- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06819397
Effects of Post-Isometric Relaxation Technique Vs Soft Tissue Mobilization in Leg Spin Bowlers
February 10, 2025 updated by: Riphah International University
Effects of Post-Isometric Relaxation Technique Versus Cross Friction Soft Tissue Mobilization on Pain, Range of Motion, and Endurance in Leg Spin Bowlers With Rotator Cuff Strain
Effects of Post-Isometric Relaxation Technique versus Cross Friction Soft Tissue Mobilization in Leg Spin Bowlers with Rotator cuff strain
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Detailed Description
The existing body of research on Pakistani Cyclists lacks comprehensive investigation into the role of sciatic nerve flossing and active release technique, creating a noticeable gap in understanding the impact of such techniques on the performance, improving flexibility, and overall physical well-being of these athletes.
Given the unique physical demands of Cyclists and the potential benefits associated with lower limb muscle strength, a focused exploration in this area is crucial to inform training strategies, enhance athletic performance, and contribute to the holistic development of Pakistani cyclists.
To determine the comparative impact of sciatic nerve flossing and active release technique on pain, flexibility, and functionality in the lower limbs of cyclists with sciatica.
Study Type
Interventional
Enrollment (Actual)
34
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 Locations
-
-
Punjab
-
Lahore, Punjab, Pakistan, 0423
- Jallo Cricket Academy
-
-
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
- Child
- Adult
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- age 16-30 years
- Symptomatic male bowlers (leg spinners)
- Pain from at least 2 months
- Playing regularly from at least 1 year.
- Difference of ROM as compared to contralateral extremity.
Exclusion Criteria:
- Prior History of shoulder surgery
- Shoulder symptoms requiring medical treatment.
- Cricketers not involved in any other sports.
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: post isometric relaxation
17 participants will be in post isometric group, After telling the bowler to calm down, a fresh movement barrier will be activated.
This will be done three times a week for four weeks, for a total of five sets of five repetitions.
|
the athlete will be given instructions to perform a 7-second isometric contraction in the direction of horizontal abduction at about 25% of peak effort, while the examiner will apply an opposing force at the distal humerus.
|
|
Experimental: cross friction soft tissue mobilization
17 participants will be in soft tissue mobilization group, Patients in each group will receive12 treatment sessions, 3 days a week for 4 weeks.
|
by identifying the fascia restriction, patients in group B will be treated with the cross friction soft tissue mobilization approach, which comprised applying a low load and prolonged stretch through the knuckles or elbows to the constricted fascia.
The therapist will then give the contralateral side of rotation resistance for ten seconds
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Numeric Pain Rating Scale (NPRS):
Time Frame: 4weeks
|
The patient's degree of pain is measured using the 11-point NPRS.
The words "no pain" on the left and "worst imaginable pain" on the right serve as the scale's anchors.
(34) Patients score how much pain they are in right now, as well as how much pain they have had in the past 24 hours.
|
4weeks
|
|
Goniometer
Time Frame: 4weeks
|
Studies have shown intra-rater reliability for goniometric measurements can vary but often falls within acceptable ranges.
For instance, a study reported intra-rater reliability with an intra-class correlation coefficient (ICC) ranging from 0.80 to 0.95, indicating good to excellent reliability.
|
4weeks
|
|
Standard test for push-up (STPU) for measuring endurance
Time Frame: 4weeks
|
Standard push-up test (STPU)" starts from either a prone position or a straight arm support position.
Arms are about shoulder-width apart, palms are flat on the ground, and fingers are pointing forward.
Legs should be together, ankles flexed, and knees locked.
The only parts of the body that touch the ground are the balls of the feet and the palms of the hands.
Until the chin, nose, or chest reaches the ground, the body is lowered.
|
4weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Saad Arif, DPT, Riphah International University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Shamsi M, Mirzaei M, Khabiri SS. Universal goniometer and electro-goniometer intra-examiner reliability in measuring the knee range of motion during active knee extension test in patients with chronic low back pain with short hamstring muscle. BMC Sports Sci Med Rehabil. 2019 Mar 22;11:4. doi: 10.1186/s13102-019-0116-x. eCollection 2019.
- Khan ZK, Ahmed SI, Baig AAM, Farooqui WA. Effect of post-isometric relaxation versus myofascial release therapy on pain, functional disability, rom and qol in the management of non-specific neck pain: a randomized controlled trial. BMC Musculoskelet Disord. 2022 Jun 13;23(1):567. doi: 10.1186/s12891-022-05516-1.
- Cunningham G, Charbonnier C, Ladermann A, Chague S, Sonnabend DH. Shoulder Motion Analysis During Codman Pendulum Exercises. Arthrosc Sports Med Rehabil. 2020 Jun 26;2(4):e333-e339. doi: 10.1016/j.asmr.2020.04.013. eCollection 2020 Aug.
