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Plyometric ExerciseNCT06536777

Effects of Ballistic Six Exercises With and Without Blood Flow Restriction in Cricket Players

A study testing Plyometric Exercises and Blood Flow Restriction Training in people with Plyometric Exercise and Blood Flow Restriction Training, run by Riphah International University at 1 site in Pakistan.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Cricket is not only a widely played team sport, but it also involves intricate skills that are honed over time, especially in bowling. One of the key concerns for bowlers is the risk of developing shoulder injuries due to imbalances between the agonist and antagonist muscle groups. Read more about this study

Who is it for?
Ages 18 to 25 years, men onlyHealthy volunteers can take part
What is being tested?
Plyometric Exercises and Blood Flow Restriction Training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
32 participants
Where
1 sitePakistan
Study dates
25 Jun 2024to 25 Sep 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 18 to 25 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male players
  • Age 18-25 years
  • Active recreational players
  • Minimum score on Kerlan-Jobe Orthopedic Clinic (KJOC) Shoulder and Elbow Score questionnaire should be above 60.
  • In Closed kinetic chain upper extremity stability test rest interval should be from 40-45 seconds.
  • Athletes playing cricket with minimum 1 year experience

Who cannot join

  • Players not actively involved in training and competition
  • History of systemic disease
  • Prior surgery history
  • Ligamentous and GHJ injury
  • Bone deformity
  • Fractures of upper limb
  • Vestibular and visual disorder
  • Pre-existing shoulder pathologies or injuries

Trial locations and contacts

1 site in 1 country.

Muhammad Atif Javed, PP-DPT contact

+923317491071

atif.javed@riphah.edu.pk

Pakistan1 site, 1 recruiting
  • Dring Stadium

    Bahawalpur, Punjab Province, 63100

    Fawad Alam, +923005252538

    Mahnoor Majid, DPT

    Recruiting

Other trials in Pakistan

About this study

Official title: Effects of Ballistic Six Exercises With and Without Blood Flow Restriction on Agility, Strength and Functional Ability in Cricket Players

Cricket is not only a widely played team sport, but it also involves intricate skills that are honed over time, especially in bowling. One of the key concerns for bowlers is the risk of developing shoulder injuries due to imbalances between the agonist and antagonist muscle groups. To address this, the Ballistic Six program focuses on functional exercises that replicate the movements and forces involved in the overhead throwing motion, helping to enhance strength, power, proprioception, kinesthesia, and endurance in the rotator cuff muscles. By incorporating plyometric training in a ballistic, high-velocity manner, the program aims to take advantage of the stretch reflex and reduce the amortization phase of the stretch shortening cycle. Additionally, blood flow restriction (BFR) training has shown promising results in promoting muscle growth and strength. By applying a tourniquet to the arm during intra-set rests, BFR induces muscle hypoxia while restricting venous return, leading to increased lean mass, isometric strength, and muscular endurance in the shoulder and arm. These training methods can contribute to the overall performance and injury prevention of medium pace cricket bowlers.

Read the detailed description

In addition to being a popular team activity, cricket requires complex abilities that are developed through time, particularly in bowling. The possibility of shoulder injuries resulting from imbalances between the agonist and antagonist muscle groups is one of the main worries for bowlers. The Ballistic Six program aims to improve the rotator cuff muscles' strength, power, proprioception, kinesthesia, and endurance by using functional exercises that mimic the motions and pressures involved in the overhead throwing action. The program's goal is to minimize the stretch shortening cycle's amortization phase and maximize the stretch reflex by combining plyometric training in a ballistic, high-velocity way. Furthermore, training with blood flow restriction (BFR) has demonstrated encouraging outcomes in enhancing muscle mass and power. Lean mass, isometric strength, and muscular endurance in the shoulder and arm are enhanced by BFR, which produces muscle hypoxia while limiting venous return by placing a tourniquet to the arm during intra-set rests. Medium-pace cricket bowlers can benefit from these training techniques in terms of both overall performance and injury prevention.

