要结局
Pain Intensity
时间窗: From enrollment to the end of treatment at 6 weeks
Pain intensity will be evaluated using the Numeric Pain Rating Scale (NPRS) ranging from 0 to 10, where 0 indicates no pain, 1-3 represents mild pain, 4-6 indicates moderate pain, and 7-10 reflects severe pain.
Shoulder Range of Motion
时间窗: From enrollment to the end of treatment at 6 weeks
Shoulder range of motion will be measured in all planes of movement using a universal goniometer. The movements will include: Internal Rotation (0-90°) All measurements will be recorded in degrees to assess improvement in joint mobility across these planes.
Functional Disability
时间窗: From enrollment to the end of treatment at 6 weeks
Functional disability will be assessed using the Shoulder Pain and Disability Index (SPADI), which provides a percentage score ranging from 0 to 100%. A low score (0-29%) represents minimal disability, a moderate score (30-59%) indicates moderate disability, and a high score (60-100%) signifies severe functional limitation.
次要结局
未报告次要终点
研究者
Hammad Haider
Dr. Hammad Haider, Masters of Science Student in MSK Physical Therapy
Lahore University of Biological and Applied Sciences