- Kim J, Sung DJ, Lee J. Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application. J Exerc Rehabil. 2017 Feb 28;13(1):12-22. doi: 10.12965/jer.1732824.412. eCollection 2017 Feb.
- Cheatham SW, Stull KR, Kolber MJ. Roller massage: is the numeric pain rating scale a reliable measurement and can it direct individuals with no experience to a specific roller density? J Can Chiropr Assoc. 2018 Dec;62(3):161-169.
- Tawfik AM, El-Morsy A, Badran MA. Rotator cuff disorders: How to write a surgically relevant magnetic resonance imaging report? World J Radiol. 2014 Jun 28;6(6):274-83. doi: 10.4329/wjr.v6.i6.274.
- Pandey V, Jaap Willems W. Rotator cuff tear: A detailed update. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2015 Feb 11;2(1):1-14. doi: 10.1016/j.asmart.2014.11.003. eCollection 2015 Jan.
- Hermans J, Luime JJ, Meuffels DE, Reijman M, Simel DL, Bierma-Zeinstra SM. Does this patient with shoulder pain have rotator cuff disease?: The Rational Clinical Examination systematic review. JAMA. 2013 Aug 28;310(8):837-47. doi: 10.1001/jama.2013.276187.
- Jain NB, Wilcox RB 3rd, Katz JN, Higgins LD. Clinical examination of the rotator cuff. PM R. 2013 Jan;5(1):45-56. doi: 10.1016/j.pmrj.2012.08.019.
- Shaffer B, Huttman D. Rotator cuff tears in the throwing athlete. Sports Med Arthrosc Rev. 2014 Jun;22(2):101-9. doi: 10.1097/JSA.0000000000000022.
- Avci O, Rohrle O. Determining a musculoskeletal system's pre-stretched state using continuum-mechanical forward modelling and joint range optimization. Biomech Model Mechanobiol. 2024 Jun;23(3):1031-1053. doi: 10.1007/s10237-024-01821-x. Epub 2024 Apr 15.
- Coviello JP, Kakar RS, Reynolds TJ. SHORT-TERM EFFECTS OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION ON PAIN FREE RANGE OF MOTION IN A WEIGHTLIFTER WITH SUBACROMIAL PAIN SYNDROME. Int J Sports Phys Ther. 2017 Feb;12(1):144-154.
- Bailey LB, Shanley E, Hawkins R, Beattie PF, Fritz S, Kwartowitz D, Thigpen CA. Mechanisms of Shoulder Range of Motion Deficits in Asymptomatic Baseball Players. Am J Sports Med. 2015 Nov;43(11):2783-93. doi: 10.1177/0363546515602446. Epub 2015 Sep 24.
- Bhosale P, Kolke Pt S. Effectiveness of instrument assisted soft tissue mobilization (IASTM) and muscle energy technique (MET) on post-operative elbow stiffness: a randomized clinical trial. J Man Manip Ther. 2023 Oct;31(5):340-348. doi: 10.1080/10669817.2022.2122372. Epub 2022 Sep 28.
- van Rijn SF, Zwerus EL, Koenraadt KL, Jacobs WC, van den Bekerom MP, Eygendaal D. The reliability and validity of goniometric elbow measurements in adults: A systematic review of the literature. Shoulder Elbow. 2018 Oct;10(4):274-284. doi: 10.1177/1758573218774326. Epub 2018 Jun 3.
- Kiatkulanusorn S, Luangpon N, Srijunto W, Watechagit S, Pitchayadejanant K, Kuharat S, Beg OA, Suato BP. Analysis of the concurrent validity and reliability of five common clinical goniometric devices. Sci Rep. 2023 Nov 27;13(1):20931. doi: 10.1038/s41598-023-48344-6.
- Rodrigues da Silva Barros B, Dal'Ava Augusto D, de Medeiros Neto JF, Michener LA, Silva RS, Sousa CO. Isometric versus isotonic exercise in individuals with rotator cuff tendinopathy-Effects on shoulder pain, functioning, muscle strength, and electromyographic activity: A protocol for randomized clinical trial. PLoS One. 2023 Nov 13;18(11):e0293457. doi: 10.1371/journal.pone.0293457. eCollection 2023. Erratum In: PLoS One. 2024 Jan 19;19(1):e0297630. doi: 10.1371/journal.pone.0297630.
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)
April 24, 2024
Primary Completion (Estimated)
February 10, 2025
Study Completion (Estimated)
February 15, 2025
Study Registration Dates
First Submitted
January 22, 2025
First Submitted That Met QC Criteria
February 10, 2025
First Posted (Actual)
March 25, 2025
Study Record Updates
Last Update Posted (Actual)
March 25, 2025
Last Update Submitted That Met QC Criteria
February 10, 2025
Last Verified
February 1, 2025
More Information
Terms related to this study
Other Study ID Numbers
- REC/RCR&AHS/24/0406
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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