Comparitive Effects of Reciprocal Inhibtion and Static Stretching Among Female Athletes
NCT ID: NCT06696924
Last Updated: 2025-02-12
Study Results
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Basic Information
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ACTIVE_NOT_RECRUITING
NA
56 participants
INTERVENTIONAL
2024-05-24
2025-02-20
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Reciprocal inhibition
First Subjects will start doing baseline warmup exercises which are mentioned then they will perform reciprocal inhibition of the serratus muscle in side-lying. After identifying the antagonist muscles of the serratus anterior, which are typically the rhomboids or the middle and lower trapezius. Athletes will perform a gentle contraction of the antagonist's muscles by retracting or squeezing their shoulder blades together. While the antagonist muscles are contracting, we will ask the athlete to simultaneously relax and lengthen the serratus anterior muscle. The patient can achieve this by protracting or pushing their shoulder blades forward and away from each other.
Reciprocal inhibition
First Subjects will start doing baseline warmup exercises which are mentioned then they will perform reciprocal inhibition of the serratus muscle in supine or side-lying. After identifying the antagonist muscles of the serratus anterior, which are typically the rhomboids or the middle and lower trapezius. Athletes will perform a gentle contraction of the antagonist's muscles by retracting or squeezing their shoulder blades together. While the antagonist muscles are contracting, we will ask the athlete to simultaneously relax and lengthen the serratus anterior muscle. The patient can achieve this by protracting or pushing their shoulder blades forward and away from each other.
Static Stretching
After performing baseline warmup exercises, Athlete will perform 2 exercises Standing wall stretch and seated cross body stretch
Static stretching
Subjects will perform 2 stretches
1. Standing Wall Stretch: Stand facing a wall with your feet about hip-width apart. Place their palms on the wall at shoulder height, slightly wider than shoulder-width apart. will Lean their body forward, keeping their arms straight, until feel a stretch in their serratus anterior. Hold the stretch for 15 to 30 seconds, then slowly release. Instead of using a wall or object, the athlete will use their opposite hand to hold the stretched arm in position.
2. Seated Cross-Body Stretch: Sit on the edge of a chair or bench. Cross one arm over your chest, placing your hand on the opposite shoulder. The athlete will use the other hand to gently pull the crossed arm closer to your body, feeling a stretch in the serratus anterior. Hold the stretch for 15 to 30 seconds or more, and then switch sides and repeat.
Interventions
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Reciprocal inhibition
First Subjects will start doing baseline warmup exercises which are mentioned then they will perform reciprocal inhibition of the serratus muscle in supine or side-lying. After identifying the antagonist muscles of the serratus anterior, which are typically the rhomboids or the middle and lower trapezius. Athletes will perform a gentle contraction of the antagonist's muscles by retracting or squeezing their shoulder blades together. While the antagonist muscles are contracting, we will ask the athlete to simultaneously relax and lengthen the serratus anterior muscle. The patient can achieve this by protracting or pushing their shoulder blades forward and away from each other.
Static stretching
Subjects will perform 2 stretches
1. Standing Wall Stretch: Stand facing a wall with your feet about hip-width apart. Place their palms on the wall at shoulder height, slightly wider than shoulder-width apart. will Lean their body forward, keeping their arms straight, until feel a stretch in their serratus anterior. Hold the stretch for 15 to 30 seconds, then slowly release. Instead of using a wall or object, the athlete will use their opposite hand to hold the stretched arm in position.
2. Seated Cross-Body Stretch: Sit on the edge of a chair or bench. Cross one arm over your chest, placing your hand on the opposite shoulder. The athlete will use the other hand to gently pull the crossed arm closer to your body, feeling a stretch in the serratus anterior. Hold the stretch for 15 to 30 seconds or more, and then switch sides and repeat.
