Effects of Cervical Manipulation on Cervical Rotation Motion and Shoulder Rotational Motion and Strength in Overhead Athletes
NCT ID: NCT06903793
Last Updated: 2025-09-03
Study Results
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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COMPLETED
NA
20 participants
INTERVENTIONAL
2025-04-07
2025-05-13
Brief Summary
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Detailed Description
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This study aims to assess the effects of cervical spinal manipulation on cervical rotation ROM, GH rotational ROM and strength in overhead athletes. The current body of literature suggests an association between cervical rotation ROM deficits and arm injury risk in professional and collegiate-level baseball players. Restrictions in the cervical spine may alter neural and muscular pathways, potentially contributing to decreased shoulder ROM, compromised strength, and impaired performance. Given the complex interplay of cervical spine and shoulder function, understanding how cervical manipulation impacts the kinetic chain can play a vital role in developing shoulder rehabilitation and preventative programs for overhead athletes.
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Cervical manipulation
All participants will be enrolled in the experimental group
cervical manipulation
Cervical upglide/rotation manipulation targeted to C5/C6 on the dominant shoulder side
Interventions
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cervical manipulation
Cervical upglide/rotation manipulation targeted to C5/C6 on the dominant shoulder side
Eligibility Criteria
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Inclusion Criteria
* Current overhead college athlete
* No mental health considerations such as generalized anxiety disorder, PTSD, and schizophrenia
Exclusion Criteria
* Current shoulder pain
* Current neck pain
* Recent episodes of vertigo, dizziness, and migraines
* Recent motor vehicle accident
* History of cardiovascular disease such as hypertension, heart attack, stroke, coronary artery disease, peripheral artery disease, arrhythmias, heart valve disease, congenital heart defects, and aortic aneurysm
* Fear or unwillingness to undergo cervical manipulation
18 Years
ALL
No
Sponsors
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Sacred Heart University
OTHER
Responsible Party
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Jason Grimes, PT, PhD, OCS, ATC
Associate Professor
Locations
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Sacred Heart University
Fairfield, Connecticut, United States
Countries
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References
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Laudner KG, Stanek JM, Meister K. Assessing posterior shoulder contracture: the reliability and validity of measuring glenohumeral joint horizontal adduction. J Athl Train. 2006 Oct-Dec;41(4):375-80.
Keller RA, De Giacomo AF, Neumann JA, Limpisvasti O, Tibone JE. Glenohumeral Internal Rotation Deficit and Risk of Upper Extremity Injury in Overhead Athletes: A Meta-Analysis and Systematic Review. Sports Health. 2018 Mar/Apr;10(2):125-132. doi: 10.1177/1941738118756577. Epub 2018 Jan 30.
Bullock GS, Thigpen CA, Zhao H, Devaney L, Kline D, Noonan TJ, Kissenberth MJ, Shanley E. Neck range of motion prognostic factors in association with shoulder and elbow injuries in professional baseball pitchers. J Shoulder Elbow Surg. 2025 Feb;34(2):421-429. doi: 10.1016/j.jse.2024.08.026. Epub 2024 Oct 11.
Devaney LL, Denegar CR, Thigpen CA, Lepley AS, Edgar C, DiStefano LJ. Preseason Neck Mobility Is Associated With Throwing-Related Shoulder and Elbow Injuries, Pain, and Disability in College Baseball Pitchers. Orthop J Sports Med. 2020 May 18;8(5):2325967120920556. doi: 10.1177/2325967120920556. eCollection 2020 May.
Cools AM, De Wilde L, Van Tongel A, Ceyssens C, Ryckewaert R, Cambier DC. Measuring shoulder external and internal rotation strength and range of motion: comprehensive intra-rater and inter-rater reliability study of several testing protocols. J Shoulder Elbow Surg. 2014 Oct;23(10):1454-61. doi: 10.1016/j.jse.2014.01.006. Epub 2014 Apr 13.
Other Identifiers
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IRB-FY2025-216
Identifier Type: -
Identifier Source: org_study_id
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