Novel Stretching Versus Post Isometric Relaxation Techniques On Shoulder Disability In Athletes

NCT ID: NCT05761990

Last Updated: 2023-03-09

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-07-17
• Study Completion Date: 2022-09-17

Brief Summary

It was a randomized control trial in which thirty (30) participants having GRID, age between 20-40 years were randomly allocated into two groups i-e NS (Novel stretching) Group (30) and PIR (posterior isometric relaxation techniques) Group (30), February 2022 to March 2022.PIR group received the posterior isometric relaxation techniques (three times a week for one month) and NS group received the Novel stretching (three times a week for one month). IR ROM was measured with a goniometer while pain was measured with Numeric Pain Rating Scale intervention and disability of arm, shoulder and hand was measured with DASH score before, immediately, and at week 4 post intervention.

Conditions

Glenohumeral Internal Rotation Deficit

Study Design

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

Study Groups

POST ISOMTERIC RELAXATION TECHNIQUES

Participants in Group A will instruct to perform the PIR techniques

These steps are taken when using the PIR approach:

• Stretching the hypertonic muscle to the point when movement resistance is initially felt or just past the point of discomfort.
• For 5 to 10 seconds, a submaximal (10-20%) hypertonic muscle contraction is carried out away from the barrier while resistance is supplied in the other side. To help with this, the individual should breathe in.
• The individual is told to relax while breathing after the isometric contraction. After then, until the next barrier is reached, a gentle stretch is employed to pick up the slack.
• Starting with this new barrier, the procedure is carried out two or three more times.

Group Type: EXPERIMENTAL

POST ISOMTERIC RELAXATION TECHNIQUE

Intervention Type: OTHER

POST ISOMETRIC RELAXATION TECHNIQUES

• Stretching the hypertonic muscle to the point when movement resistance is initially felt or just past the point of discomfort.
• For 5 to 10 seconds, a submaximal (10-20%) hypertonic muscle contraction is carried out away from the barrier while resistance is supplied in the other side. To help with this, the individual should breathe in.
• The individual is told to relax while breathing after the isometric contraction. After then, until the next barrier is reached, a gentle stretch is employed to pick up the slack.
• Starting with this new barrier, the procedure is carried out two or three more times.

NOVEL STRETCHING

The NS will be performed in a supine posture for Group B participants. Participants will be instructed to open their knees while wearing a resistance band around their knees. Participant will be instructed to bridge as high as he can while keeping his shoulders 90 ° abducted and his elbows 90 ° flexed. By lifting the body weight upward, the bridging motion pins the scapula's medial border against the thorax without immediately squeezing or constricting the posterior shoulder bones. This position is thought to provide more flexibility of mobility while causing less discomfort. The subjects were instructed to hold this position while tightening or "squeezing" their gluteal muscles. They were also instructed to stretch by jerkily turning their shoulders inward as far as possible. Using the second hand, the stretch was pushed forward to the point of mild discomfort while contraction was maintained.

Group Type: EXPERIMENTAL

NOVEL STRETCHING

Intervention Type: OTHER

NOVEL STRETCHING The NS will be performed in a supine posture for Group B participants. Participants will be instructed to open their knees while wearing a resistance band around their knees. Participant will be instructed to bridge as high as he can while keeping his shoulders 90 ° abducted and his elbows 90 ° flexed. By lifting the body weight upward, the bridging motion pins the scapula's medial border against the thorax without immediately squeezing or constricting the posterior shoulder bones. This position is thought to provide more flexibility of mobility while causing less discomfort. The subjects were instructed to hold this position while tightening or "squeezing" their gluteal muscles. They were also instructed to stretch by jerkily turning their shoulders inward as far as possible. Using the second hand, the stretch was pushed forward to the point of mild discomfort while contraction was maintained.

Interventions

POST ISOMTERIC RELAXATION TECHNIQUE

POST ISOMETRIC RELAXATION TECHNIQUES

• Stretching the hypertonic muscle to the point when movement resistance is initially felt or just past the point of discomfort.
• For 5 to 10 seconds, a submaximal (10-20%) hypertonic muscle contraction is carried out away from the barrier while resistance is supplied in the other side. To help with this, the individual should breathe in.
• The individual is told to relax while breathing after the isometric contraction. After then, until the next barrier is reached, a gentle stretch is employed to pick up the slack.
• Starting with this new barrier, the procedure is carried out two or three more times.

Intervention Type: OTHER

NOVEL STRETCHING

NOVEL STRETCHING The NS will be performed in a supine posture for Group B participants. Participants will be instructed to open their knees while wearing a resistance band around their knees. Participant will be instructed to bridge as high as he can while keeping his shoulders 90 ° abducted and his elbows 90 ° flexed. By lifting the body weight upward, the bridging motion pins the scapula's medial border against the thorax without immediately squeezing or constricting the posterior shoulder bones. This position is thought to provide more flexibility of mobility while causing less discomfort. The subjects were instructed to hold this position while tightening or "squeezing" their gluteal muscles. They were also instructed to stretch by jerkily turning their shoulders inward as far as possible. Using the second hand, the stretch was pushed forward to the point of mild discomfort while contraction was maintained.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Male and female
• Between the ages of 18 and 40
• Athletes with glenohumeral internal deficit
• Basketball, tennis, javelin, squash, swimmers, volleyball, and weightlifter
• participated in local and regional sporting events
• showed a 10° or higher variation in Internal rotation range of motion between shoulders (dominant versus non-dominant)

Exclusion Criteria

• Footballer, cricketer, and hockey player
• Recovering from extensive shoulder and elbow surgery that was performed three months ago.
• presently undergoing medical intervention for the shoulder
• Suffer from a life-threatening illness

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Muhammad Sanaullah, MS

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Muhammad Sulaman

Multan Khurd, Punjab Province, Pakistan

Countries

Pakistan

References

Lacheta L, Horan MP, Nolte PC, Goldenberg BT, Dekker TJ, Millett PJ. SLAP Repair Versus Subpectoral Biceps Tenodesis for Isolated SLAP Type 2 Lesions in Overhead Athletes Younger Than 35 Years: Comparison of Minimum 2-Year Outcomes. Orthop J Sports Med. 2022 Jun 21;10(6):23259671221105239. doi: 10.1177/23259671221105239. eCollection 2022 Jun.

Reference Type: BACKGROUND

PMID: 35757237 (View on PubMed)

Jung JW, Kim YK. Scapular Dyskinesis in Elite Boxers with Neck Disability and Shoulder Malfunction. Medicina (Kaunas). 2021 Dec 9;57(12):1347. doi: 10.3390/medicina57121347.

Reference Type: BACKGROUND

PMID: 34946291 (View on PubMed)

Other Identifiers

REC/RCR & AHS/22/0412

Identifier Type: -

Identifier Source: org_study_id