Effects of Ballistic Exercises on Pain, Disability, and Explosive Strength in Tennis Players With Shoulder Pain.

The goal of this Randomized control trial is to determine ''Effects of ballistic exercises on pain, disability and explosive strength in tennis players with shoulder pain''. The main question it aims to answer is:

To determine effect of ballistic exercises on pain, disability and explosive strength in tennis players with shoulder pain.

Participants will be divided into 2 groups. Group-A will be treated with stretching and simple baseline strengthening of the upper limb through any regular mean (like TheraBand) in a moderate manner with 10 to 20 repetitions for 3 days per week for six weeks. Group B will be treated with stretching and then strengthening of the upper limb through ballistic six exercises from a moderate to intense manner with 3 sets of 10 repetitions with a 30sec gap between sets, 3 sets of 15 repetitions with a 30sec gap between sets, and 3 sets of 20 repetitions with a 30sec gap between sets for 3 to 4 days per week for six weeks.

Study Overview

• Status: Completed
• Conditions: Shoulder Pain
• Intervention / Treatment: Other: Ballistic exercises

Detailed Description

Sporting events that necessitate the regular use of an upper limb necessitate the highest kinetic chain efficiency in this section. Dysfunction of the musculoskeletal system, coupled with failure in motor abilities, might expose adolescents to significant complaints of chronic conditions, especially for the shoulder.

Tennis players are prone to shoulder discomfort and injury. The particular reasons for such discomfort are unknown. Impingement at significant tennis positions and glenohumeral instability has never been examined in vivo dynamically. Injuries of the rotator cuff are a major source of discomfort and dysfunction among tennis players and other overhead athletes. The etiology of rotator cuff tears in tennis players is multifaceted, with microtrauma and internal impingement causing partial tears in younger athletes and degenerative full-thickness tears in older players

The goal of this Randomized control trial is to determine ''Effects of ballistic exercises on pain, disability and explosive strength in tennis players with shoulder pain''. The main question it aims to answer is:

To determine effect of ballistic exercises on pain, disability and explosive strength in tennis players with shoulder pain.

Participants will be divided into 2 groups. Group-A will be treated with stretching and simple baseline strengthening of the upper limb through any regular mean (like TheraBand) in a moderate manner with 10 to 20 repetitions for 3 days per week for six weeks. Group B will be treated with stretching and then strengthening of the upper limb through ballistic six exercises from a moderate to intense manner with 3 sets of 10 repetitions with a 30sec gap between sets, 3 sets of 15 repetitions with a 30sec gap between sets, and 3 sets of 20 repetitions with a 30sec gap between sets for 3 to 4 days per week for six weeks.

• Study Type: Interventional
• Enrollment (Actual): 16
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab
    • Lahore, Punjab, Pakistan, 54600
      • Pakistan sports board and coaching center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 35 years (Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Age will be 18 to 35 years.
• Gender: Both Male and Female.
• Players playing on a regular basis will be targeted in this study.
• Players with upper limb disability with Quick DASH Score of more than 6 percent.

Exclusion Criteria

• History of any neurological impairment as described by the player which may affect the outcome of the study.
• Any history of the pathological status of bones or joints as described by the player which may affect the outcome of a study
• Any history of musculoskeletal or traumatic status as described by the player which may affect the outcome of the study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control Group; It was treated with stretching and simple baseline strengthening of the upper limb through any regular mean (like TheraBand) in a moderate manner with 10 to 20 repetitions for 3 days per week for six weeks.
Experimental: Experimental group; This experimental group was treated with stretching and then strengthening of the upper limb through ballistic six exercises from a moderate to intense manner with 3 sets of 10 repetitions with a 30 sec gap between sets, 3 sets of 15 repetitions with a 30sec gap between sets, and 3 sets of 20 repetitions with a 30sec gap between sets for 3 to 4 days per week for six weeks.	Other: Ballistic exercises; stretching and then strengthening of the upper limb through ballistic six exercises from a moderate to intense manner with 3 sets of 10 repetitions with a 30sec gap between sets, 3 Sets of 15 repetitions with a 30sec gap between sets, and 3 sets of 20 repetitions with a 30sec gap between sets for 3 to 4 days per week for six weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Push-ups and Pull ups test (for shoulder strength)	The push-up fitness test (also called the press-up test) measures upper body strength and endurance. There are many variations of the push-up test, with differences in the placement of the hands, how far to dip, the duration of the test, and the method of counting the number of completed push-ups. Here we discuss the general method for the push-up test and link to specific push-up fitness tests. Its reliability is 0.93.	6 weeks
Numeric Pain Rating scale	The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).	6 weeks
Quick DASH Questionaries	The purpose of the Quick DASH is to use 11 items to measure physical function and symptoms in people with any or multiple musculoskeletal disorders of the upper limb. The Quick DASH is a widely used reference for self-reported disability.	6 weeks

Collaborators and Investigators

• Sponsor: Sehat Medical Complex
• Investigators: Principal Investigator: Usama Sohail, MSPT, Riphah International University, Lahore

Study record dates

Study Major Dates

• Study Start (Actual): January 17, 2023
• Primary Completion (Actual): June 30, 2023
• Study Completion (Actual): July 30, 2023

Study Registration Dates

• First Submitted: January 18, 2023
• First Submitted That Met QC Criteria: January 27, 2023
• First Posted (Actual): February 8, 2023

Study Record Updates

• Last Update Posted (Actual): August 14, 2023
• Last Update Submitted That Met QC Criteria: August 10, 2023
• Last Verified: August 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Joint Diseases; Musculoskeletal Diseases; Arthralgia; Shoulder Pain
• Other Study ID Numbers: Usama sohail0439

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No