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
연구 개요
상태
상세 설명
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.
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Dr Muhammad Ateeb, PhD Public Health
- 전화번호: +923357333383
- 이메일: mateeb.oric@tuf.edu.pk
연구 연락처 백업
- 이름: Dr. Muhammad Muneeb Jafar, Doctor of Physical Therapy
- 전화번호: +92 300 4561972
- 이메일: muneebjafar.DPT@tuf.edu.pk
연구 장소
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Punjab Province
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Faisalābad, Punjab Province, 파키스탄, 3800
- The University of Faisalabad
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참여기준
자격 기준
공부할 수 있는 나이
- 성인
건강한 자원 봉사자를 받아들입니다
설명
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
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 더블
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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실험적: 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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활성 비교기: 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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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Change in Pain
기간: 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
기간: 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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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Change in Functional Disability
기간: 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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공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
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QC 기준을 충족하는 마지막 업데이트 제출
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추가 정보
이 연구와 관련된 용어
키워드
기타 연구 ID 번호
- TUF/EIRB/ 224 /26
개별 참가자 데이터(IPD) 계획
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