Eligibility Criteria
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Inclusion Criteria
* Ages between 17-30 years
* Amateur athletes ( badminton, weight lifting, Volleyball, tennis)
* Pain in the upper limb ( Moderate pain 5-6 level on NPRS scale)
* To check Serratus anterior ( females with strength test positive and shakiness weakness on pressing or overhead activities )
* Overhead range of motion of the shoulder ( those with less than 180 degrees)
Exclusion Criteria
* Musculoskeletal problems ( radiculopathy, myelopathy, inflammatory arthritis)
* International athletes
* Recent surgery thoracic spine
17 Years
30 Years
FEMALE
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Areeza hamid, DPT
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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Pakistan Sports Board
Lahore, Punjab Province, Pakistan
Countries
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References
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Barcia AM, Makovicka JL; MRAB Study Group; Spenciner DB, Chamberlain AM, Jacofsky MC, Gabriel SM, Moroder P, von Rechenberg B, Sengun MZ, Tokish JM. Scapular motion in the presence of rotator cuff tears: a systematic review. J Shoulder Elbow Surg. 2021 Jul;30(7):1679-1692. doi: 10.1016/j.jse.2020.12.012. Epub 2021 Feb 2.
Arntz F, Markov A, Behm DG, Behrens M, Negra Y, Nakamura M, Moran J, Chaabene H. Chronic Effects of Static Stretching Exercises on Muscle Strength and Power in Healthy Individuals Across the Lifespan: A Systematic Review with Multi-level Meta-analysis. Sports Med. 2023 Mar;53(3):723-745. doi: 10.1007/s40279-022-01806-9. Epub 2023 Jan 31.
Xu X, Lin JH, McGorry RW. A regression-based 3-D shoulder rhythm. J Biomech. 2014 Mar 21;47(5):1206-10. doi: 10.1016/j.jbiomech.2014.01.043. Epub 2014 Jan 30.
Wagner ER, Hussain ZB, Karzon AL, Warner JJP, Elhassan BT, Sanchez-Sotelo J. The Scapula: The Greater Masquerader of Shoulder Pathologies. Instr Course Lect. 2024;73:587-607.
Gillani SN, Ain Q-, Rehman SU, Masood T. Effects of eccentric muscle energy technique versus static stretching exercises in the management of cervical dysfunction in upper cross syndrome: a randomized control trial. J Pak Med Assoc. 2020 Mar;70(3):394-398. doi: 10.5455/JPMA.300417.
Osama M, Shakil Ur Rehman S. Effects of static stretching as compared to autogenic inhibition and reciprocal inhibition muscle energy techniques in the management of mechanical neck pain: a randomized controlled trial. J Pak Med Assoc. 2020 May;70(5):786-790. doi: 10.5455/JPMA.9596.
Jawade S, Chitale N Jr, Phansopkar P. The Effect of Reciprocal Inhibition Techniques on Pain, Range of Motion, and Functional Activities in Patients With Upper Trapezitis. Cureus. 2023 Feb 1;15(2):e34487. doi: 10.7759/cureus.34487. eCollection 2023 Feb.
Joshi R, Poojary N. The Effect of Muscle Energy Technique and Posture Correction Exercises on Pain and Function in Patients with Non-specific Chronic Neck Pain Having Forward Head Posture-a Randomized Controlled Trail. Int J Ther Massage Bodywork. 2022 Jun 1;15(2):14-21. doi: 10.3822/ijtmb.v15i2.673. eCollection 2022 Jun.
Hsu FY, Tsai KL, Lee CL, Chang WD, Chang NJ. Effects of Dynamic Stretching Combined With Static Stretching, Foam Rolling, or Vibration Rolling as a Warm-Up Exercise on Athletic Performance in Elite Table Tennis Players. J Sport Rehabil. 2020 Apr 28;30(2):198-205. doi: 10.1123/jsr.2019-0442.
Zeleznik P, Jelen A, Kalc K, Behm DG, Kozinc Z. Acute effects of static and proprioceptive neuromuscular facilitation stretching on hamstrings muscle stiffness and range of motion: a randomized cross-over study. Eur J Appl Physiol. 2024 Mar;124(3):1005-1014. doi: 10.1007/s00421-023-05325-x. Epub 2023 Oct 6.
Other Identifiers
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REC/RCR and AHS/24/0412
Identifier Type: -
Identifier Source: org_study_id
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