Sports Physical TherapyNCT04868006
End-range Maitland Mobilization on Glenohumeral Internal Rotation Deficit and Proprioception
A study testing End-range Maitland mobilization + proprioception training and Non end-range Maitland mobilization + proprioception training in people with Sports Physical Therapy, run by University of Pecs at 1 site in Hungary.
Trial summary
Glenohumeral internal rotation deficit (GIRD) is one of the main reasons for glenohumeral pain in athletes with over-head activity. As GIRD increases, the ratio between internal and external rotation changes resulting in decreased joint stability. Read more about this study
- Who is it for?
- Ages 18 to 30 years
- Conditions the study is for
- Sports Physical Therapy
- What is being tested?
- End-range Maitland mobilization + proprioception training and Non end-range Maitland mobilization + proprioception training
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 60 participants
- Where
- 1 siteHungary
- Study dates
- 28 Sep 2021to 10 Oct 2021
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 30 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- National Championship players in I. or II. level
- at least, 10 degree deficit of glenohumeral internal rotation in the dominant shoulder compared to the non-dominant hand
Who cannot join
- previous trauma or surgery on the dominant shoulder
- participation in any kind of treatment during the intervention period
Trial locations and contacts
1 site in 1 country.
Hungary1 site
Harkány Thermal Rehabilitation Centre
Harkány, Please Select, 7815
About this study
Official title: The Effect of End-range Maitland Mobilization on Glenohumeral Internal Rotation Deficit and Proprioception in Volleyball Players
Glenohumeral internal rotation deficit (GIRD) is one of the main reasons for glenohumeral pain in athletes with over-head activity. As GIRD increases, the ratio between internal and external rotation changes resulting in decreased joint stability.
Joint mobilization is a possible option for the decrease of GIRD and contribution to improvement of proprioception in addition to physical therapy. The aim of this trial is to investigate the effect of end-range Maitland mobilization in addition to physical therapy on GIRD, other joint movements and proprioception.
Read the detailed description
Glenohumeral internal rotation deficit (GIRD) is one of the main reasons for glenohumeral pain in athletes with over-head activity. As GIRD increases, the ratio between internal and external rotation changes resulting in decreased joint stability. The occurence of GIRD and decreased joint proprioception may lead to different shoulder pathologies (e.g. Impingement syndrome).
Joint mobilization is a possible option for the decrease of GIRD and contribution to improvement of proprioception in addition to physical therapy. Several joint mobilization techniques exists, which can be applied for stretching of periarticular tissues. Maitland mobilization is a well applied mobilization type. The effectiveness of both end-range and not end-range Maitland mobilization in lengthening of periarticular tissues and improvement of joint proprioception has been previously confirmed amongst several diseases. However, the effect of end-range Maitland mobilization on decrease of GIRD and proprioception in addition to physical therapy has not been investigated in volleyball players so far.
The aim of this trial is to investigate the effect of end-range Maitland mobilization in addition to physical therapy on GIRD, other joint movements and proprioception.
- Conditions
- Sports Physical Therapy
- Being tested
- End-range Maitland mobilization + proprioception training, Non end-range Maitland mobilization + proprioception training, Sham manual therapy technique + proprioception training
- Keywords
- Musculoskeletal Manipulations, Range Of Motion, Articular, Proprioception, Volleyball
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
End-range Maitland mobilization + proprioception trainingProcedure or surgery
End-range Maitland mobilization performed in end position of internal rotation of the shoulder accompanied with 8--week long proprioception training
Non end-range Maitland mobilization + proprioception trainingProcedure or surgery
Non end-range Maitland mobilization performed in loose position of the shoulder accompanied with 8--week long proprioception training
Sham manual therapy technique + proprioception trainingProcedure or surgery
Placebo performed in loose position of the shoulder accompanied with 8--week long proprioception training
| Study group | Role | What they receive |
|---|---|---|
| End-range mobilization + proprioception training | Experimental | End-range Maitland mobilization performed in end-range internal rotation of the shoulder accompanied with 8--week long proprioception training Receives: Procedure: End-range Maitland mobilization + proprioception training |
| Non end-range mobilization+ proprioception training | Active comparator | Non end-range Maitland mobilization performed in loose position of the shoulder accompanied with 8--week long proprioception training Receives: Procedure: Non end-range Maitland mobilization + proprioception training |
| Sham manual therapy technique + proprioception training | Sham comparator | Placebo performed in loose position of the shoulder accompanied with 8--week long proprioception training Receives: Procedure: Sham manual therapy technique + proprioception training |
What is being measured
The primary outcome is the main question the study is designed to answer.
