Novel Stretching Versus Post Isometric Relaxation Techniques On Shoulder Disability In Athletes

Effects Of A Novel Stretching Versus Post Isometric Relaxation Techniques On Shoulder Pain, Range Of Motion And Disability In Overhead Athletes With Glenohumeral Internal Rotation Deficits

It was a randomized control trial in which thirty (30) participants having GRID, age between 20-40 years were randomly allocated into two groups i-e NS (Novel stretching) Group (30) and PIR (posterior isometric relaxation techniques) Group (30), February 2022 to March 2022.PIR group received the posterior isometric relaxation techniques (three times a week for one month) and NS group received the Novel stretching (three times a week for one month). IR ROM was measured with a goniometer while pain was measured with Numeric Pain Rating Scale intervention and disability of arm, shoulder and hand was measured with DASH score before, immediately, and at week 4 post intervention.

Study Overview

• Status: Completed
• Conditions: Glenohumeral Internal Rotation Deficit
• Intervention / Treatment: Other: POST ISOMTERIC RELAXATION TECHNIQUE; Other: NOVEL STRETCHING

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab
    • Multān, Punjab, Pakistan, 75500
      • Muhammad Sulaman

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 40 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Male and female
• Between the ages of 18 and 40
• Athletes with glenohumeral internal deficit
• Basketball, tennis, javelin, squash, swimmers, volleyball, and weightlifter
• participated in local and regional sporting events
• showed a 10° or higher variation in Internal rotation range of motion between shoulders (dominant versus non-dominant)

Exclusion Criteria:

• Footballer, cricketer, and hockey player
• Recovering from extensive shoulder and elbow surgery that was performed three months ago.
• presently undergoing medical intervention for the shoulder
• Suffer from a life-threatening illness

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: POST ISOMTERIC RELAXATION TECHNIQUES; Participants in Group A will instruct to perform the PIR techniques These steps are taken when using the PIR approach: Stretching the hypertonic muscle to the point when movement resistance is initially felt or just past the point of discomfort.; For 5 to 10 seconds, a submaximal (10-20%) hypertonic muscle contraction is carried out away from the barrier while resistance is supplied in the other side. To help with this, the individual should breathe in.; The individual is told to relax while breathing after the isometric contraction. After then, until the next barrier is reached, a gentle stretch is employed to pick up the slack.; Starting with this new barrier, the procedure is carried out two or three more times.	Other: POST ISOMTERIC RELAXATION TECHNIQUE; POST ISOMETRIC RELAXATION TECHNIQUES; Stretching the hypertonic muscle to the point when movement resistance is initially felt or just past the point of discomfort.; For 5 to 10 seconds, a submaximal (10-20%) hypertonic muscle contraction is carried out away from the barrier while resistance is supplied in the other side. To help with this, the individual should breathe in.; The individual is told to relax while breathing after the isometric contraction. After then, until the next barrier is reached, a gentle stretch is employed to pick up the slack.; Starting with this new barrier, the procedure is carried out two or three more times.
Experimental: NOVEL STRETCHING; The NS will be performed in a supine posture for Group B participants. Participants will be instructed to open their knees while wearing a resistance band around their knees. Participant will be instructed to bridge as high as he can while keeping his shoulders 90 ° abducted and his elbows 90 ° flexed. By lifting the body weight upward, the bridging motion pins the scapula's medial border against the thorax without immediately squeezing or constricting the posterior shoulder bones. This position is thought to provide more flexibility of mobility while causing less discomfort. The subjects were instructed to hold this position while tightening or "squeezing" their gluteal muscles. They were also instructed to stretch by jerkily turning their shoulders inward as far as possible. Using the second hand, the stretch was pushed forward to the point of mild discomfort while contraction was maintained.	Other: NOVEL STRETCHING; NOVEL STRETCHING The NS will be performed in a supine posture for Group B participants. Participants will be instructed to open their knees while wearing a resistance band around their knees. Participant will be instructed to bridge as high as he can while keeping his shoulders 90 ° abducted and his elbows 90 ° flexed. By lifting the body weight upward, the bridging motion pins the scapula's medial border against the thorax without immediately squeezing or constricting the posterior shoulder bones. This position is thought to provide more flexibility of mobility while causing less discomfort. The subjects were instructed to hold this position while tightening or "squeezing" their gluteal muscles. They were also instructed to stretch by jerkily turning their shoulders inward as far as possible. Using the second hand, the stretch was pushed forward to the point of mild discomfort while contraction was maintained.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
numeric pain rating scale	A respondent uses the Numeric pain rating scale, a numerical variant of the visual analogue scale (VAS), to select a whole number (0-10 integers) that best captures the severity of their pain.	4weeks
RANGE OF MOTION	The ROM is measured by GONIOMETER	4 weeks
Disability of arm,shoulder and hand score	The DASH is a 30-item questionnaire that offers response options using 5-point Likert scales. Scores vary from 0 (no disability) to 100 (complete disability) (most severe disability). This score was created to help patients with any upper-limb musculoskeletal problem	4 weeks

Collaborators and Investigators

• Sponsor: Riphah International University

Publications and helpful links

General Publications

• Lacheta L, Horan MP, Nolte PC, Goldenberg BT, Dekker TJ, Millett PJ. SLAP Repair Versus Subpectoral Biceps Tenodesis for Isolated SLAP Type 2 Lesions in Overhead Athletes Younger Than 35 Years: Comparison of Minimum 2-Year Outcomes. Orthop J Sports Med. 2022 Jun 21;10(6):23259671221105239. doi: 10.1177/23259671221105239. eCollection 2022 Jun.
• Jung JW, Kim YK. Scapular Dyskinesis in Elite Boxers with Neck Disability and Shoulder Malfunction. Medicina (Kaunas). 2021 Dec 9;57(12):1347. doi: 10.3390/medicina57121347.

Study record dates

Study Major Dates

• Study Start (Actual): July 17, 2022
• Primary Completion (Actual): September 17, 2022
• Study Completion (Actual): September 17, 2022

Study Registration Dates

• First Submitted: November 24, 2022
• First Submitted That Met QC Criteria: March 7, 2023
• First Posted (Estimate): March 9, 2023

Study Record Updates

• Last Update Posted (Estimate): March 9, 2023
• Last Update Submitted That Met QC Criteria: March 7, 2023
• Last Verified: March 1, 2023

More Information

Terms related to this study

• Keywords: range of motion,pain,shoulder,stretching
• Other Study ID Numbers: REC/RCR & AHS/22/0412

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