Efficacy of a Physiotherapy Intervention by Stretching the Posterior Capsule of the Shoulder in the Stability of the Glenohumeral Joint and the Throwing Performance in Handball Players. A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Change from baseline functionality of the shoulder after treatment and at month
研究概览
简要总结
Introduction: Handball is a sport with a high prevalence of shoulder injuries due to the overuse that causes a glenohumeral internal rotation deficit, and excess of external rotation and scapular dyskinesia. Stretching is essential to restore physiological movement and improve strength.
Aim: To evaluate the efficacy of a posterior capsule stretching and strengthening of the shoulder and scapular program in handball players from 18 to 37 years old.
Study design: randomized clinical trial, multicenter, single-blind with follow-up period.
Methods: 60 handball players will be randomly assigned to the two study groups (experimental and control). The intervention will last 4 weeks, with 3 weekly sessions with a duration of 21 and 12 minutes each. The study variables will be: range of motion in internal and external rotation (goniometer), throwing speed (Ball Throwing Speed Test), functionality (DASH questionnaire), perceived exertion (Borg scale), glenohumeral stability (CKCUEST y YBT-UQ Test) and the throwing force (Overhead Medicine Ball Throw). The intervention will consist in the application of stretching of the posterior shoulder capsule with an exercise protocol. A Kolmogorov-Smirnov analysis will calculate the normality of the distribution. In case of homogeneity of the groups, with the t-student test of repeated measurements and an ANOVA of repeated averages, the difference between the different evaluations and the intra- and inter-subject effect will be calculated.
Expected results: Improved range of motion of the shoulder, strength and throwing speed after the intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 37 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Handball players federated in the Madrid Handball Federation
- •With an age range between 18 and 37 years
- •More than 2 years of handball sports
- •Currently participate in amateur competitions of First National Women's category.
排除标准
- •Have suffered a shoulder injury in the last six months
- •Who are currently doing some physiotherapy treatment
- •Who fail to participate in the established intervention and evaluation sessions
- •Refusing to sign the informed consent document.
结局指标
主要结局
Change from baseline functionality of the shoulder after treatment and at month
时间窗: Screening visit, within the first seven days after treatment and after one month follow-up visit
The functionality of the shoulder will be measured with the questionnaire Disability of the Arm, Shoulder and Hand (DASH). This scale consists of 30 items (of functionality). The score range of this scale ranges from 0 to 100 points (where a higher score indicates less functionality).
次要结局
- Change from baseline distance range after treatment and at month(Screening visit, within the first seven days after treatment and after one month follow-up visit)
- Change from baseline shoulder range of motion after treatment and at month(Screening visit, within the first seven days after treatment and after one month follow-up visit)
- Change from baseline shoulder stability after treatment and at month(Screening visit, within the first seven days after treatment and after one month follow-up visit)
- Change from baseline strength of upper limbs after treatment and at month(Screening visit, within the first seven days after treatment and after one month follow-up visit)
- Change from baseline perception of effort after treatment and at month(Screening visit, within the first seven days after treatment and after one month follow-up visit)
- Change from baseline launch speed after treatment and at month(Screening visit, within the first seven days after treatment and after one month follow-up visit)