Comparing Two Shoulder Treatments for Athletes (PCT-KM-PPS)
Comparative Effects of Kaltenborn Joint Mobilization (Posterior Glide) Versus Pragmatic Posterior Capsular Stretch on Pain, Limited ROM and Functional Disability in Athletes With Posterior Capsule Tightness
調査の概要
状態
詳細な説明
This is a single-center, randomized controlled trial. Participants aged 22-40 years with a positive GIRD test (indicating posterior capsule tightness) will be recruited from pedal courts and clinics in Faisalabad. After obtaining informed consent, participants will be randomly assigned to one of two parallel groups using a random number generator.
Group A (Experimental): Receives Pragmatic Posterior Capsular Stretch. The participant lies side-lying. The therapist stabilizes the scapula and applies medial rotation, extension, and traction for 30 seconds, repeated to achieve 15 minutes total per session.
Group B (Active Comparator): Receives Kaltenborn Joint Mobilization (Posterior Glide). The participant is positioned with the shoulder abducted and externally rotated. The therapist applies a Grade III posterior glide with lateral distraction, sustained at end-range for 15 minutes.
Both groups receive 3 sessions per week for 4 weeks (12 sessions total). Outcome measures (Pain via SPADI, ROM via Goniometer, Function via SPADI) are taken at baseline and at the end of 4 weeks. Data will be analyzed using SPSS version 20 using independent t-tests or Mann-Whitney U tests depending on normality.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Dr Muhammad Ateeb, PhD Public Health
- 電話番号：+923357333383
- メール：mateeb.oric@tuf.edu.pk
研究連絡先のバックアップ
- 名前：Dr. Muhammad Muneeb Jafar, Doctor of Physical Therapy
- 電話番号：+92 300 4561972
- メール：muneebjafar.DPT@tuf.edu.pk
研究場所
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Punjab Province
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Faisalābad、Punjab Province、パキスタン、3800
- The University of Faisalabad
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参加基準
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Male and female athletes
- Positive GIRD test
- Age 22-40 years
- Overhead throwing athletes (Cricketers)
- Able to provide informed consent
Exclusion Criteria:
- Fracture
- Recent shoulder injury (last 6 months)
- History of shoulder surgery
- Osteoarthritis
- Peripheral nerve injuries
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Pragmatic Posterior Capsular Stretch
Participants in this arm receive the Pragmatic Posterior Capsular Stretch.
The participant is positioned in a comfortable side-lying posture on the unaffected side.
To achieve targeted stretching of the posterior shoulder tissues and to prevent compensatory movements, the therapist supports the scapula in a protracted position with one hand.
The therapist uses the other hand to administer a combination of medial rotation, extension, and longitudinal traction at the glenohumeral joint.
The leverage required to execute the maneuver successfully is provided by the semi-flexed elbow.
To improve muscular relaxation and capsular stretch, the stretch is held for 30 seconds and followed by at least three deep breaths, each held in full inspiration for 8-10 seconds.
This stretch is repeated multiple times to achieve a total treatment duration of 15 minutes per session.
This intervention is performed 3 sessions per week for 4 weeks (total of 12 sessions).
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Side-lying stretch combining medial rotation, extension, and traction.
Held for 30 seconds with deep breathing, repeated for 15 minutes total per session, 3x/week for 4 weeks.
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アクティブコンパレータ：Kaltenborn Joint Mobilization (Posterior Glide)
Participants in this arm receive Kaltenborn Joint Mobilization (Posterior Glide).
With the shoulder at the end range of abduction and external rotation, the participant is positioned for posterior mobilization in the starting posture.
While performing the posterior stretch mobilization to the end range, a lateral humeral distraction is maintained in the midrange position.
The shoulder is positioned in the final range of flexion and external rotation for advancement.
While the posterior stretch mobilization is performed to the end range, a lateral humeral distraction remains in its intermediate position.
For a minimum of one minute, the end-range position is maintained.
This stretch is repeated until a total of fifteen minutes of sustained posterior mobilization are achieved per session.
This intervention is performed 3 sessions per week for 4 weeks (total of 12 sessions).
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Kaltenborn Grade III sustained posterior glide with lateral distraction.
Applied to the glenohumeral joint for 15 minutes per session, 3x/week for 4 weeks.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in Pain
時間枠：Baseline and Week 4
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Measured using the Shoulder Pain and Disability Index (SPADI) - Pain subscale.
Score range 0-100 (higher = more pain).
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Baseline and Week 4
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Change in Range of Motion
時間枠：Baseline and Week 4
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Measured using a universal goniometer.
Specifically Glenohumeral Internal Rotation (GIR) and Horizontal Adduction (HA) range in degrees.
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Baseline and Week 4
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in Functional Disability
時間枠：Baseline and Week 4
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Measured using the Shoulder Pain and Disability Index (SPADI) - Disability subscale.
Score range 0-100 (higher = more disability).
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Baseline and Week 4
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協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
その他の研究ID番号
- TUF/EIRB/ 224 /26
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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