Upper Extremity InjuryNCT04019990
Throwers Ten Exercises On Upper Extremity Function and Explosive Power in Wheelchair Basketball and Basketball Players
A study testing The effect of throwers ten exercise programme on wheelchair basketball and ambulant basketball players in people with Upper Extremity Injury and Sport Injury, run by Hacettepe University at 1 site in Cyprus.
Trial summary
Basketball is a challenging sport that requires participants to demonstrate physical fitness and special athletic skills at high levels. Players avoid contact while attempting to prevent the opponent from running, passing and shooting. Read more about this study
- Who is it for?
- Ages 18 to 60 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Upper Extremity Injury, Sport Injury, Shoulder Pain
- What is being tested?
- The effect of throwers ten exercise programme on wheelchair basketball and ambulant basketball players
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 28 participants
- Where
- 1 siteCyprus
- Study dates
- 1 Jul 2019to 21 Nov 2019
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Asymptomatic athletes
- Professional athlete who plays at least 10 years
- Subjects who are voluntary to participate in the study
Who cannot join
- Upper extremity related surgery in past 6 months
- Rotator cuff tears in past 3 months
- Current pain in shoulder and neck
Trial locations and contacts
1 site in 1 country.
Cyprus1 site
Mehmet Reis Physiotherapy and Rehabilitation Center
Nicosia, Lefkoşa, Mersin10Turkey
About this study
Official title: The Effect of Thrower's Ten Exercise Programme On Upper Extremity Muscle Power, Range of Motion and Explosive Power in Wheelchair Basketball and Basketball Players
Basketball is a challenging sport that requires participants to demonstrate physical fitness and special athletic skills at high levels. Players avoid contact while attempting to prevent the opponent from running, passing and shooting. Although basketball includes avoiding contact as a rule, contact between players is inevitable. Various injuries occur in basketball because it is a contact sport and includes sudden movements, such as bouncing, running and turning. Wheelchair (WC) basketball is characterised by manoeuvres and high-intensity activities such as rolling, rebounding, passing and overhead shooting. In WC basketball players, thoracic kyphosis is increased because of atrophy of the upper back and shoulders muscles resulting from the body posture required for WC propulsion in the sitting position as well as the effect of gravity. This sitting posture is characterised by scapular protraction and internal rotation of the humerus, and it impedes shoulder movements during upper-extremity use.
Overhead throwing is a movement that involves high speed and repetitive movement that leads to upper-extremity injuries. It is important to develop muscle strength and proprioception to protect against these injuries.
Read more
Throwers Ten exercise programme is a programme designed to improve the power, strength and endurance of large muscle groups required for the throwing activity. It consists of exercises involving the movement of upper limb joints in full range of joint motion (ROM) or at specified specific angles, with the help of a resistance band and weights specific to individual athletes.
In the literature, no study has demonstrated the effectiveness of Throwers Ten exercise programme in these sports groups. The aim of this study was to evaluate the effectiveness of Throwers Ten exercise programme on upper-extremity function and explosive power in the WC basketball players and stand-up basketball players.
Read the detailed description
Basketball is a challenging sport that requires participants to demonstrate physical fitness and special athletic skills at high levels. Players avoid contact while attempting to prevent the opponent from running, passing and shooting. Although basketball includes avoiding contact as a rule, contact between players is inevitable. Various injuries occur in basketball because it is a contact sport and includes sudden movements, such as bouncing, running and turning.
Wheelchair (WC) basketball is characterised by manoeuvres and high-intensity activities such as rolling, rebounding, passing and overhead shooting. In WC basketball players, thoracic kyphosis is increased because of atrophy of the upper back and shoulders muscles resulting from the body posture required for WC propulsion in the sitting position as well as the effect of gravity. This sitting posture is characterised by scapular protraction and internal rotation of the humerus, and it impedes shoulder movements during upper-extremity use. The force balance changes because of humeral internal rotation and scapular protraction, and the internal rotator and adductor muscles become stronger than their antagonists. In basketball, throwing and pushing are used to pass the ball to the target. In throwing, the force of the dominant upper extremity comes into play with the internal rotation of the humerus. In this movement, the humerus is almost horizontal and parallel to the ground.
Increased use of the upper extremities in WC users increases upper-extremity load. For this reason, upper-extremity muscle strength, endurance and explosive power are of great importance. Rotational muscle strength of the shoulder has critical roles in activities specific to basketball as well as WC control in WC basketball players.
Overhead throwing is a movement that involves high speed and repetitive movement that leads to upper-extremity injuries. It is important to develop muscle strength and proprioception to protect against these injuries.
