Overhead Throwing AthletesNCT05707026
Cross Fiber Fascial Manipulation and Stretching Techniques in Overhead Throwing Athletes
A study testing cross fiber fascial manipulation and stretching techniques(sleeper stretch and cross body adduction stretch) in people with Overhead Throwing Athletes and Tennis Players, Bowlers, Volleyball Players, run by Riphah International University at 1 site in Pakistan.
Trial summary
Athletic training and sports participation is to enhance athletic performance. Performance is however multifactorial i.e., depending upon several parameters including warm-up practice, training regimes and other interventions. Read more about this study
- Who is it for?
- Ages 18 to 40 years
- Conditions the study is for
- Overhead Throwing Athletes, Tennis Players, Bowlers, Volleyball Players
- What is being tested?
- cross fiber fascial manipulation and stretching techniques(sleeper stretch and cross body adduction stretch)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 sitePakistan
- Study dates
- 1 Feb 2022to 1 Feb 2023
- 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 40 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Active male and female athletes were included.
- Age group was (18-40) .
- Overhead throwing athletes(tennis, volleyball, bowlers) were included in this study)
- Screening tests were taken to identify subjects with GIRD. GIRD was defined as more than 20o decrease in IR at 90o abduction in the dominant side compared to non-dominant side .
- Subjects who rated shoulder pain 5 or more in NPRS/symptomatic with GIRD were recruited
Who cannot join
- Any deformity
- Any radiculopathy
- Shoulder traumatic injuries( dislocation, subluxation, fracture)
- Systemic illness
- Subacromial impingement signs
Trial locations and contacts
1 site in 1 country.
Pakistan1 site, 1 recruiting
- Recruiting
Pakistan Sports Board
Lahore, Punjab Province, 5433
Aqsa Nawaz, MS SPORTS PT, 03083907800, aqsanawaz809@gmail.com
About this study
Official title: Comparative Effects of Cross Fiber Fascial Manipulation and Stretching Techniques on Glenohumeral Internal Rotation Deficit in Overhead Throwing Athletes
Athletic training and sports participation is to enhance athletic performance. Performance is however multifactorial i.e., depending upon several parameters including warm-up practice, training regimes and other interventions. Stretching techniques that focus on increasing posterior shoulder soft tissue flexibility are commonly incorporated into prevention and treatment programs for the overhead athletes. GIRD is usually managed by stretching and soft tissue release of posterior shoulder capsule. Fascial manipulation is a manual therapy technique used in the management of musculoskeletal disorders. This study aims to evaluate the comparative effects of cross fiber fascial manipulation with stretching techniques in overhead throwing athletes
Read the detailed description
This was a randomized clinical trial that was conducted at Pakistan sports board and Coaching center, Lahore. Non probability convenient sampling technique was used to collect the data as per inclusion criteria. 40 Participants of this study were randomly allocated into 2 Groups. 20 participants in each group. The group A received three sessions of fascial manipulation for two weeks. Group B received three sessions of sleeper stretch in a side lying position in 90o abduction, elbow at 90o flexion and then performed shoulder IR and cross-body adduction stretch in sitting position. Three sets of the each stretch positions were held for 30 seconds with a 1 minute break between sets. A universal goniometer was used to measure internal rotation, external rotation, horizontal abduction, ROWE score to assess function, pain, stability and motion, Numeric pain rating scale (NPRS) was used to assess pain. The data was analyzed via SPSS version 22.
- Being tested
- cross fiber fascial manipulation, stretching techniques(sleeper stretch and cross body adduction stretch)
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
cross fiber fascial manipulationOther
The group A received three sessions of fascial manipulation in two weeks. FM applied for 5 to 8 minutes at each point.
stretching techniques(sleeper stretch and cross body adduction stretch)Other
Group B received three sessions of sleeper and cross body adduction stretches. Group B received three sessions of sleeper stretch in a side lying position in 90o abduction, elbow at 90o flexion and then performing shoulder IR and cross-body adduction stretch was done in sitting position. Three sets of the each stretch position were held for 30 seconds with a 1 minute break between sets.
| Study group | Role | What they receive |
|---|---|---|
| cross fiber fascial manipulation | Experimental | The group A received three sessions of fascial manipulation in two weeks. FM applied to densified Centre of Coordination (CC) points located on the myofascial sequences for 5 to 8 minutes at each CC point Receives: Other: cross fiber fascial manipulation |
| stretching techniques | Experimental | Group B received three sessions of sleeper and cross body adduction stretches. Group B received three sessions of sleeper stretch in a side lying position in 90o abduction, elbow at 90o flexion and then performing shoulder IR and cross-body adduction stretch was done in sitting position. Three sets of the each stretch position were held for 30 seconds with a 1 minute break between sets Receives: Other: stretching techniques(sleeper stretch and cross body adduction stretch) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Goniometer
A universal goniometer was used to assess internal rotation, external rotation and horizontal adduction
Measured: 2 weeks
numeric pain rating scale
NPRS for pain assessment in overhead athletes reporting pain with GIRD, it is a subjective measure in which individual rate their pain on an 11-point numerical scale. The scale is composed of 0 (no pain at all) to 10( worst pain
Measured: 2 weeks
ROWE score composite
ROWE score for shoulder functional assessment(50), stability(30), pain(10) and motion(10). Total score is 100 thus 90-100=excellent ,70-89=good , 40-69=fair , less than 40 points=poor
Measured: 2 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Jan 2023
- Study start1 Feb 2022
- Primary completion1 Feb 2023 (estimated)
- Study completion1 Feb 2023 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Overhead Throwing AthletesStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- aqsa nawaz, MS SPORTS pt, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05707026
- Sponsor's protocol ID
- REC/RCR&AHS/22/0408
- Status last verified
- Jan 2023
- First submitted
- 22 Jan 2023
- Last updated
- 31 Jan 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 31 Jan 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Cross Fiber Fascial Manipulation and Stretching Techniques on Glenohumeral Internal Rotation Deficit in Overhead Throwing Athletes
- ClinicalTrials.gov ID
- NCT05707026
- Acronym / sponsor ID
- REC/RCR&AHS/22/0408
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 1 Feb 2022 (actual)
- Primary completion
- 1 Feb 2023 (estimated)
- Study completion
- 1 Feb 2023 (estimated)
- First posted
- 31 Jan 2023 (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.
