- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06479538
Effects of Post Isometric Relaxation and Post Facilitation Stretching on Young Fast Bowlers ((PIR)(PFS))
Comparative Effects of Post Isometric Relaxation and Post Facilitation Stretching on Pain, Rom and Functional Disability Among Young Fast Bowlers With Quadratus Lumborum Tightness
The quadratus lumborum muscle exhibited the highest degree of asymmetry in fast bowlers with low back pain, the identification and correction of this asymmetry is always of interest. Fast bowlers in cricket are more likely to experience non-contact LBP if they use improper technique, prepare less physically, ball too hard, or take on an excessive workload. The quadratus lumborum muscle exhibited the highest degree of asymmetry in fast bowlers with low back pain due to extreme side flexion at non-dominant side and hence results in QL tightness at that side.
The study design will be a Randomized Controlled Trial. This study will be conducted in Pakistan Sports Board (PSB) Lahore. The study will be completed within the time duration of eight to ten months after the approval of the synopsis. The sample size will be 34 subjects. Non-probability convenient sampling technique will be used to recruit the individuals for the study. Then randomization will be done by lottery method to divide the individuals into 2 treatment groups. The experimental group A will be given Post isometric relaxation for 20 minutes for 4 weeks (four times per week) on the other hand experimental group B will receive Post facilitation stretching and after that measure their pre-post values on SPSS. Pain will be measured with VAS, range of motion with inclinometer and functional disability with athlete's disability index questionnaire. In this study, it will be aimed to examine the comparative effects of both techniques that affect pain, range of motion and functional disability with quadratus lumborum tightness in young fast bowlers.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Punajb
-
Lahore, Punajb, Pakistan, 5400
- Pakistan Sports Board
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age15-19years
- both male and female fast bowlers
- passive pelvic transverse gliding test for Quadratus lumborum tightness +ve
- Low back pain > 6 weeks
- Training sessions of at least 3 days/week
Exclusion Criteria:
- Congenital causes (Spina bifida, Scoliosis, Spondylosis, Spondylolisthesis)
Traumatic cause
- Prolapsed intervertebral disc
- fracture of vertebral column
Inflammatory cause
- Ankylosing spondylosis
- Pott's spine
Neoplastic cause
- Benign
- Malignant
- Radiculopathy
- Any spinal surgery
- Gynecological cause
Study Plan
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: Group A
17 participants will be in experimental group A giving them Post isometric relaxation of Quadratus lumborum for four weeks, measuring all values before giving them protocol and after protocol.
|
17 participants will be in experimental group A giving them Post isometric relaxation of Quadratus lumborum for four weeks, measuring all values before giving them protocol and after protocol.
|
|
Experimental: Group B
17 participants will be in experimental group B giving them Post facilitation stretching of Quadratus lumborum for four weeks, measuring all values before giving them protocol and after protocol.
|
17 participants will be in experimental group A giving them Post facilitation stretching of Quadratus lumborum for four weeks, measuring all values before giving them protocol and after protocol.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Visual Analogue Scale
Time Frame: 4 weeks
|
Participants are asked to rate their low back pain from 0 to 10.
It is a psychometric response scale that is used in Questionnaires.
It is used to measure the perceived Pain intensity.
The numbers are given from a range of 0-10 classifying as mild, moderate and severe pain.
(21)
|
4 weeks
|
|
Inclinometer
Time Frame: 4 weeks
|
Range of motion of trunk lateral flexion is measured by inclinometer.
An instrument used to measure an object's angles of elevation/depression and slope/tilt with regard to gravity is called an inclinometer, also known as a clinometer.
The resultant measurement is expressed as a percentage with respect to a level zero plane or as an angular measurement (degrees, minutes, seconds, etc.) (22)
|
4 weeks
|
|
Athletes Disability Index Questionnaire
Time Frame: 4 weeks
|
The ADI is a self-administered questionnaire designed to evaluate athletes' disabilities related to low back pain.
In addition to limitations in activities of daily life, the ADI also covers functional disabilities in sports and exercise.
The 12 questions in the ADI cover a variety of topics, including the degree of pain, stretching, strengthening, and weight training exercises, technical skills specific to a sport, rotational back movements and direction changes, fear of pain or (re)injury, sitting, walking, recreational activities, sexual activity, sleep, and self-care (23)
|
4 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Aamir Gul Memon, MS, Riphah International University
Publications and helpful links
General Publications
- Fraeulin L, Holzgreve F, Brinkbaumer M, Dziuba A, Friebe D, Klemz S, Schmitt M, Theis A AL, Tenberg S, van Mark A, Maurer-Grubinger C, Ohlendorf D. Intra- and inter-rater reliability of joint range of motion tests using tape measure, digital inclinometer and inertial motion capturing. PLoS One. 2020 Dec 10;15(12):e0243646. doi: 10.1371/journal.pone.0243646. eCollection 2020.
- Noormohammadpour P, Hosseini Khezri A, Farahbakhsh F, Mansournia MA, Smuck M, Kordi R. Reliability and Validity of Athletes Disability Index Questionnaire. Clin J Sport Med. 2018 Mar;28(2):159-167. doi: 10.1097/JSM.0000000000000414.
- Jairakdee Y, Chansirinukor W, Sitti T. Effect of releasing quadratus lumborum muscle on hip and knee muscle length in asymptomatic individuals. J Bodyw Mov Ther. 2021 Apr;26:542-547. doi: 10.1016/j.jbmt.2020.11.008. Epub 2020 Nov 7.
- Ranson C, Burnett A, O'Sullivan P, Batt M, Kerslake R. The lumbar paraspinal muscle morphometry of fast bowlers in cricket. Clin J Sport Med. 2008 Jan;18(1):31-7. doi: 10.1097/JSM.0b013e3181618aa2.
- Hides J, Stanton W, Freke M, Wilson S, McMahon S, Richardson C. MRI study of the size, symmetry and function of the trunk muscles among elite cricketers with and without low back pain. Br J Sports Med. 2008 Oct;42(10):809-13. doi: 10.1136/bjsm.2007.044024. Epub 2007 Dec 7. Erratum In: Br J Sports Med. 2009 Apr;43(4):310-1.
- Senington B, Lee RY, Williams JM. Biomechanical risk factors of lower back pain in cricket fast bowlers using inertial measurement units: a prospective and retrospective investigation. BMJ Open Sport Exerc Med. 2020 Aug 13;6(1):e000818. doi: 10.1136/bmjsem-2020-000818. eCollection 2020.
- Kountouris A, Portus M, Cook J. Cricket fast bowlers without low back pain have larger quadratus lumborum asymmetry than injured bowlers. Clin J Sport Med. 2013 Jul;23(4):300-4. doi: 10.1097/JSM.0b013e318280ac88.
- Forrest MRL, Hebert JJ, Scott BR, Dempsey AR. Exercise-based injury prevention for community-level adolescent cricket pace bowlers: A cluster-randomised controlled trial. J Sci Med Sport. 2020 May;23(5):475-480. doi: 10.1016/j.jsams.2019.12.009. Epub 2019 Dec 17.
- Eftekharsadat B, Fasaie N, Golalizadeh D, Babaei-Ghazani A, Jahanjou F, Eslampoor Y, Dolatkhah N. Comparison of efficacy of corticosteroid injection versus extracorporeal shock wave therapy on inferior trigger points in the quadratus lumborum muscle: a randomized clinical trial. BMC Musculoskelet Disord. 2020 Oct 19;21(1):695. doi: 10.1186/s12891-020-03714-3.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- REC/RCR & AHS/23/0489 AMAMA
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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