Cross Fiber Fascial Manipulation and Stretching Techniques in Overhead Throwing Athletes

Not Applicable

Recruiting

• Conditions: Tennis Players, Bowlers, Volleyball Players; Overhead Throwing Athletes
• Interventions: Other: stretching techniques(sleeper stretch and cross body adduction stretch); Other: cross fiber fascial manipulation

• Registration Number: NCT05707026
• Lead Sponsor: Riphah International University

Brief Summary

Athletic training and sports participation is to enhance athletic performance. Performance is however multifactorial i.e., depending upon several parameters including warm-up practice, training regimes and other interventions. Stretching techniques that focus on increasing posterior shoulder soft tissue flexibility are commonly incorporated into prevention and treatment programs for the overhead athletes. GIRD is usually managed by stretching and soft tissue release of posterior shoulder capsule. Fascial manipulation is a manual therapy technique used in the management of musculoskeletal disorders. This study aims to evaluate the comparative effects of cross fiber fascial manipulation with stretching techniques in overhead throwing athletes

Detailed Description

This was a randomized clinical trial that was conducted at Pakistan sports board and Coaching center, Lahore. Non probability convenient sampling technique was used to collect the data as per inclusion criteria. 40 Participants of this study were randomly allocated into 2 Groups. 20 participants in each group. The group A received three sessions of fascial manipulation for two weeks. Group B received three sessions of sleeper stretch in a side lying position in 90o abduction, elbow at 90o flexion and then performed shoulder IR and cross-body adduction stretch in sitting position. Three sets of the each stretch positions were held for 30 seconds with a 1 minute break between sets. A universal goniometer was used to measure internal rotation, external rotation, horizontal abduction, ROWE score to assess function, pain, stability and motion, Numeric pain rating scale (NPRS) was used to assess pain. The data was analyzed via SPSS version 22.

Study Timeline

• Study Start: 2022-02-01
• Status Verified: 2023-01
• Study First Submitted: 2023-01-22
• Study First Submitted QC: 2023-01-30
• Last Update Submitted: 2023-01-30
• Study First Posted: 2023-01-31
• Last Update Posted: 2023-01-31
• Primary Completion: 2023-02-01
• Study Completion: 2023-02-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Active male and female athletes were included.

  • Age group was (18-40) .
  • Overhead throwing athletes(tennis, volleyball, bowlers) were included in this study)
  • Screening tests were taken to identify subjects with GIRD. GIRD was defined as more than 20o decrease in IR at 90o abduction in the dominant side compared to non-dominant side .
  • Subjects who rated shoulder pain 5 or more in NPRS/symptomatic with GIRD were recruited

Exclusion Criteria :

• Any deformity
• Any radiculopathy
• Shoulder traumatic injuries( dislocation, subluxation, fracture)
• Systemic illness
• Subacromial impingement signs

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
stretching techniques	stretching techniques(sleeper stretch and cross body adduction stretch)	Group B received three sessions of sleeper and cross body adduction stretches. Group B received three sessions of sleeper stretch in a side lying position in 90o abduction, elbow at 90o flexion and then performing shoulder IR and cross-body adduction stretch was done in sitting position. Three sets of the each stretch position were held for 30 seconds with a 1 minute break between sets
cross fiber fascial manipulation	cross fiber fascial manipulation	The group A received three sessions of fascial manipulation in two weeks. FM applied to densified Centre of Coordination (CC) points located on the myofascial sequences for 5 to 8 minutes at each CC point

Primary Outcome Measures

Name	Time	Method
numeric pain rating scale	2 weeks	NPRS for pain assessment in overhead athletes reporting pain with GIRD, it is a subjective measure in which individual rate their pain on an 11-point numerical scale. The scale is composed of 0 (no pain at all) to 10( worst pain
Goniometer	2 weeks	A universal goniometer was used to assess internal rotation, external rotation and horizontal adduction
ROWE score composite	2 weeks	ROWE score for shoulder functional assessment(50), stability(30), pain(10) and motion(10). Total score is 100 thus 90-100=excellent ,70-89=good , 40-69=fair , less than 40 points=poor

Trial Locations

Locations (1)

Pakistan Sports Board; 🇵🇰 Lahore, Punjab, Pakistan