To maintain fairness in this Randomized Controlled Trial, volunteers will be chosen at random. The 18-25-year-old cricket players will be split into two groups: an experimental group and a control group. Ballistic Six upper extremity plyometric training will be administered to the control group, while Ballistic Six training combined with blood flow restriction treatment will be administered to the experimental group. The course of therapy will last for eight weeks, with monthly progress reports. There will be three weekly recovery sessions, each lasting 20 to 30 minutes. Tests such as the Kerlan Jobe Orthopedic Clinic (KJOC) Shoulder and Elbow Score, the Closed Kinetic Chain Upper Extremity Stability Test, and the Seated Medicine Ball Throw Test will be used to assess patients both at the start and finish of their therapy.

Being tested
Plyometric Exercises, Blood Flow Restriction Training
Keywords
Plyometric training, Blood flow restriction

What participants receive

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

  • Plyometric ExercisesOther

    This include Plyometric Training for 8 weeks

  • Blood Flow Restriction TrainingOther

    This include Blood Flow Restriction Training for 8 weeks

Study groups in NCT06536777
Study groupRoleWhat they receive
Plyometric TrainingActive comparatorBallistic six exercises (Elastic ER, Elastic 90/90 ER, Overhead throw, 90/90 flexion ER Decel Throw, 90/90 Abduction ER Decel Throw, Internal Rotation). Ballistic Six plyometric training, done 2 days a week for 8 weeks, was given to the bowlers for rotator cuff muscles of their dominant shoulders. Exercises were performed using 3 sets of 10-20 repetitions, with 30 s of rest between each set. The progression of the training protocol. The equipment utilized in the Ballistic Six exercises included medicine balls (2-lb for single arm exercises and 6-lb for the 2-handed exercises). Subjects continued their strength and conditioning activities in off-season along with the Ballistic Six exercises. Following 8 weeks of training, post-readings for the bowling velocity, identical to that described in the pretesting protocol, were obtained and documented.
Receives: Other: Plyometric Exercises
Plyometric Training with Blood Flow Resistance TrainingExperimentalExperiment group received Ballistic six exercises with Blood Flow Restriction (BFR) training. Regularly monitor and supervise the training sessions. BFR training is a method that mimics the effects of high intensity training by combining low intensity exercise with blood flow obstruction. A pneumatic cuff, often known as a tourniquet, is applied proximally to the muscle that is being trained. It can be used on the lower or upper extremity. The next step is to inflate the cuff to a certain pressure in order to achieve both total and partial venous blockage. The patient is then instructed to conduct resistance exercises with high repetitions (15-30) and short rest periods (30 sec) at a low intensity of 20-30% of 1 repetition maximum (1RM).
Receives: Other: Plyometric Exercises; Other: Blood Flow Restriction Training

What is being measured

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

  1. Agility

    Will be measured by Closed Kinetic Chain Upper Extremity Stability (CKCUES) Test

    Measured: 0 week, 8 week

  2. Strength

    Will be measured by Seated medicine ball throw test

    Measured: 0 week, 8 week

  3. Functional Ability

    Will be measured by Kerlan-Jobe Orthopaedic Clinic (KJOC) Shoulder and Elbow Score

    Measured: 0 week, 8 week

Timeline

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

  1. First posted5 Aug 2024
  2. Study start25 Jun 2024
  3. Primary completion25 Sep 2024 (estimated)
  4. Study completion25 Sep 2024 (estimated)

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized Clinical Trial
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
32 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06536777
Sponsor's protocol ID
REC/RCR & AHS/23/0468
Status last verified
Jul 2024
First submitted
31 Jul 2024
Last updated
5 Aug 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ali K, Gupta S, Hussain ME, Alzhrani M, Manzar MD, Khan M, Alghadir AH. Effect of plyometric versus complex training on core strength, lower limb, and upper limb power in male cricketers: a randomized controlled trial. BMC Sports Sci Med Rehabil. 2023 Nov 27;15(1):160. doi: 10.1186/s13102-023-00771-8.