Throwers Ten exercise programme is a programme designed to improve the power, strength and endurance of large muscle groups required for the throwing activity. It consists of exercises involving the movement of upper limb joints in full range of joint motion (ROM) or at specified specific angles, with the help of a resistance band and weights specific to individual athletes. In a study conducted by Wilk et al., it was reported that muscle strength and endurance were improved by increasing muscle activation and facilitation, and achieving dynamic stabilisation by adding isometric contractions to the concentric/eccentric contractions applied in the Throwers Ten exercise programme.
In the literature, no study has demonstrated the effectiveness of Throwers Ten exercise programme in these sports groups. The aim of this study was to evaluate the effectiveness of Throwers Ten exercise programme on upper-extremity function and explosive power in the WC basketball players and stand-up basketball players. In addition, because the WC basketball players and stand-up basketball players were evaluated in this study, our secondary aim was to elucidate the differences in responses to the exercise programme between a group without lower-extremity use and incomplete strength distribution and a group with complete strength distribution.
- Conditions
- Upper Extremity Injury, Sport Injury, Shoulder Pain, Muscle Weakness
- Being tested
- The effect of throwers ten exercise programme on wheelchair basketball and ambulant basketball players
- Keywords
- Sports for Persons with Disabilities, Basketball, Exercise
- Medical subject headings
- Arm Injuries, Shoulder Pain, Muscle Weakness, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
The effect of throwers ten exercise programme on wheelchair basketball and ambulant basketball playersOther
Throwers Ten exercise programme is a programme designed to improve the power, strength and endurance of large muscle groups required for the throwing activity. It consists of exercises involving the movement of upper limb joints in full range of joint motion or at specified specific angles, with the help of a resistance band and weights specific to individual athletes. In the literature, no study has demonstrated the effectiveness of Throwers Ten exercise programme in wheelchair basketball and ambulant basketball players.
| Study group | Role | What they receive |
|---|---|---|
| Wheelchair basketball and ambulant basketball players | Other | 13 players from the North Cyprus wheelchair Basketball Team and 15 players from the Koop Bank Basketball Men's Team voluntarily will participate in the study. Subjects will include to study if they fulfil criteria. Athletes will involve in 8 weeks Thrower's Ten exercise program. After 8. Weeks and 12. Weeks assessments will be repeated. Receives: Other: The effect of throwers ten exercise programme on wheelchair basketball and ambulant basketball players |
What is being measured
The primary outcome is the main question the study is designed to answer.
Measurement of Muscle Strength (Absolute Values Are Being Reported)
The strength of shoulder flexion, abduction, external rotation (E.R), internal rotation(İ.R) and elbow flexion will measure as isometric muscle strength in kg by J-Tech Medical/USA Tracker Freedom Isometric Muscle Test.
Measured: All measurements will repeat three times at 5-s intervals and the mean value will be taken. Baseline, 8 and 12 Weeks reported.
Medicine Ball Throwing Test (Absolute Values Are Being Reported)
In this test, the distance that a 3-kg ball can be thrown will measure to assess upper-extremity explosive strength. The test will conduct in two different positions. In the first test, the participant will seat in a chair of sufficient height without armrests so that the scapula will be in a free position. The ball is then grasp with both hands and throw forward overhead, and the distance will record. In the second test, the participant is in the same starting position and throw the ball forward with two hands after bringing it to the chest level, and the distance will record.
Measured: All measurements will repeat three times at 5-s intervals and the mean value will be taken. Baseline, 8 and 12 Weeks reported.
Hand Grip Test (Absolute Value Are Being Reported)
Hand-grip strength will measure with a J-Tech Medical/USA Tracker Freedom Grip in kg.
Measured: All measurements will repeat three times at 5-s intervals and the mean value will be taken. Baseline, 8 and 12 Weeks reported.
Secondary outcomes (1)
Measurement of Range of Motion (Absolute Values Are Being Reported)
Shoulder flexion, abduction and external rotation (E.R), internal rotation (İ.R) range of movement will measure in degrees by J-Tech Medical/US Tracker Freedom Goniometer.
Measured: All measurements will repeat three times at 5-s intervals and the mean value will be taken. Baseline, 8 and 12 Weeks reported.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jul 2019
- Study start1 Jul 2019
- Primary completion20 Nov 2019
- Study completion21 Nov 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Upper Extremity InjuryStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- 13 players from the North Cyprus wheelchair Basketball Team and 15 players from the Koop Bank Basketball Men's Team voluntarily will participate in the study. Subjects will include to study if they fulfil criteria. J-Tech medical tracker freedom will use for measuring upper extremity muscle power and range of motion. Medicine ball throw test will use for plyometric power. Athletes will involve in 8 weeks Thrower's Ten exercise program. After 8. Weeks and 12. Weeks assessments will be repeated. The exercise programme will conduct 3 days a week, with 2 days a week as a group under the supervision of a physiotherapist in the rehabilitation center and 1 day at the homes of the participants without any supervision. The home programme will be monitored by contacting the players over the telephone. The training is planned to progress every 3 weeks, and progression programme will plan individually according to player progression.