Internal rotation of the dominant glenohumeral joint
Measurement of active internal rotation of the dominant glenohumeral joint with goniometer expressed in degree
Measured: after 8 weeks
Secondary outcomes (10)
Flexion of the dominant glenohumeral joint
Measurement of active flexion of the dominant glenohumeral joint with goniometer expressed in degree
Measured: after 8 weeks
Extension of the dominant glenohumeral joint
Measurement of active extension of the dominant glenohumeral joint with goniometer expressed in degree
Measured: after 8 weeks
Abduction of the dominant glenohumeral joint
Measurement of active abduction of the dominant glenohumeral joint with goniometer expressed in degree
Measured: after 8 weeks
Adduction of the dominant glenohumeral joint
Measurement of active adduction of the dominant glenohumeral joint with goniometer expressed in degree
Measured: after 8 weeks
External rotation of the dominant glenohumeral joint
Measurement of active external rotation of the dominant glenohumeral joint with goniometer expressed in degree
Measured: after 8 weeks
Western Ontario Shoulder Instability Index
Western Ontario Shoulder Instability Index of the dominant shoulder
Measured: after 8 weeks
Posterior Shoulder Endurance Test
Muscle strength test of the dominant shoulder expressed in Newton
Measured: after 8 weeks
Proprioception of the shoulder
Proprioception of the shoulder measured with plurimeter expressed in degree
Measured: after 8 weeks
Davies test
Measurement of proprioception and muscle strength test by the Davies test expressed in amount of success touch
Measured: after 8 weeks
Sportspecific proprioception test
Measurement of the precision of serving expressed in centimeter
Measured: after 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Apr 2021
- Study start28 Sep 2021
- Primary completion10 Oct 2021
- Study completion10 Oct 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Sports Physical TherapyStudies 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
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Pecs
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Miklós Pozsgai, Principal investigator, Harkány Thermal Rehabilitation Centre
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04868006
- Sponsor's protocol ID
- Maitland_GIRD
- Status last verified
- Sep 2022
- First submitted
- 22 Apr 2021
- Last updated
- 8 Sep 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Miura K, Tsuda E, Ishibashi Y. Glenohumeral Rotational Deficit and Suprascapular Neuropathy in the Hitting Shoulder in Male Collegiate Volleyball Players. Prog Rehabil Med. 2019 Jan 12;4:20190002. doi: 10.2490/prm.20190002. eCollection 2019.
PubMed 32789249Wilk KE, Reinold MM, Macrina LC, Porterfield R, Devine KM, Suarez K, Andrews JR. Glenohumeral internal rotation measurements differ depending on stabilization techniques. Sports Health. 2009 Mar;1(2):131-6. doi: 10.1177/1941738108331201.
PubMed 23015864
Study at a glance
From the registry record, last updated by the sponsor on 8 Sep 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of End-range Maitland Mobilization on Glenohumeral Internal Rotation Deficit and Proprioception in Volleyball Players
- ClinicalTrials.gov ID
- NCT04868006
- Acronym / sponsor ID
- Maitland_GIRD
- Conditions
- Sports Physical Therapy
- Keywords
- Musculoskeletal Manipulations, Range Of Motion, Articular, Proprioception, Volleyball
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- University of PecsUniversity, hospital or other
- Study start
- 28 Sep 2021 (actual)
- Primary completion
- 10 Oct 2021 (actual)
- Study completion
- 10 Oct 2021 (actual)
- First posted
- 30 Apr 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Glenohumeral internal rotation deficit (GIRD) is one of the main reasons for glenohumeral pain in athletes with over-head activity. As GIRD increases, the ratio between internal and external rotation changes resulting in decreased joint stability.
Joint mobilization is a possible option for the decrease of GIRD and contribution to improvement of proprioception in addition to physical therapy. The aim of this trial is to investigate the effect of end-range Maitland mobilization in addition to physical therapy on GIRD, other joint movements and proprioception.
Detailed description
Glenohumeral internal rotation deficit (GIRD) is one of the main reasons for glenohumeral pain in athletes with over-head activity. As GIRD increases, the ratio between internal and external rotation changes resulting in decreased joint stability. The occurence of GIRD and decreased joint proprioception may lead to different shoulder pathologies (e.g. Impingement syndrome).
