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Sports Physical Therapy(PIR)(PFS)NCT06479538

Effects of Post Isometric Relaxation and Post Facilitation Stretching on Young Fast Bowlers

A study testing Post isometric relaxation and Post facilitation stretching in people with Sports Physical Therapy, run by Riphah International University at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The quadratus lumborum muscle exhibited the highest degree of asymmetry in fast bowlers with low back pain, the identification and correction of this asymmetry is always of interest. Read more about this study

Who is it for?
Ages 15 to 19 yearsHealthy volunteers can take part
Conditions the study is for
Sports Physical Therapy
What is being tested?
Post isometric relaxation and Post facilitation stretching
Could I receive a placebo?
No, everyone receives an active treatment
How many people
34 participants
Where
1 sitePakistan
Study dates
23 Nov 2023to 30 May 2024
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 15 to 19 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Age15-19years
  • both male and female fast bowlers
  • passive pelvic transverse gliding test for Quadratus lumborum tightness +ve
  • Low back pain > 6 weeks
  • Training sessions of at least 3 days/week

Who cannot join

  • Congenital causes (Spina bifida, Scoliosis, Spondylosis, Spondylolisthesis)
  • Traumatic cause
  • Prolapsed intervertebral disc
  • fracture of vertebral column
  • Inflammatory cause
  • Ankylosing spondylosis
Show all 13Show fewer
  • Pott's spine
  • Neoplastic cause
  • Benign
  • Malignant
  • Radiculopathy
  • Any spinal surgery
  • Gynecological cause

Trial locations and contacts

1 site in 1 country.

Pakistan1 site

  • Pakistan Sports Board

    Lahore, Punajb, 5400

Other trials in Pakistan

About this study

Official title: Comparative Effects of Post Isometric Relaxation and Post Facilitation Stretching on Pain, Rom and Functional Disability Among Young Fast Bowlers With Quadratus Lumborum Tightness

The quadratus lumborum muscle exhibited the highest degree of asymmetry in fast bowlers with low back pain, the identification and correction of this asymmetry is always of interest. Fast bowlers in cricket are more likely to experience non-contact LBP if they use improper technique, prepare less physically, ball too hard, or take on an excessive workload. The quadratus lumborum muscle exhibited the highest degree of asymmetry in fast bowlers with low back pain due to extreme side flexion at non-dominant side and hence results in QL tightness at that side.

The study design will be a Randomized Controlled Trial. This study will be conducted in Pakistan Sports Board (PSB) Lahore. The study will be completed within the time duration of eight to ten months after the approval of the synopsis. The sample size will be 34 subjects. Non-probability convenient sampling technique will be used to recruit the individuals for the study. Then randomization will be done by lottery method to divide the individuals into 2 treatment groups. The experimental group A will be given Post isometric relaxation for 20 minutes for 4 weeks (four times per week) on the other hand experimental group B will receive Post facilitation stretching and after that measure their pre-post values on SPSS. Pain will be measured with VAS, range of motion with inclinometer and functional disability with athlete's disability index questionnaire. In this study, it will be aimed to examine the comparative effects of both techniques that affect pain, range of motion and functional disability with quadratus lumborum tightness in young fast bowlers.

Read the detailed description

The main objective of this study is to apply post isometric relaxation and post facilitation stretching techniques and to compare the results to identify their influence on pain, range of motion and functional disability on quadratus lumborum tightness in young fast bowlers.

Being tested
Post isometric relaxation, Post facilitation stretching
Keywords
Back pain, muscle energy technique, Quadratus lumborum, visual analogue pain scale, disability
Medical subject headings
Back Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Post isometric relaxationOther

    17 participants will be in experimental group A giving them Post isometric relaxation of Quadratus lumborum for four weeks, measuring all values before giving them protocol and after protocol.

  • Post facilitation stretchingOther

    17 participants will be in experimental group A giving them Post facilitation stretching of Quadratus lumborum for four weeks, measuring all values before giving them protocol and after protocol.

Study groups in NCT06479538
Study groupRoleWhat they receive
Group AExperimental17 participants will be in experimental group A giving them Post isometric relaxation of Quadratus lumborum for four weeks, measuring all values before giving them protocol and after protocol.
Receives: Other: Post isometric relaxation
Group BExperimental17 participants will be in experimental group B giving them Post facilitation stretching of Quadratus lumborum for four weeks, measuring all values before giving them protocol and after protocol.
Receives: Other: Post facilitation stretching

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Visual Analogue Scale

    Participants are asked to rate their low back pain from 0 to 10. It is a psychometric response scale that is used in Questionnaires. It is used to measure the perceived Pain intensity. The numbers are given from a range of 0-10 classifying as mild, moderate and severe pain. (21)