- Masking
- None (open label)
- Enrolment
- 28 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hacettepe University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ceyda Sofuoğlu, Hacettepe University
- Investigators
- Volga Bayrakcı Tunay, Study director, Hacettepe University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04019990
- Sponsor's protocol ID
- GO15/204
- Status last verified
- Feb 2020
- First submitted
- 7 Jul 2019
- Last updated
- 8 Apr 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: IPD data for all primary and secondary measures will be made available.
Study at a glance
From the registry record, last updated by the sponsor on 8 Apr 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Thrower's Ten Exercise Programme On Upper Extremity Muscle Power, Range of Motion and Explosive Power in Wheelchair Basketball and Basketball Players
- ClinicalTrials.gov ID
- NCT04019990
- Acronym / sponsor ID
- GO15/204
- Conditions
- Upper Extremity Injury, Sport Injury, Shoulder Pain, Muscle Weakness
- Keywords
- Sports for Persons with Disabilities, Basketball, Exercise
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 28 participants (actual)
- Lead sponsor
- Hacettepe UniversityUniversity, hospital or other
- Study start
- 1 Jul 2019 (actual)
- Primary completion
- 20 Nov 2019 (actual)
- Study completion
- 21 Nov 2019 (actual)
- First posted
- 15 Jul 2019 (actual)
- Results
- Posted 12 Feb 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Basketball is a challenging sport that requires participants to demonstrate physical fitness and special athletic skills at high levels. Players avoid contact while attempting to prevent the opponent from running, passing and shooting. Although basketball includes avoiding contact as a rule, contact between players is inevitable. Various injuries occur in basketball because it is a contact sport and includes sudden movements, such as bouncing, running and turning. Wheelchair (WC) basketball is characterised by manoeuvres and high-intensity activities such as rolling, rebounding, passing and overhead shooting. In WC basketball players, thoracic kyphosis is increased because of atrophy of the upper back and shoulders muscles resulting from the body posture required for WC propulsion in the sitting position as well as the effect of gravity. This sitting posture is characterised by scapular protraction and internal rotation of the humerus, and it impedes shoulder movements during upper-extremity use.
Overhead throwing is a movement that involves high speed and repetitive movement that leads to upper-extremity injuries. It is important to develop muscle strength and proprioception to protect against these injuries.
Throwers Ten exercise programme is a programme designed to improve the power, strength and endurance of large muscle groups required for the throwing activity. It consists of exercises involving the movement of upper limb joints in full range of joint motion (ROM) or at specified specific angles, with the help of a resistance band and weights specific to individual athletes.
In the literature, no study has demonstrated the effectiveness of Throwers Ten exercise programme in these sports groups. The aim of this study was to evaluate the effectiveness of Throwers Ten exercise programme on upper-extremity function and explosive power in the WC basketball players and stand-up basketball players.
Detailed description
Basketball is a challenging sport that requires participants to demonstrate physical fitness and special athletic skills at high levels. Players avoid contact while attempting to prevent the opponent from running, passing and shooting. Although basketball includes avoiding contact as a rule, contact between players is inevitable. Various injuries occur in basketball because it is a contact sport and includes sudden movements, such as bouncing, running and turning.
Wheelchair (WC) basketball is characterised by manoeuvres and high-intensity activities such as rolling, rebounding, passing and overhead shooting. In WC basketball players, thoracic kyphosis is increased because of atrophy of the upper back and shoulders muscles resulting from the body posture required for WC propulsion in the sitting position as well as the effect of gravity. This sitting posture is characterised by scapular protraction and internal rotation of the humerus, and it impedes shoulder movements during upper-extremity use. The force balance changes because of humeral internal rotation and scapular protraction, and the internal rotator and adductor muscles become stronger than their antagonists. In basketball, throwing and pushing are used to pass the ball to the target. In throwing, the force of the dominant upper extremity comes into play with the internal rotation of the humerus. In this movement, the humerus is almost horizontal and parallel to the ground.
Increased use of the upper extremities in WC users increases upper-extremity load. For this reason, upper-extremity muscle strength, endurance and explosive power are of great importance. Rotational muscle strength of the shoulder has critical roles in activities specific to basketball as well as WC control in WC basketball players.
Overhead throwing is a movement that involves high speed and repetitive movement that leads to upper-extremity injuries. It is important to develop muscle strength and proprioception to protect against these injuries.
Throwers Ten exercise programme is a programme designed to improve the power, strength and endurance of large muscle groups required for the throwing activity. It consists of exercises involving the movement of upper limb joints in full range of joint motion (ROM) or at specified specific angles, with the help of a resistance band and weights specific to individual athletes. In a study conducted by Wilk et al., it was reported that muscle strength and endurance were improved by increasing muscle activation and facilitation, and achieving dynamic stabilisation by adding isometric contractions to the concentric/eccentric contractions applied in the Throwers Ten exercise programme.
