Effects Of Isometric Muscle Training On Shoulder Pain, Function And Performance In Bowlers

Goal of this clinical trial is to determine whether Isometric muscle training decrease pain improve function and enhance performance.

Does Isometric exercise improve pain function and performance in bowlers? Researcher will compare the Isometric muscle training with Traditional therapy to examine that isometric exercise work on pain function and performance.

Participants will receive isometric exercises for three days in week and will be followed up after two weeks total four weeks of trial(experimental group).

Participants will receive traditional physical therapy treatment three days of week and followed up after two weeks total four weeks of trail (contril group)

Study Overview

• Status: Not yet recruiting
• Conditions: Shoulder Pain
• Intervention / Treatment: Diagnostic test: Isometric Exercises

Detailed Description

This research is critical for addressing a common health concern and providing evidence-based recommendations for a potentially effective and accessible intervention that can significantly enhance the quality of life and performance of individuals dealing with shoulder pain. Thesis will benefit the bowlers by increasing their performance by enhancing accuracy, speed and consistency and over all shoulder health. Because shoulder discomfort is so common and has such a detrimental influence on everyday activities and performance, research on how isometric muscle training affects shoulder pain, function, and performance is crucial. In a variety of settings, isometric training has demonstrated promise in enhancing musculoskeletal function and pain management; however, its precise influence on shoulder-related problems is yet unknown.

• Study Type: Interventional
• Enrollment (Estimated): 36
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Riafat Mehmood, PhD*; Phone Number: 03132139115; Email: riafat.mehmood@riphah.edu.pk

Study Locations

• Pakistan
  • Punjab
    • Rawalpindi, Punjab, Pakistan, 44000
      • Elite Cricket Academy Shahbaz sharif sports complex

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Active Male Bowlers
• Age 18 - 30
• Pain that affects performance. Any level of pain that significantly affects a bowler's performance, accuracy, or consistency.
• Pain with psychological impact. Pain that causes emotional distress, anxiety, or frustration.
• Rotator Cuff pain.
• Weekly 6 to 8 hour training

Exclusion Criteria:

• Other than bowlers

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: Effects Of Isometric Muscle Training On Shoulder Pain, Function And Performance In Bowlers; The Isometric Exercise Program which comprises targeted exercises for declining pain, improving function and performance, exercises were focused only on shoulder flexion, extension, abduction, adduction, internal rotation and external rotation. Exercises were performed via Thera Bands, free weights and resistance. Each repetition was of 10 to 15 seconds and 10 to 15 number of repetition total of three sets according to FITT formula. Under the supervision of a therapist, these exercises were performed three times each week. Every training session lasts 35 to 40 minutes, with a 5-minute warm-up and a 5-minute cool-down in between. Instruction in the correct form and technique was provided to participants throughout the intervention, and their development was closely evaluated to guarantee safety and effectiveness. Total duration of 35 to 40-minute session three sessions per week total four weeks of intervention, reading will be taken on baseline and after 2nd week and 4th week.	Diagnostic test: Isometric Exercises; Isometric External Rotation (Perform isometric external rotation exercises with a resistance band to strengthen the rotator cuff.) Hold each contraction for 10-15 seconds. Isometric Internal Rotation (Hold each contraction for 10-15 seconds) Isometric Abduction (Supraspinatus). ( each contraction for 10 -15 sec) 10 repetition 3 sets Isometric Adduction (Subscapularis) Overhead Isometric Holds (Hold each contraction for 15-20 seconds) Isometric Shoulder External Rotation Against Resistance: (Hold each contraction for 15-20 seconds) Isometric Shoulder Press (Hold each contraction for 15-20 seconds) 15 to 20 repetitions 4 sets Total duration of 30 to 35 minute session three sessions per week total four weeks of intervention, reading will be taken on baseline and after 2nd week and 4th week
No Intervention: Control Group; (control group) in this group participants will receive Traditional Physical therapy

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Disability of Arm Hand and Shoulder (DASH)	The DASH questionnaire consists of 30 questions concerning upper limb function and symptoms. Patients figure out their ability to carry out each activity or the degree of their symptoms on a scale from 1 (no difficulty or no symptoms) to 5 (unable to perform the activity or vigorous symptoms). The results are then transformed into a standardized score, ranging from 0 to 100, with higher scores indicating more disabilities	4th weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Manual Muscle Testing	It is used to assess weakness and also useful in identifying actual weakness from imbalance or inadequate endurance. It may be referred to as motor testing, muscular strength grading, manual muscle testing, or any other synonym	4th week
Visual Analogue Scale VAS	A VAS consists of a line, usually 10 cm long, with language anchors at each end, similar to an NRS (e.g., "no pain" on the far left and "the most intense pain imaginable" on the far right)	4th week
Bowling Speed Test	Bowling speed test: A bowling speed app is a mobile application made to measure and analyze the speed of a thrown cricket ball	4th week
Bowling Accuracy Test	(Cones, Target Set, Wicket to Wicket Bowling, and Video Analysis).	4th week

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Riafat Mehmood, PhD*, Riphah International University

Study record dates

Study Major Dates

• Study Start (Estimated): May 19, 2024
• Primary Completion (Estimated): September 1, 2024
• Study Completion (Estimated): September 20, 2024

Study Registration Dates

• First Submitted: May 19, 2024
• First Submitted That Met QC Criteria: May 19, 2024
• First Posted (Actual): May 23, 2024

Study Record Updates

• Last Update Posted (Actual): May 29, 2024
• Last Update Submitted That Met QC Criteria: May 26, 2024
• Last Verified: May 1, 2024

More Information

Terms related to this study

• Keywords: Shoulder Pain; Performance; Isometric; Bowlers
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Joint Diseases; Musculoskeletal Diseases; Arthralgia; Shoulder Pain
• Other Study ID Numbers: REC/01834 Sheeraz Ali Shaikh

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Not sharing

Drug and device information, study documents

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