Effectiveness of Mobility Exercises in Resistance-Trained Males With Shoulder Immobility in Different Age Groups

NCT ID: NCT05450666

Last Updated: 2022-09-16

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-07-03
• Study Completion Date: 2022-09-15

Brief Summary

The shoulder is a dynamic and mobile joint between the arm and the trunk. The movement of the joint in three dimensions performs complex movements in almost every activity of daily life.

These movements performed during activities of daily living can cause musculoskeletal problems and shoulder pathologies. For this reason, the shoulder joint should be carefully evaluated, especially in athletes.

Detailed Description

The shoulder consists of four functional joints. Glenohumeral joint (GH), acromioclavicular joint (AC), sternoclavicular joint (SC), and scapulothoracic joint (ST). The most mobile of these four joints is the glenohumeral joint, located between the scapula and the glenoid. The GH is a synovial joint that has three-dimensional motion, covers the intra-articular capsule, and wraps the biceps long head tendon to the biceps sulcus. The glenohumeral capsule, glenohumeral ligament, and coracohumeral ligament contain a capsuloligamentous complex structure. This complex structure and the rotator cuff tendons form a static and dynamic restrictive structure around the glenohumeral joint. The rotator cuff space forms a triangular tissue between the edge of the anterior supraspinatus tendon and the superior subscapularis, and the apex is located on the lateral ridge of the biceps sulcus at the edge of the humeral ligament.

After providing mobility, movement and balance will return to stability. Increasing muscle strength for joint stabilization is a physical training goal for the shoulder in athletes.

Bone mechanics, intra-articular pressure, glenohumeral labrum and capuloligamentous structures are static components.

Dynamic components are provided by muscle activity coordinated around the joint and modulated by the neuromuscular system.

The basis of static and dynamic interactions is mainly proprioceptive inputs that occur with mechanoreceptors in the muscles, joint capsule ligaments, tendons and skin, which are integrated into each other.

Joint stabilization is provided by the coactivation force of dynamic shoulder stabilizers.

The balance of such forces must be proportional. For this reason, exercises to provide joint stabilization should aim to provide equal force distribution around the joint.

Among the criteria for evaluating the athletes; proprioception and range of motion.

Body Awareness Questionnaire aims to evaluate body awareness. Posture will be evaluated with New York posture analysis.

As a result of the literature review carried out; As far as is known, there is no adequate, up-to-date and evidence-based study in the literature.

Conditions

Mobility Limitation; Exercises

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

YOUNG GROUP

The same exercise program will be applied to both groups. Participants will be included in the exercise program for eight weeks. Athletes between the ages of 18 and 30 will be included in this group.

Group Type: EXPERIMENTAL

mobility exercises

Intervention Type: OTHER

Before starting the exercise program, a video and exercise program including the importance of shoulder mobilization and stabilization and the knowledge of how to contract the right muscle groups will be shared in order to raise awareness of the athletes. Following the evaluations, in addition to the classical training programs, the athletes will perform the Wall Angels and Anterior Shoulder Stretch, Shoulder Circle Rotation, Prone Shoulder Controlled Articular Rotations and Shoulder Side Stretch exercises, Prone I, T, W, Y's 3 days a week for 8 weeks, accompanied by the same physiotherapist.

ADULT GROUP

The same exercise program will be applied to both groups. Participants will be included in the exercise program for eight weeks. Athletes between the ages of 30 and 60 will be included in this group.

Group Type: EXPERIMENTAL

mobility exercises

Intervention Type: OTHER

Before starting the exercise program, a video and exercise program including the importance of shoulder mobilization and stabilization and the knowledge of how to contract the right muscle groups will be shared in order to raise awareness of the athletes. Following the evaluations, in addition to the classical training programs, the athletes will perform the Wall Angels and Anterior Shoulder Stretch, Shoulder Circle Rotation, Prone Shoulder Controlled Articular Rotations and Shoulder Side Stretch exercises, Prone I, T, W, Y's 3 days a week for 8 weeks, accompanied by the same physiotherapist.

Interventions

mobility exercises

Before starting the exercise program, a video and exercise program including the importance of shoulder mobilization and stabilization and the knowledge of how to contract the right muscle groups will be shared in order to raise awareness of the athletes. Following the evaluations, in addition to the classical training programs, the athletes will perform the Wall Angels and Anterior Shoulder Stretch, Shoulder Circle Rotation, Prone Shoulder Controlled Articular Rotations and Shoulder Side Stretch exercises, Prone I, T, W, Y's 3 days a week for 8 weeks, accompanied by the same physiotherapist.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Resistance-trained males over the age of 18 with shoulder immobility.

Exclusion Criteria

• The criteria for exclusion from the study were: having orthopedic or neurological problems, and having undergone upper extremity musculoskeletal surgery.

• Female resistance-trained,
• Athletes under the age of 18 will not be included in the study.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: MALE
• Accepts Healthy Volunteers: Yes

Sponsors

Istanbul Medipol University Hospital

OTHER

Sponsor Role: lead

Responsible Party

hazal genc

Effectiveness of Mobility Exercises in Resistance-Trained Males with Shoulder Immobility in Different Age Groups

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Medipol hospital

Istanbul, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Salles JI, Costa F, Cunha-Cruz V, Cagy M, Piedade R, Ribeiro P. Electrophysiological analysis of the perception of passive movement. Neurosci Lett. 2011 Aug 26;501(2):61-6. doi: 10.1016/j.neulet.2011.05.005. Epub 2011 May 7.

Reference Type: BACKGROUND

PMID: 21596095 (View on PubMed)

Moro T, Tinsley G, Bianco A, Marcolin G, Pacelli QF, Battaglia G, Palma A, Gentil P, Neri M, Paoli A. Effects of eight weeks of time-restricted feeding (16/8) on basal metabolism, maximal strength, body composition, inflammation, and cardiovascular risk factors in resistance-trained males. J Transl Med. 2016 Oct 13;14(1):290. doi: 10.1186/s12967-016-1044-0.

Reference Type: BACKGROUND

PMID: 27737674 (View on PubMed)

Other Identifiers

hazal genç 3

Identifier Type: -

Identifier Source: org_study_id