Modified Cross Body Stretch Verses Modified Sleeper Stretch in Basketball Players for Posterior Capsule Tightness

NCT ID: NCT04668079

Last Updated: 2020-12-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-01

Study Completion Date

2020-12-08

Brief Summary

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The aim of this research is to compare the effect of modified cross body stretch and modified sleeper stretch on pain, range of motion, disability and throwing ability in athletes with posterior capsule tightness. Randomized controlled trials done at International Islamic University. The sample size was 32. The subjects were divided in two groups, 16 subjects in modified cross body stretch group and 16 in modified sleeper stretch group. Study duration was of 6 months. Sampling technique applied was non probability connivance sampling technique. Tools used in the study are PENN shoulder score, gonoiometer, thumb up back(TUB) and seated basketball throw test(SBBT). Data was be analyzed through SPSS 21.

Detailed Description

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Basketball is considered as the highly demanding sports due to high demand and complexity of the game. The overhead throwing activities makes it more vulnerable to the injuries. In repetitive throwing there are different type of violet forces placed on shoulder joint It causes adaptation in soft tissue anatomically which in turn limits ROM of shoulder joint and Posterior shoulder tightness.

Posterior capsule tightness can result due to abnormal humeral head motion which decreases subacromial space during overhead activities leading to compression of tissues causing limited shoulder flexion, internal rotation and horizontal adduction. Posterior capsule tightening occurs when the capsular tissue and musculature of the shoulder tighten, usually due to "repeated overload in the eccentric portion of arm deceleration. This loss of internal rotation results from contracture and tightening of the posterior inferior portion of the glenohumeral joint capsule, which occurs from the repetitive microtrauma imparted during the deceleration phase of the throwing motion. Repetitive throwing motion creates adaptive increased external rotation and decreased internal rotation in the dominant shoulder joint which is termed as GIRD (Glenohumeral internal rotation deficit).Posterior capsule tightness is often treated without surgery. It can be treated by strengthening, stretching, neuromuscular control exercises. Strengthening protocol can perform specifically on Weak muscles by using resistance and weight. The neuromuscular training helps the body to act and react on different pattern of stress demand on it through neural pathways. The mainstay of the posterior capsule tightness treatment for athlete is the stretching of the posterior capsule. One author proposed the modified forms, the modified sleeper stretch and the modified cross body stretch. And found these modified stretching more effective and beneficial than the sleeper and cross body stretch Literature review: Kevin et al investigated the acute effects of sleeper stretch on posterior shoulder tightness and internal rotation of shoulder. There was significant improvement in results.

A study conducted in 2018 to determine whether posterior shoulder stretch was effective in increasing internal rotation and horizontal adduction ROM in volleyball and tennis players with internal rotation deficit \>¬¬15 degrees. The intervention group performs the sleeper stretch daily for 8 weeks. Results showed significant improvement in internal rotation and horizontal adduction.

Another article was published in 2014, with the aim to compare the effects of horizontal adduction stretch with scapular stabilization versus horizontal adduction stretch without scapular stabilization on posterior shoulder tightness and passive internal rotation. Results showed significant improvement among the scapular stabilization group.

A RCT conducted in which each subject completed stretching interventions for two days. Purpose of the study was to investigate acute effects of modified sleeper stretch and modified cross body stretch on posterior shoulder tightness and glenohumral internal rotation deficit with more than 10-degree loss.

Conditions

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Shoulder Capsulitis

Keywords

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Modified cross body stretch Modified sleeper stretch Posterior capsule tightness Range of motion Seated basketball throw Thumb up back

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Modified cross body stretch

modified cross body stretch

Group Type EXPERIMENTAL

Modified cross body stretch

Intervention Type OTHER

Athlete was in side lying positioned. trunk was moved posteriorly 200 to 300 and shoulder is raised to 900 and semi flex both knees. Athlete was ask to passively pull the humerus across the body into horizontal adduction with the opposite hand.

5 reps once daily 3 sets for 4 weeks was given

Modified sleeper stretch

modified sleeper stretch

Group Type EXPERIMENTAL

Modified sleeper stretch

Intervention Type OTHER

Athlete was in side lying positioned on the involved side, trunk was rolled posteriorly 200 to 300 and shoulder is raised to 900 and elbow is flexed to 900 and semiflex both knees. athlete was ask to perform internal rotation passively by using the opposite arm.

5 reps once daily 3 sets for 4 weeks was given

Interventions

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Modified cross body stretch

Athlete was in side lying positioned. trunk was moved posteriorly 200 to 300 and shoulder is raised to 900 and semi flex both knees. Athlete was ask to passively pull the humerus across the body into horizontal adduction with the opposite hand.

