- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05707026
Cross Fiber Fascial Manipulation and Stretching Techniques in Overhead Throwing Athletes
January 30, 2023 updated by: Riphah International University
Comparative Effects of Cross Fiber Fascial Manipulation and Stretching Techniques on Glenohumeral Internal Rotation Deficit in Overhead Throwing Athletes
Athletic training and sports participation is to enhance athletic performance.
Performance is however multifactorial i.e., depending upon several parameters including warm-up practice, training regimes and other interventions.
Stretching techniques that focus on increasing posterior shoulder soft tissue flexibility are commonly incorporated into prevention and treatment programs for the overhead athletes.
GIRD is usually managed by stretching and soft tissue release of posterior shoulder capsule.
Fascial manipulation is a manual therapy technique used in the management of musculoskeletal disorders.
This study aims to evaluate the comparative effects of cross fiber fascial manipulation with stretching techniques in overhead throwing athletes
Study Overview
Status
Recruiting
Detailed Description
This was a randomized clinical trial that was conducted at Pakistan sports board and Coaching center, Lahore.
Non probability convenient sampling technique was used to collect the data as per inclusion criteria.
40 Participants of this study were randomly allocated into 2 Groups.
20 participants in each group.
The group A received three sessions of fascial manipulation for two weeks.
Group B received three sessions of sleeper stretch in a side lying position in 90o abduction, elbow at 90o flexion and then performed shoulder IR and cross-body adduction stretch in sitting position.
Three sets of the each stretch positions were held for 30 seconds with a 1 minute break between sets.
A universal goniometer was used to measure internal rotation, external rotation, horizontal abduction, ROWE score to assess function, pain, stability and motion, Numeric pain rating scale (NPRS) was used to assess pain.
The data was analyzed via SPSS version 22.
Study Type
Interventional
Enrollment (Anticipated)
40
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Aqsa Nawaz, MS
- Phone Number: 03083907800
- Email: aqsanawaz809@gmail.com
Study Locations
-
-
Punjab
-
Lahore, Punjab, Pakistan, 5433
- Recruiting
- Pakistan Sports Board
-
Contact:
- Aqsa Nawaz, MS SPORTS PT
- Phone Number: 03083907800
- Email: aqsanawaz809@gmail.com
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 40 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
Active male and female athletes were included.
- Age group was (18-40) .
- Overhead throwing athletes(tennis, volleyball, bowlers) were included in this study)
- Screening tests were taken to identify subjects with GIRD. GIRD was defined as more than 20o decrease in IR at 90o abduction in the dominant side compared to non-dominant side .
- Subjects who rated shoulder pain 5 or more in NPRS/symptomatic with GIRD were recruited
Exclusion Criteria :
- Any deformity
- Any radiculopathy
- Shoulder traumatic injuries( dislocation, subluxation, fracture)
- Systemic illness
- Subacromial impingement signs
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: cross fiber fascial manipulation
The group A received three sessions of fascial manipulation in two weeks.
FM applied to densified Centre of Coordination (CC) points located on the myofascial sequences for 5 to 8 minutes at each CC point
|
The group A received three sessions of fascial manipulation in two weeks.
FM applied for 5 to 8 minutes at each point.
|
Experimental: stretching techniques
Group B received three sessions of sleeper and cross body adduction stretches.
Group B received three sessions of sleeper stretch in a side lying position in 90o abduction, elbow at 90o flexion and then performing shoulder IR and cross-body adduction stretch was done in sitting position.
Three sets of the each stretch position were held for 30 seconds with a 1 minute break between sets
|
Group B received three sessions of sleeper and cross body adduction stretches.
Group B received three sessions of sleeper stretch in a side lying position in 90o abduction, elbow at 90o flexion and then performing shoulder IR and cross-body adduction stretch was done in sitting position.
Three sets of the each stretch position were held for 30 seconds with a 1 minute break between sets.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Goniometer
Time Frame: 2 weeks
|
A universal goniometer was used to assess internal rotation, external rotation and horizontal adduction
|
2 weeks
|
numeric pain rating scale
Time Frame: 2 weeks
|
NPRS for pain assessment in overhead athletes reporting pain with GIRD, it is a subjective measure in which individual rate their pain on an 11-point numerical scale.
The scale is composed of 0 (no pain at all) to 10( worst pain
|
2 weeks
|
ROWE score composite
Time Frame: 2 weeks
|
ROWE score for shoulder functional assessment(50), stability(30), pain(10) and motion(10).
Total score is 100 thus 90-100=excellent ,70-89=good , 40-69=fair , less than 40 points=poor
|
2 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: aqsa nawaz, MS SPORTS pt, Riphah International University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
February 1, 2022
Primary Completion (Anticipated)
February 1, 2023
Study Completion (Anticipated)
February 1, 2023
Study Registration Dates
First Submitted
January 22, 2023
First Submitted That Met QC Criteria
January 30, 2023
First Posted (Actual)
January 31, 2023
Study Record Updates
Last Update Posted (Actual)
January 31, 2023
Last Update Submitted That Met QC Criteria
January 30, 2023
Last Verified
January 1, 2023
More Information
Terms related to this study
Other Study ID Numbers
- REC/RCR&AHS/22/0408
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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