    Measured: 4 weeks

  2. Inclinometer

    Range of motion of trunk lateral flexion is measured by inclinometer. An instrument used to measure an object's angles of elevation/depression and slope/tilt with regard to gravity is called an inclinometer, also known as a clinometer. The resultant measurement is expressed as a percentage with respect to a level zero plane or as an angular measurement (degrees, minutes, seconds, etc.) (22)

    Measured: 4 weeks

  3. Athletes Disability Index Questionnaire

    The ADI is a self-administered questionnaire designed to evaluate athletes' disabilities related to low back pain. In addition to limitations in activities of daily life, the ADI also covers functional disabilities in sports and exercise. The 12 questions in the ADI cover a variety of topics, including the degree of pain, stretching, strengthening, and weight training exercises, technical skills specific to a sport, rotational back movements and direction changes, fear of pain or (re)injury, sitting, walking, recreational activities, sexual activity, sleep, and self-care (23)

    Measured: 4 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jun 2024
  2. Study start23 Nov 2023
  3. Primary completion30 Apr 2024
  4. Study completion30 May 2024

Resources

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
Participant
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06479538
Sponsor's protocol ID
REC/RCR & AHS/23/0489 AMAMA
Acronym
(PIR)(PFS)
Status last verified
Jul 2024
First submitted
24 Jun 2024
Last updated
16 Jul 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Jairakdee Y, Chansirinukor W, Sitti T. Effect of releasing quadratus lumborum muscle on hip and knee muscle length in asymptomatic individuals. J Bodyw Mov Ther. 2021 Apr;26:542-547. doi: 10.1016/j.jbmt.2020.11.008. Epub 2020 Nov 7.

    PubMed 33992295

  • Ranson C, Burnett A, O'Sullivan P, Batt M, Kerslake R. The lumbar paraspinal muscle morphometry of fast bowlers in cricket. Clin J Sport Med. 2008 Jan;18(1):31-7. doi: 10.1097/JSM.0b013e3181618aa2.

    PubMed 18185036

  • Hides J, Stanton W, Freke M, Wilson S, McMahon S, Richardson C. MRI study of the size, symmetry and function of the trunk muscles among elite cricketers with and without low back pain. Br J Sports Med. 2008 Oct;42(10):809-13. doi: 10.1136/bjsm.2007.044024. Epub 2007 Dec 7.

    PubMed 18065440

  • Senington B, Lee RY, Williams JM. Biomechanical risk factors of lower back pain in cricket fast bowlers using inertial measurement units: a prospective and retrospective investigation. BMJ Open Sport Exerc Med. 2020 Aug 13;6(1):e000818. doi: 10.1136/bmjsem-2020-000818. eCollection 2020.

    PubMed 32843992

  • Kountouris A, Portus M, Cook J. Cricket fast bowlers without low back pain have larger quadratus lumborum asymmetry than injured bowlers. Clin J Sport Med. 2013 Jul;23(4):300-4. doi: 10.1097/JSM.0b013e318280ac88.

    PubMed 23377354

  • Forrest MRL, Hebert JJ, Scott BR, Dempsey AR. Exercise-based injury prevention for community-level adolescent cricket pace bowlers: A cluster-randomised controlled trial. J Sci Med Sport. 2020 May;23(5):475-480. doi: 10.1016/j.jsams.2019.12.009. Epub 2019 Dec 17.

    PubMed 31874733

  • Eftekharsadat B, Fasaie N, Golalizadeh D, Babaei-Ghazani A, Jahanjou F, Eslampoor Y, Dolatkhah N. Comparison of efficacy of corticosteroid injection versus extracorporeal shock wave therapy on inferior trigger points in the quadratus lumborum muscle: a randomized clinical trial. BMC Musculoskelet Disord. 2020 Oct 19;21(1):695. doi: 10.1186/s12891-020-03714-3.

    PubMed 33076888

  • Fraeulin L, Holzgreve F, Brinkbaumer M, Dziuba A, Friebe D, Klemz S, Schmitt M, Theis A AL, Tenberg S, van Mark A, Maurer-Grubinger C, Ohlendorf D. Intra- and inter-rater reliability of joint range of motion tests using tape measure, digital inclinometer and inertial motion capturing. PLoS One. 2020 Dec 10;15(12):e0243646. doi: 10.1371/journal.pone.0243646. eCollection 2020.

    PubMed 33301541

  • Noormohammadpour P, Hosseini Khezri A, Farahbakhsh F, Mansournia MA, Smuck M, Kordi R. Reliability and Validity of Athletes Disability Index Questionnaire. Clin J Sport Med. 2018 Mar;28(2):159-167. doi: 10.1097/JSM.0000000000000414.

    PubMed 28107217

Questions about this trial

What is this clinical trial studying?

A study testing Post isometric relaxation and Post facilitation stretching in people with Sports Physical Therapy, 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 13 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 16 Jul 2024. 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?

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?

Visual Analogue Scale (time frame: 4 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?

On the ClinicalTrials.gov record for NCT06479538, which also lists 9 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 16 Jul 2024.

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