5 reps once daily 3 sets for 4 weeks was given

Intervention Type OTHER

Modified sleeper stretch

Athlete was in side lying positioned on the involved side, trunk was rolled posteriorly 200 to 300 and shoulder is raised to 900 and elbow is flexed to 900 and semiflex both knees. athlete was ask to perform internal rotation passively by using the opposite arm.

5 reps once daily 3 sets for 4 weeks was given

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Basketball Players
* Internal rotation deficit greater than 20° degrees
* BMI 18.5-24.9

Exclusion Criteria

* Having a systemic pathology including inflammatory joint disease
* Having musculoskeletal or neurological disease
* Having taken anti-inflammatory medication
Minimum Eligible Age

15 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Aisha Razzaq, MSPT-OMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Islamic international medical college

Islamabad, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Vukasevic V, Mitrovic M, Masanovic B. A comparative study of motor ability between elite basketball players from different regions. Sport Mont. 2020;18(1):Ahead of Print

Reference Type BACKGROUND

Ekhtiari S, Khan M, Burrus T, Madden K, Gagnier J, Rogowski JP, Maerz T, Bedi A. Hip and Groin Injuries in Professional Basketball Players: Impact on Playing Career and Quality of Life After Retirement. Sports Health. 2019 May/Jun;11(3):218-222. doi: 10.1177/1941738119838274. Epub 2019 Apr 23.

Reference Type BACKGROUND
PMID: 31013191 (View on PubMed)

Drakos MC, Domb B, Starkey C, Callahan L, Allen AA. Injury in the national basketball association: a 17-year overview. Sports Health. 2010 Jul;2(4):284-90. doi: 10.1177/1941738109357303.

Reference Type BACKGROUND
PMID: 23015949 (View on PubMed)

Quartey J, Davor SF, Kwakye SK. An injury profile of basketball players in Accra, Ghana. S Afr J Physiother. 2019 Mar 27;75(1):467. doi: 10.4102/sajp.v75i1.467. eCollection 2019.

Reference Type BACKGROUND
PMID: 31061911 (View on PubMed)

Grow K. The Sleeper Stretch: Effects on Range of Motion and Injury in Baseball Players. 2010

Reference Type BACKGROUND

McClure P, Balaicuis J, Heiland D, Broersma ME, Thorndike CK, Wood A. A randomized controlled comparison of stretching procedures for posterior shoulder tightness. J Orthop Sports Phys Ther. 2007 Mar;37(3):108-14. doi: 10.2519/jospt.2007.2337.

Reference Type BACKGROUND
PMID: 17416125 (View on PubMed)

Rao MS, Tejitha S. COMPARISON OF 3 STRETCHING PROTOCOLS FOR POSTERIOR SHOULDER TIGHTNESS IN THROWERS. Int J Physiother Res. 2016;4(2):1429-35

Reference Type BACKGROUND

Myers JB, Laudner KG, Pasquale MR, Bradley JP, Lephart SM. Glenohumeral range of motion deficits and posterior shoulder tightness in throwers with pathologic internal impingement. Am J Sports Med. 2006 Mar;34(3):385-91. doi: 10.1177/0363546505281804. Epub 2005 Nov 22.

Reference Type BACKGROUND
PMID: 16303877 (View on PubMed)

Laudner KG, Sipes RC, Wilson JT. The acute effects of sleeper stretches on shoulder range of motion. J Athl Train. 2008 Jul-Aug;43(4):359-63. doi: 10.4085/1062-6050-43.4.359.

Reference Type BACKGROUND
PMID: 18668168 (View on PubMed)

Chepeha JC, Magee DJ, Bouliane M, Sheps D, Beaupre L. Effectiveness of a Posterior Shoulder Stretching Program on University-Level Overhead Athletes: Randomized Controlled Trial. Clin J Sport Med. 2018 Mar;28(2):146-152. doi: 10.1097/JSM.0000000000000434.

Reference Type BACKGROUND
PMID: 28731885 (View on PubMed)

Salamh PA, Kolber MJ, Hanney WJ. Effect of scapular stabilization during horizontal adduction stretching on passive internal rotation and posterior shoulder tightness in young women volleyball athletes: a randomized controlled trial. Arch Phys Med Rehabil. 2015 Feb;96(2):349-56. doi: 10.1016/j.apmr.2014.09.038. Epub 2014 Oct 23.

Reference Type BACKGROUND
PMID: 25450120 (View on PubMed)

Immediate effects of two types of stretching techniques on glenohumeral internal rotation deficit and posterior shoulder tightness; a crossover randomised controlled trial

Reference Type BACKGROUND

Other Identifiers

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REC/00720 Rubina Naz

Identifier Type: -

Identifier Source: org_study_id