Comparative Effects of Closed Kinetic Chain Exercises and Thrower's Ten Exercises in Glenohumeral Instability

July 21, 2026 updated by: Riphah International University

Comparative Effects of Closed Kinetic Chain Exercises and Thrower's Ten Exercises on Pain, Mobility and Performacne in Glenohumeral Instability Among Bowlers

The study is randomized and single-blinded. Ethical approval is taken from ethical committee of Riphah International University, Lahore. Participants who meet the inclusion criteria will be enrolled and allocated in group A & B through sealed envelope method by Non-probability Convenient random sampling technique. Subjects in Group A will receive closed kinetic chain exercises. Group B will receive thrower's ten exercises.

Study Overview

Detailed Description

This study will be a randomized clinical trial duration of study will be 10 months.

Data will be collected by convenient sampling technique from Pakistan cricket board. Three outcome measures will be compared by using different tools pain is measured by NPRS, mobility is measured by goniometer and performance is measured by upper limb rotation test .pre and post assessment is done Participants are divided into two groups group A undergoes closed kinetic chain exercise , group B undergoes throwers ten exercise observed values will be analyzed by using SPSS 27 software

Study Type

Interventional

Enrollment (Estimated)

40

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 Contact

Study Locations

    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 54660
        • Recruiting
        • Pakistan sports board
        • Contact:
        • Sub-Investigator:
          • Amna Shahid, T-DPT
        • Contact:
        • Principal Investigator:
          • Sidra Rabbani, MS-SPT

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

No

Description

Inclusion Criteria:

  • Male bowlers are included in this study
  • Healthy athletes with age group 16-25y
  • Athletes having 2 years of bowling experience

Exclusion Criteria:

  • Bowlers with prior history of trauma and shoulder injuries from past 6 months bowlers with any medical issues such as hypertension, any , neurological , cardiovascular and psychological problems
  • if athlete suffered from any upper extremity orthopedic or musculoskeletal injury from last 6 months

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: closed chain kinetic exercises
The group participated in 6 weeks of training session lasting for 45-50 minutes.The individual was positioned standing with the elbow joint completely extended, palm on the wall, and shoulder flexion at a 90° angle
The group participated in 6 weeks of training session lasting for 45-50 minutes.The individual was positioned standing with the elbow joint completely extended, palm on the wall, and shoulder flexion at a 90° angle
Experimental: Thrower's ten exercises
Throwers ten exercise are used to improve strength and endurance of rotator cuff muscles and scapular stabilizers, pre and post assessment is done as my study will be randomized clinical trial , 5-10 minutes of warm up , 45 minutes of resistance training and 5-10 minutes of cool down is added.
Throwers ten exercise are used to improve strength and endurance of rotator cuff muscles and scapular stabilizers, pre and post assessment is done as my study will be randomized clinical trial , 5-10 minutes of warm up , 45 minutes of resistance training and 5-10 minutes of cool down is added.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pain measure through NPRS
Time Frame: Pre and 6 week post interventional
Pain measure through NPRS
Pre and 6 week post interventional
Mobility measure through Goniometry
Time Frame: Pre and 6 week post interventional
Mobility measure through Goniometry
Pre and 6 week post interventional
performance measure through upper limb rotation test
Time Frame: Pre and 6 week post interventional
performance measure through upper limb rotation test
Pre and 6 week post interventional

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Sidra Rabbani, DPT, Study Principal Investigator

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

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)

October 15, 2025

Primary Completion (Estimated)

July 15, 2026

Study Completion (Estimated)

July 30, 2026

Study Registration Dates

First Submitted

July 21, 2026

First Submitted That Met QC Criteria

July 21, 2026

First Posted (Actual)

July 24, 2026

Study Record Updates

Last Update Posted (Actual)

July 24, 2026

Last Update Submitted That Met QC Criteria

July 21, 2026

Last Verified

July 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • REC/RCR & AHS/25/0419

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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