Joint mobilization is a possible option for the decrease of GIRD and contribution to improvement of proprioception in addition to physical therapy. Several joint mobilization techniques exists, which can be applied for stretching of periarticular tissues. Maitland mobilization is a well applied mobilization type. The effectiveness of both end-range and not end-range Maitland mobilization in lengthening of periarticular tissues and improvement of joint proprioception has been previously confirmed amongst several diseases. However, the effect of end-range Maitland mobilization on decrease of GIRD and proprioception in addition to physical therapy has not been investigated in volleyball players so far.
The aim of this trial is to investigate the effect of end-range Maitland mobilization in addition to physical therapy on GIRD, other joint movements and proprioception.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| End-range mobilization + proprioception training | Experimental | Procedure: End-range Maitland mobilization + proprioception trainingEnd-range Maitland mobilization performed in end-range internal rotation of the shoulder accompanied with 8--week long proprioception training |
| Non end-range mobilization+ proprioception training | Active comparator | Procedure: Non end-range Maitland mobilization + proprioception trainingNon end-range Maitland mobilization performed in loose position of the shoulder accompanied with 8--week long proprioception training |
| Sham manual therapy technique + proprioception training | Sham comparator | Procedure: Sham manual therapy technique + proprioception trainingPlacebo performed in loose position of the shoulder accompanied with 8--week long proprioception training |
Who may qualify
- Ages
- 18 to 30 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- National Championship players in I. or II. level
- at least, 10 degree deficit of glenohumeral internal rotation in the dominant shoulder compared to the non-dominant hand
Key exclusion criteria (2 listed)
- previous trauma or surgery on the dominant shoulder
- participation in any kind of treatment during the intervention period
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 |
|---|---|---|
| End-range Maitland mobilization + proprioception trainingEnd-range Maitland mobilization performed in end position of internal rotation of the shoulder accompanied with 8--week long proprioception training | Procedure or surgery | End-range mobilization + proprioception training |
| Non end-range Maitland mobilization + proprioception trainingNon end-range Maitland mobilization performed in loose position of the shoulder accompanied with 8--week long proprioception training | Procedure or surgery | Non end-range mobilization+ proprioception training |
| Sham manual therapy technique + proprioception trainingPlacebo performed in loose position of the shoulder accompanied with 8--week long proprioception training | Procedure or surgery | Sham manual therapy technique + proprioception training |
Primary outcome
Internal rotation of the dominant glenohumeral joint
Time frame: after 8 weeks
Measurement of active internal rotation of the dominant glenohumeral joint with goniometer expressed in degree
10 secondary outcomes
Flexion of the dominant glenohumeral joint
Time frame: after 8 weeks
Extension of the dominant glenohumeral joint
Time frame: after 8 weeks
Abduction of the dominant glenohumeral joint
Time frame: after 8 weeks
Adduction of the dominant glenohumeral joint
Time frame: after 8 weeks
External rotation of the dominant glenohumeral joint
Time frame: after 8 weeks
Western Ontario Shoulder Instability Index
Time frame: after 8 weeks
Posterior Shoulder Endurance Test
Time frame: after 8 weeks
Proprioception of the shoulder
Time frame: after 8 weeks
Davies test
Time frame: after 8 weeks
Sportspecific proprioception test
Time frame: after 8 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Sep 2022.
- Results publication: PubMed 32789249Miura K, Tsuda E, Ishibashi Y. Glenohumeral Rotational Deficit and Suprascapular Neuropathy in the Hitting Shoulder in Male Collegiate Volleyball Players. Prog Rehabil Med. 2019 Jan 12;4:20190002. doi: 10.2490/prm.20190002. eCollection 2019.
- Results publication: PubMed 23015864Wilk KE, Reinold MM, Macrina LC, Porterfield R, Devine KM, Suarez K, Andrews JR. Glenohumeral internal rotation measurements differ depending on stabilization techniques. Sports Health. 2009 Mar;1(2):131-6. doi: 10.1177/1941738108331201.
- Individual participant dataSharing planned: No
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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.
Miklós Pozsgai principal investigator
Harkány Thermal Rehabilitation Centre
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing End-range Maitland mobilization + proprioception training and Non end-range Maitland mobilization + proprioception training in people with Sports Physical Therapy, run by University of Pecs at 1 site in Hungary.
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 2 inclusion and 2 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 Sep 2022. 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 Hungary. 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. Some participants in this study may receive a placebo. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Internal rotation of the dominant glenohumeral joint (time frame: after 8 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04868006, which also lists 2 linked publications.
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 Sep 2022.