End-range Maitland Mobilization on Glenohumeral Internal Rotation Deficit and Proprioception

NCT ID: NCT04868006

Last Updated: 2022-09-08

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-28

Study Completion Date

2021-10-10

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Glenohumeral internal rotation deficit (GIRD) is one of the main reasons for glenohumeral pain in athletes with over-head activity. As GIRD increases, the ratio between internal and external rotation changes resulting in decreased joint stability.

Joint mobilization is a possible option for the decrease of GIRD and contribution to improvement of proprioception in addition to physical therapy. The aim of this trial is to investigate the effect of end-range Maitland mobilization in addition to physical therapy on GIRD, other joint movements and proprioception.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Glenohumeral internal rotation deficit (GIRD) is one of the main reasons for glenohumeral pain in athletes with over-head activity. As GIRD increases, the ratio between internal and external rotation changes resulting in decreased joint stability. The occurence of GIRD and decreased joint proprioception may lead to different shoulder pathologies (e.g. Impingement syndrome).

Joint mobilization is a possible option for the decrease of GIRD and contribution to improvement of proprioception in addition to physical therapy. Several joint mobilization techniques exists, which can be applied for stretching of periarticular tissues. Maitland mobilization is a well applied mobilization type. The effectiveness of both end-range and not end-range Maitland mobilization in lengthening of periarticular tissues and improvement of joint proprioception has been previously confirmed amongst several diseases. However, the effect of end-range Maitland mobilization on decrease of GIRD and proprioception in addition to physical therapy has not been investigated in volleyball players so far.

The aim of this trial is to investigate the effect of end-range Maitland mobilization in addition to physical therapy on GIRD, other joint movements and proprioception.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Sports Physical Therapy

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

End-range mobilization + proprioception training

End-range Maitland mobilization performed in end-range internal rotation of the shoulder accompanied with 8--week long proprioception training

Group Type EXPERIMENTAL

End-range Maitland mobilization + proprioception training

Intervention Type PROCEDURE

End-range Maitland mobilization performed in end position of internal rotation of the shoulder accompanied with 8--week long proprioception training

Non end-range mobilization+ proprioception training

Non end-range Maitland mobilization performed in loose position of the shoulder accompanied with 8--week long proprioception training

Group Type ACTIVE_COMPARATOR

Non end-range Maitland mobilization + proprioception training

Intervention Type PROCEDURE

Non end-range Maitland mobilization performed in loose position of the shoulder accompanied with 8--week long proprioception training

Sham manual therapy technique + proprioception training

Placebo performed in loose position of the shoulder accompanied with 8--week long proprioception training

Group Type SHAM_COMPARATOR

Sham manual therapy technique + proprioception training

Intervention Type PROCEDURE

Placebo performed in loose position of the shoulder accompanied with 8--week long proprioception training

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

End-range Maitland mobilization + proprioception training

End-range Maitland mobilization performed in end position of internal rotation of the shoulder accompanied with 8--week long proprioception training

Intervention Type PROCEDURE

Non end-range Maitland mobilization + proprioception training

Non end-range Maitland mobilization performed in loose position of the shoulder accompanied with 8--week long proprioception training

Intervention Type PROCEDURE

Sham manual therapy technique + proprioception training

Placebo performed in loose position of the shoulder accompanied with 8--week long proprioception training

Intervention Type PROCEDURE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* National Championship players in I. or II. level
* at least, 10 degree deficit of glenohumeral internal rotation in the dominant shoulder compared to the non-dominant hand

Exclusion Criteria

* previous trauma or surgery on the dominant shoulder
* participation in any kind of treatment during the intervention period
Minimum Eligible Age

18 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

University of Pecs

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Miklós Pozsgai

Role: PRINCIPAL_INVESTIGATOR

Harkány Thermal Rehabilitation Centre

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Harkány Thermal Rehabilitation Centre

Harkány, Please Select, Hungary

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Hungary

References

Explore related publications, articles, or registry entries linked to this study.

Miura K, Tsuda E, Ishibashi Y. Glenohumeral Rotational Deficit and Suprascapular Neuropathy in the Hitting Shoulder in Male Collegiate Volleyball Players. Prog Rehabil Med. 2019 Jan 12;4:20190002. doi: 10.2490/prm.20190002. eCollection 2019.

Reference Type RESULT
PMID: 32789249 (View on PubMed)

Wilk KE, Reinold MM, Macrina LC, Porterfield R, Devine KM, Suarez K, Andrews JR. Glenohumeral internal rotation measurements differ depending on stabilization techniques. Sports Health. 2009 Mar;1(2):131-6. doi: 10.1177/1941738108331201.

Reference Type RESULT
PMID: 23015864 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

Maitland_GIRD

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.