In the literature, no study has demonstrated the effectiveness of Throwers Ten exercise programme in these sports groups. The aim of this study was to evaluate the effectiveness of Throwers Ten exercise programme on upper-extremity function and explosive power in the WC basketball players and stand-up basketball players. In addition, because the WC basketball players and stand-up basketball players were evaluated in this study, our secondary aim was to elucidate the differences in responses to the exercise programme between a group without lower-extremity use and incomplete strength distribution and a group with complete strength distribution.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- 13 players from the North Cyprus wheelchair Basketball Team and 15 players from the Koop Bank Basketball Men's Team voluntarily will participate in the study. Subjects will include to study if they fulfil criteria. J-Tech medical tracker freedom will use for measuring upper extremity muscle power and range of motion. Medicine ball throw test will use for plyometric power. Athletes will involve in 8 weeks Thrower's Ten exercise program. After 8. Weeks and 12. Weeks assessments will be repeated. The exercise programme will conduct 3 days a week, with 2 days a week as a group under the supervision of a physiotherapist in the rehabilitation center and 1 day at the homes of the participants without any supervision. The home programme will be monitored by contacting the players over the telephone. The training is planned to progress every 3 weeks, and progression programme will plan individually according to player progression.
| Arm | Type | Receives |
|---|---|---|
| Wheelchair basketball and ambulant basketball players | Other | Other: The effect of throwers ten exercise programme on wheelchair basketball and ambulant basketball players13 players from the North Cyprus wheelchair Basketball Team and 15 players from the Koop Bank Basketball Men's Team voluntarily will participate in the study. Subjects will include to study if they fulfil criteria. Athletes will involve in 8 weeks Thrower's Ten exercise program. After 8. Weeks and 12. Weeks assessments will be repeated. |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Asymptomatic athletes
- Professional athlete who plays at least 10 years
- Subjects who are voluntary to participate in the study
Key exclusion criteria (3 listed)
- Upper extremity related surgery in past 6 months
- Rotator cuff tears in past 3 months
- Current pain in shoulder and neck
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| The effect of throwers ten exercise programme on wheelchair basketball and ambulant basketball playersThrowers Ten exercise programme is a programme designed to improve the power, strength and endurance of large muscle groups required for the throwing activity. It consists of exercises involving the movement of upper limb joints in full range of joint motion or at specified specific angles, with the help of a resistance band and weights specific to individual athletes. In the literature, no study has demonstrated the effectiveness of Throwers Ten exercise programme in wheelchair basketball and ambulant basketball players. | Other | Wheelchair basketball and ambulant basketball players |
Primary outcome
Measurement of Muscle Strength (Absolute Values Are Being Reported)
Time frame: All measurements will repeat three times at 5-s intervals and the mean value will be taken. Baseline, 8 and 12 Weeks reported.
The strength of shoulder flexion, abduction, external rotation (E.R), internal rotation(İ.R) and elbow flexion will measure as isometric muscle strength in kg by J-Tech Medical/USA Tracker Freedom Isometric Muscle Test.
Medicine Ball Throwing Test (Absolute Values Are Being Reported)
Time frame: All measurements will repeat three times at 5-s intervals and the mean value will be taken. Baseline, 8 and 12 Weeks reported.
In this test, the distance that a 3-kg ball can be thrown will measure to assess upper-extremity explosive strength. The test will conduct in two different positions. In the first test, the participant will seat in a chair of sufficient height without armrests so that the scapula will be in a free position. The ball is then grasp with both hands and throw forward overhead, and the distance will record. In the second test, the participant is in the same starting position and throw the ball forward with two hands after bringing it to the chest level, and the distance will record.
Hand Grip Test (Absolute Value Are Being Reported)
Time frame: All measurements will repeat three times at 5-s intervals and the mean value will be taken. Baseline, 8 and 12 Weeks reported.
Hand-grip strength will measure with a J-Tech Medical/USA Tracker Freedom Grip in kg.
1 secondary outcome
Measurement of Range of Motion (Absolute Values Are Being Reported)
Time frame: All measurements will repeat three times at 5-s intervals and the mean value will be taken. Baseline, 8 and 12 Weeks reported.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Apr 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. IPD data for all primary and secondary measures will be made available.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Volga Bayrakcı Tunay study director
Hacettepe University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing The effect of throwers ten exercise programme on wheelchair basketball and ambulant basketball players in people with Upper Extremity Injury and Sport Injury, run by Hacettepe University at 1 site in Cyprus.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Cyprus. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 12 Feb 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Measurement of Muscle Strength (Absolute Values Are Being Reported) (time frame: All measurements will repeat three times at 5-s intervals and the mean value will be taken. Baseline, 8 and 12 Weeks reported.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Apr 2020.