Comparison of Mulligan Internal Rotation Mobilization and Post Isometric Relaxation Technique on Pain and Function in Athletes With Glenohumeral Internal Rotation Deficit
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 16
- 试验地点
- 2
- 主要终点
- NUMERIC PAIN RATING SCALE
研究概览
简要总结
Glenohumeral internal rotation deficit (GIRD) is common physical deficiency found both teenager and overhead many sports for example baseball, cricket, and tennis. GIRD is generally categorized as simultaneous deficits of internal rotation (IR) and total arc of motion in the dominant side. GIRD causes increase muscle stiffness, capsular changes ( hyperplasia) , muscle imbalance leads to humeral retroversion. The objective of the study will be to Compare the effects of Mulligan internal rotation Mobilization and post isometric relaxation technique on Pain, Range of motion and function in athletes with Glenohumeral Internal Rotation Deficit
This study will be a Randomise Control trial and will be conducted Pakistan cricket board acedmy and in outpatient department of physical therapy, AL REHMAN Hospital Lahore . The study will be completed within the time duration of six months . Convenient sampling technique will be used to collect the data. A sample size of 14 patients will be taken in this study Comparison of Mulligan internal rotation Mobilization and post isometric relaxation technique on Pain and function in athletes with Glenohumeral Internal Rotation Deficit. Patients will be divided into two groups. (Group A will be treated with mulligan MWM AND Sleeper stretch whereas Group B will be treated with post isometic relaxtion technique and sleeper stretch ). SPADI score will be used to ask some questions related to patients symptoms and daily activities and Numeric pain rating scale will be used to measure pain intensity. UNIVERSAL GONIOMETER will be used to measure ROM of shoulder joint All participants of the study will fill the SPADI score and Numeric pain rating scale on day 1 as pre treatment values and at the end of week 2 as post treatment values respectively . The collected data will be analyzed on SPSS 25.
详细描述
Glenohumeral internal rotation deficit (GIRD) is common physical deficiency found both teenager and overhead many sports for example baseball, cricket, and tennis. GIRD is generally categorized as simultaneous deficits of internal rotation (IR) and total arc of motion in the dominant side.
Tight posterior glenohumeral capsule and posterior muscles such as the posterior deltoid, infraspinatus, and teres minor muscles can leads to GIRD although mechanism is not clear yet. Few research authors propose that repetitive tensile stress to posterior structures in the follow-through phase in throwing movements could lead to inflammation, scar formation, and following tightness in posterior tissues, resulting in PST and GIRD.
Tightness of the posterior shoulder may be a common factor in many shoulder conditions, including impingement syndrome, rotator cuff tears, and labral lesions.Posterior shoulder tightness may cause alterations in shoulder motion or muscle flexibility that are thought to increase risk of injury in athletes.
GIRD causes increase muscle stiffness, capsular changes ( hyperplasia ) , muscle imbalance leads to humeral retroversion.Due to the influence of tightness of the posterior glenohumeral soft tissues on glenohumeral and shoulder kinematics stretching of the posterior glenohumeral tissues to restore glenohumeral IR ROM is a common aspect of shoulder rehabilitation.
GIRD can be measured as the difference in the maximum humeral internal rotation angle between the dominant (throwing) and non-dominant (non-throwing) limbs. A difference of 10-17 degree of internal rotation is common in the dominant arm of throwing athletes who have not suffered any shoulder injury. GIRD greater than 25° has been associated with injuries such as superior labral lesions, subacromial impingement, and pathological internal impingement in the throwing shoulder in dictating a need for investigation of preventative and corrective interventions to restore GHJ internal rotation ROM.
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
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects within the age group 18-35 years will be taken.
- •Both male and female will be taken.
- •Subjects with glenohumeral internal rotation deficit will be taken.
- •Subjects with minimum 50% reduction in the internal rotation range of motion will be taken compared to the unaffected side.
- •Subjects with shoulder abduction ROM at least 90 degrees
- •Subjects with shoulder Extension ROM at least 20 degrees
- •Subjects with positive lift-off test and belly compression test
排除标准
- •History of shoulder surgery
- •Any Shoulder joint complex fracture
- •Frozen shoulder (Adhesive capsulitis)
- •post traumatic and rotator cuff tear
- •neurological deficit affecting shoulder
- •Pain or disorder of cervical spine
- •Osteoporosis, Malignancies ,Open wound and Pregnancy
- •Rheumatoid arthritis
- •a recent steroid injection and previous manipulation under anesthesia
结局指标
主要结局
NUMERIC PAIN RATING SCALE
时间窗: 2 weeks
NPRS is anchored by terms describing pain severity extremes. The 11 -point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable
Shoulder Pain and Disability Index (SPADI)
时间窗: 2 weeks
The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use. The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder.
Universal Goniometer
时间窗: 2 weeks
Universal goniometer will be used to measure Shoulder internal rotation range of motion .
次要结局
未报告次要终点