Athletic training and sports participation is to enhance athletic performance. Performance is however multifactorial i.e., depending upon several parameters including warm-up practice, training regimes and other interventions. Stretching techniques that focus on increasing posterior shoulder soft tissue flexibility are commonly incorporated into prevention and treatment programs for the overhead athletes. GIRD is usually managed by stretching and soft tissue release of posterior shoulder capsule. Fascial manipulation is a manual therapy technique used in the management of musculoskeletal disorders. This study aims to evaluate the comparative effects of cross fiber fascial manipulation with stretching techniques in overhead throwing athletes
Detailed description
This was a randomized clinical trial that was conducted at Pakistan sports board and Coaching center, Lahore. Non probability convenient sampling technique was used to collect the data as per inclusion criteria. 40 Participants of this study were randomly allocated into 2 Groups. 20 participants in each group. The group A received three sessions of fascial manipulation for two weeks. Group B received three sessions of sleeper stretch in a side lying position in 90o abduction, elbow at 90o flexion and then performed shoulder IR and cross-body adduction stretch in sitting position. Three sets of the each stretch positions were held for 30 seconds with a 1 minute break between sets. A universal goniometer was used to measure internal rotation, external rotation, horizontal abduction, ROWE score to assess function, pain, stability and motion, Numeric pain rating scale (NPRS) was used to assess pain. The data was analyzed via SPSS version 22.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| cross fiber fascial manipulation | Experimental | Other: cross fiber fascial manipulationThe group A received three sessions of fascial manipulation in two weeks. FM applied to densified Centre of Coordination (CC) points located on the myofascial sequences for 5 to 8 minutes at each CC point |
| stretching techniques | Experimental | Other: stretching techniques(sleeper stretch and cross body adduction stretch)Group B received three sessions of sleeper and cross body adduction stretches. Group B received three sessions of sleeper stretch in a side lying position in 90o abduction, elbow at 90o flexion and then performing shoulder IR and cross-body adduction stretch was done in sitting position. Three sets of the each stretch position were held for 30 seconds with a 1 minute break between sets |
Who may qualify
- Ages
- 18 to 40 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Active male and female athletes were included.
Key exclusion criteria (5 listed)
- Any deformity
- Any radiculopathy
- Shoulder traumatic injuries( dislocation, subluxation, fracture)
- Systemic illness
- Subacromial impingement signs
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 |
|---|---|---|
| cross fiber fascial manipulationThe group A received three sessions of fascial manipulation in two weeks. FM applied for 5 to 8 minutes at each point. | Other | cross fiber fascial manipulation |
| stretching techniques(sleeper stretch and cross body adduction stretch)Group B received three sessions of sleeper and cross body adduction stretches. Group B received three sessions of sleeper stretch in a side lying position in 90o abduction, elbow at 90o flexion and then performing shoulder IR and cross-body adduction stretch was done in sitting position. Three sets of the each stretch position were held for 30 seconds with a 1 minute break between sets. | Other | stretching techniques |
Primary outcome
Goniometer
Time frame: 2 weeks
A universal goniometer was used to assess internal rotation, external rotation and horizontal adduction
numeric pain rating scale
Time frame: 2 weeks
NPRS for pain assessment in overhead athletes reporting pain with GIRD, it is a subjective measure in which individual rate their pain on an 11-point numerical scale. The scale is composed of 0 (no pain at all) to 10( worst pain
ROWE score composite
Time frame: 2 weeks
ROWE score for shoulder functional assessment(50), stability(30), pain(10) and motion(10). Total score is 100 thus 90-100=excellent ,70-89=good , 40-69=fair , less than 40 points=poor
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Jan 2023.
- Individual participant dataSharing planned: No
Related trials for Overhead Throwing Athletes
Not yet recruitingObservational study
Cross-Cultural Adaptation, Validity, and Reliability of the Functional Arm Scale for Throwers (FAST) in Throwing Athletes
Shoulder Injuries and Disorders, Elbow Injuries and Disorders
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.
aqsa nawaz, MS SPORTS pt principal investigator
Riphah International 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 cross fiber fascial manipulation and stretching techniques(sleeper stretch and cross body adduction stretch) in people with Overhead Throwing Athletes and Tennis Players, Bowlers, Volleyball Players, run by Riphah International University at 1 site in Pakistan.
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 5 inclusion and 5 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: status not confirmed, as of the sponsor's last update on 31 Jan 2023. 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 Pakistan. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Aqsa Nawaz, MS (03083907800, aqsanawaz809@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Goniometer (time frame: 2 weeks). 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 31 Jan 2023.