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The Addition of Core Muscle Training on Tennis Serve Speed in Tennis Players

24 juli 2026 bijgewerkt door: Ahmed ElMelhat, Cairo University

The Effect of Adding Core Muscle Training With Shoulder Strengthening in Tennis Players: A Randomized Controlled Trial

Compared with shoulder-only training and with continued tennis training alone, will the addition of core strengthening to shoulder training produce significantly greater improvements in flat serve ball speed in healthy tennis players?

Secondary Hypothesis:

  • Combined core + shoulder training will produce greater improvement in serve accuracy than shoulder-only training or tennis training alone.
  • Combined core + shoulder training will produce greater improvement in TGAR than shoulder-only training or tennis training alone.
  • Combined core + shoulder training will produce greater improvement in core strength/endurance and shoulder rotational strength than the comparator groups.

Studie Overzicht

Gedetailleerde beschrijving

The kinetic chain model suggests that core musculature plays a crucial role in transferring energy from the lower body to the upper extremity during the tennis serve. However, evidence on the relationship between core strength and tennis serve (TS) ball speed and passive total glenohumeral arc of rotation (TGAR) remains inconsistent, warranting further investigation.

It is hypothesized that the addition of core muscle exercises to the training program would yield greater improvements in terms of tennis serve ball speed and TGAR when compared to a control group performing only shoulder exercises in tennis players.

Tennis players with at least 1-3 years of weekly tennis training will be included and allocated randomly into the control group (CG) and experimental group (EG). CG participants will perform shoulder exercises and sham core exercises. EG participants will receive the same training as CG in addition to performing core exercises. Both groups will participate in a 12-week intervention (2 sessions per week, 50 minutes per session). Pre- and postintervention assessments will include TS ball speed analysis and TGAR, respectively.

Studietype

Ingrijpend

Inschrijving (Geschat)

120

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

Studie Locaties

    • Beirut
      • Beirut, Beirut, Libanon, 1100
        • Werving
        • Beirut Arab University
        • Contact:
    • Giza
      • Beirut, Giza, Libanon, 2356
        • Werving
        • BAU activities
        • Contact:
        • Contact:
          • Ahmed ELMelhat, PhD

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Volwassen

Accepteert gezonde vrijwilligers

Ja

Beschrijving

Inclusion Criteria:

  • Healthy adults aged 18-35 years
  • Recreational to competitive non-professional tennis players (currently playing ≥2 sessions/week for ≥1 year; NTRP 3.0-5.0 or equivalent ITN; no professional ranking or tour-level competition history)
  • Right- or left-hand dominant (serve arm recorded)
  • Able to perform a full flat serve without pain
  • Willing to maintain current tennis training routine and refrain from starting other new strength/conditioning programs during the study

Exclusion Criteria:

  • Current or history of shoulder pain/injury in the past 6 months (e.g., rotator cuff pathology, labral injury, impingement)
  • Low back pain or lumbar spine pathology in the past 6 months
  • Prior shoulder or spine surgery
  • Systemic conditions affecting neuromuscular function (e.g., uncontrolled diabetes, neurological disorders)
  • Pregnancy
  • Current participation in a structured core or shoulder strengthening program

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Ander
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Actieve vergelijker: Shoulder+ sham core
Shoulder strengthening + sham/placebo core exercises (non-loading trunk mobility).

Delivered 2×/week for 10 weeks under supervision of a licensed physical therapist or certified strength and conditioning specialist. Progressive resistance program including:

  • External/internal rotation strengthening (resistance band, cable, or dumbbell) at 0° and 90° abduction
  • Scapular stabilization exercises (rows, Y-T-W raises, serratus punch)
  • Posterior shoulder stretching (sleeper stretch, cross-body stretch) for the TGAR component
  • Progressive overload every 2 weeks based on tolerated resistance/repetitions

Sham :Low-intensity, non-progressive trunk mobility exercises with minimal loading (e.g., seated trunk rotations without resistance, cat-camel stretches), matched for session time and attention to control for non-specific training effects, without targeting core strength/endurance adaptation.

Experimenteel: shoulder strengthening exercises+ core strengthening
Participants in EG performed the same shoulder strengthening exercises as in CG, coupled with a physical therapy core strengthening program.

Delivered 2×/week for 10 weeks, same sessions as the shoulder program (combined ~50-60 minute sessions), progressive core program including:

  • Anti-rotation exercises (Pallof press)
  • Rotational power exercises (medicine ball rotational throws, cable woodchoppers)
  • Anterior/lateral/posterior chain stability (plank variations, side plank, bird-dog)
  • Progressive overload via increased resistance, hold time, or instability surface every 2 weeks

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Flat serve ball speed
Tijdsspanne: measured at baseline (Week 0) and post-intervention (Week 12).
Flat serve ball speed (km/h or mph), measured via radar gun (e.g., Stalker Pro II) or equivalent validated device, averaged across the best 5 of 10 flat serves hit into the deuce-side service box, measured at baseline (Week 0) and post-intervention (Week 12).
measured at baseline (Week 0) and post-intervention (Week 12).

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Serve accuracy
Tijdsspanne: measured at baseline (Week 0) and post-intervention (Week 12).
  • Target-based scoring system: standardized service box divided into scoring zones (e.g., 5 concentric/quadrant zones worth 1-5 points); participant hits 10 flat serves aimed at a designated target zone (e.g., wide serve to deuce court corner); accuracy score = mean points across 10 serves.
  • Recorded simultaneously with ball speed trials (speed-accuracy trade-off examined as an exploratory outcome).
measured at baseline (Week 0) and post-intervention (Week 12).
Total glenohumeral arc of rotation (TGAR)
Tijdsspanne: measured at baseline (Week 0) and post-intervention (Week 12).
● Passive internal rotation (IR) + external rotation (ER) range of motion measured via goniometry (or inclinometer) with scapula stabilized, participant supine, shoulder abducted to 90°, elbow flexed to 90°. TGAR = IR + ER (degrees). Measured bilaterally.
measured at baseline (Week 0) and post-intervention (Week 12).
Shoulder rotational strength
Tijdsspanne: measured at baseline (Week 0) and post-intervention (Week 12).
● Peak IR and ER isometric or isokinetic torque (Nm), measured via hand-held dynamometer (standardized stabilization protocol) or isokinetic dynamometer (60°/sec and 180°/sec) if available, at 0° abduction. ER/IR strength ratio calculated. Measured bilaterally.
measured at baseline (Week 0) and post-intervention (Week 12).
Core strength/endurance
Tijdsspanne: measured at baseline (Week 0) and post-intervention (Week 12).
● McGill core endurance battery: trunk flexor endurance test (seconds), bilateral side-bridge/plank endurance test (seconds).
measured at baseline (Week 0) and post-intervention (Week 12).

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

15 juni 2026

Primaire voltooiing (Geschat)

15 september 2026

Studie voltooiing (Geschat)

20 september 2026

Studieregistratiedata

Eerst ingediend

21 juli 2026

Eerst ingediend dat voldeed aan de QC-criteria

24 juli 2026

Eerst geplaatst (Werkelijk)

29 juli 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

29 juli 2026

Laatste update ingediend die voldeed aan QC-criteria

24 juli 2026

Laatst geverifieerd

1 juli 2026

Meer informatie

Termen gerelateerd aan deze studie

Andere studie-ID-nummers

  • Core Vs shoulder in tennis

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

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