Effect of Induced Rotator Cuff Muscles Fatigue on Hand Grip Strength in Adults

NCT ID: NCT07054853

Last Updated: 2025-09-23

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Total Enrollment: 30 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2025-09-25
• Study Completion Date: 2025-12-01

Brief Summary

This observational study aims to investigate the effect of induced rotator cuff muscles fatigue on hand grip strength in adults

Detailed Description

This study is set to take place at the Isokinetic Biodex Laboratory, Faculty of Physical Therapy at Misr University for Science and Technology (MUST). The goal is to explore how fatigue in the rotator cuff muscles affects hand grip strength in healthy adults.

The study will involve 30 healthy male and female participants, aged between 18 and 30 years, all recruited from the university. To ensure the reliability of the results, participants must meet specific inclusion criteria: they should have no recent history of shoulder or back pain, no spinal deformities, and a body mass index within the normal range. Individuals with any upper limb disorders, recent surgeries, or neurological issues will be excluded.

The experimental protocol is carefully structured and will be conducted using two key tools. The first is the Biodex System 4 Pro, an isokinetic dynamometer renowned for its accuracy in measuring muscle performance and fatigue. The second is the Jamar Plus+ Digital, a gold-standard device for measuring grip strength, known for its reliability and ease of use.

Participants will attend two fatigue sessions apart to prevent carryover effects. Each session will involve a fatigue protocol by isokinetic biodex system targeting the shoulder's internal and external rotators at two different abduction angles: 30° (Protocol A) and 90° (Protocol B).

Grip strength will be assessed both before and after each fatigue session using the Jamar plus+ Digital. Participants will sit with their arms and legs positioned for standardized testing, and each will complete three maximal grip trials. The average of these attempts will be recorded, with verbal encouragement provided to ensure maximal effort.

Through this structured investigation, the study aims to shed light on how rotator cuff fatigue influences hand grip strength-an insight that could have practical implications for injury prevention, rehabilitation strategies, and performance optimization in both clinical and athletic settings.

Conditions

Healthy Individuals

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: CROSS_SECTIONAL

Study Groups

one group males and females

Induced rotator cuff fatigue by isokinetic biodex

Intervention Type: DEVICE

Each subject will undergo two separate fatigue protocols from distinct shoulder abduction angles (30° and 90°), referred to as Protocol A and Protocol B, respectively.

Fatigue will be induced using the Biodex System 4 Pro Isokinetic .Participants will be seated with the tested arm positioned at the designated shoulder abduction angle and elbow flexed at 90°. The arm will be secured using a shoulder adapter to ensure standardized positioning. Hand Grip strength will be assessed using a Jamar Plus+ Digital. Participants will perform three maximal grip trials, each lasting 3 seconds, with verbal encouragement provided. The average of the three trials will be used as the maximum voluntary contraction

Interventions

Induced rotator cuff fatigue by isokinetic biodex

Each subject will undergo two separate fatigue protocols from distinct shoulder abduction angles (30° and 90°), referred to as Protocol A and Protocol B, respectively.

Fatigue will be induced using the Biodex System 4 Pro Isokinetic .Participants will be seated with the tested arm positioned at the designated shoulder abduction angle and elbow flexed at 90°. The arm will be secured using a shoulder adapter to ensure standardized positioning. Hand Grip strength will be assessed using a Jamar Plus+ Digital. Participants will perform three maximal grip trials, each lasting 3 seconds, with verbal encouragement provided. The average of the three trials will be used as the maximum voluntary contraction

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• Both male and females (18-30) years
• No complaints of existing shoulder pathology/pain in at least one shoulder within the last 6 months, no back pain, no history of shoulder/thoracic spine surgery, and no spinal deformities
• Body mass index between (18.5:24.99) Kg/ m2

Exclusion Criteria

• Shoulder complaints in the past 6 months such as shoulder dislocation rotator cuff tear, shoulder surgery, and shoulder rehabilitation or other upper limb forms of disability
• Subjects who had wrist pain, a joint injury, undergone surgery, or neuromuscular dysfunction were excluded from the study
• Individuals who suffered an injury or underwent a surgical procedure in the last six months that could affect hand functions or senses

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 30 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Noura Karam Abdou Mohammed Ismaiel

OTHER

Sponsor Role: lead

Cairo University

OTHER

Sponsor Role: collaborator

Misr University for Science and Technology

OTHER

Sponsor Role: collaborator

Responsible Party

Noura Karam Abdou Mohammed Ismaiel

Teaching Assistant

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Misr University for Science and Technology

Giza, , Egypt

Countries

Egypt

Central Contacts

Noura K. Ismaiel, Bachelor's degree

Role: CONTACT

noura.karam@must.edu.eg

+201552321920

Facility Contacts

Noura K. Ismaiel, Bachelor's degree

Role: primary

noura.karam@must.edu.eg

+201552321920

Other Identifiers

P.T.REC/012/005798

Identifier Type: -

Identifier Source: org_study_id