    PubMed 38008712
  • Singla D, Hussain ME. Adaptations of the Upper Body to Plyometric Training in Cricket Players of Different Age Groups. J Sport Rehabil. 2019 Oct 18;29(6):697-706. doi: 10.1123/jsr.2018-0469. Print 2020 Aug 1.

    PubMed 31141445
  • Maker R, Taliep MS. The effects of a four weeks combined resistance training programme on cricket bowling velocity. S Afr J Sports Med. 2021 Jun 10;33(1):v33i1a9002. doi: 10.17159/2078-516X/2021/v33i1a9002. eCollection 2021.

    PubMed 36816886
  • Grgic J, Schoenfeld BJ, Mikulic P. Effects of plyometric vs. resistance training on skeletal muscle hypertrophy: A review. J Sport Health Sci. 2021 Sep;10(5):530-536. doi: 10.1016/j.jshs.2020.06.010. Epub 2020 Jun 21.

    PubMed 32579911
  • Ramirez-Campillo R, Garcia-Hermoso A, Moran J, Chaabene H, Negra Y, Scanlan AT. The effects of plyometric jump training on physical fitness attributes in basketball players: A meta-analysis. J Sport Health Sci. 2022 Nov;11(6):656-670. doi: 10.1016/j.jshs.2020.12.005. Epub 2020 Dec 24.

    PubMed 33359798
  • Erickson LN, Lucas KCH, Davis KA, Jacobs CA, Thompson KL, Hardy PA, Andersen AH, Fry CS, Noehren BW. Effect of Blood Flow Restriction Training on Quadriceps Muscle Strength, Morphology, Physiology, and Knee Biomechanics Before and After Anterior Cruciate Ligament Reconstruction: Protocol for a Randomized Clinical Trial. Phys Ther. 2019 Aug 1;99(8):1010-1019. doi: 10.1093/ptj/pzz062.

    PubMed 30951598
  • Pignanelli C, Christiansen D, Burr JF. Blood flow restriction training and the high-performance athlete: science to application. J Appl Physiol (1985). 2021 Apr 1;130(4):1163-1170. doi: 10.1152/japplphysiol.00982.2020. Epub 2021 Feb 18.

    PubMed 33600282
  • Wortman RJ, Brown SM, Savage-Elliott I, Finley ZJ, Mulcahey MK. Blood Flow Restriction Training for Athletes: A Systematic Review. Am J Sports Med. 2021 Jun;49(7):1938-1944. doi: 10.1177/0363546520964454. Epub 2020 Nov 16.

    PubMed 33196300
  • Hwang PS, Willoughby DS. Mechanisms Behind Blood Flow-Restricted Training and its Effect Toward Muscle Growth. J Strength Cond Res. 2019 Jul;33 Suppl 1:S167-S179. doi: 10.1519/JSC.0000000000002384.

    PubMed 30011262
  • Lambert B, Hedt C, Daum J, Taft C, Chaliki K, Epner E, McCulloch P. Blood Flow Restriction Training for the Shoulder: A Case for Proximal Benefit. Am J Sports Med. 2021 Aug;49(10):2716-2728. doi: 10.1177/03635465211017524. Epub 2021 Jun 10.

    PubMed 34110960

Questions about this trial

What is this clinical trial studying?

A study testing Plyometric Exercises and Blood Flow Restriction Training in people with Plyometric Exercise and Blood Flow Restriction Training, 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 6 inclusion and 8 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 5 Aug 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Muhammad Atif Javed, PP-DPT (+923317491071, atif.javed@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Agility (time frame: 0 week, 8 week). 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 NCT06536777, which also lists 10 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 5 Aug 2024.

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