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The study is randomized and single-blinded. Ethical approval is taken from ethical committee of Riphah International University, Lahore. Participants who meet the inclusion criteria will be enrolled and allocated in group A & B through sealed envelope method by Non-probability Convenient random sampling technique. Subjects in Group A will receive sleeper stretch in a side lying position. Group B will receive cross-body stretch will be done in sitting position
The objective of the study is to determine the comparison of sleeper stretch and cross body stretch on pain, range of motion and functional performance in cricket bowlers with GIRD. The study is randomized and single-blinded. Ethical approval is taken from ethical committee of Riphah International University, Lahore. Participants who meet the inclusion criteria will be enrolled and allocated in group A & B through sealed envelope method by Non-probability Convenient random sampling technique. Subjects in Group A will receive sleeper stretch in a side lying position. Group B will receive cross-body stretch will be done in sitting position. A universal goniometer, Upper limb functional index (UEFI) scale and Numeric pain rating scale (NPRS) will be used at the baseline and after the completion of treatment at 6 weeks.
The data will be analyzed by SPSS, version 25. Statistical significance is P=0.05.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sleeper Stretch | Other | Sleeper stretch in a side lying position in 90o abduction, elbow at 90o flexion and then performing shoulder IR for three sets with three repetitions. |
|
| Cross Body Stretch | Other | cross-body stretch will be done in sitting position. Three sets of the each stretch position would be held for 30 seconds with a 1 minute break between sets. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sleeper Stretch | Other | They will receive three sessions a week for four weeks. In a session three sets with three repetitions of sleeper stretch in a side lying position |
|
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder Pain | Numeric pain rating scale (NPRS) will be used to assess pain. | pre and 6 weeks post interventional |
| Range of motion | A universal goniometer will be used to measure ROM | pre and 6 weeks post interventional |
| Functional Performance | upper extremity functional index (UEFI) scale to assess functional performance | pre and 6 weeks post interventional |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sana Batool, MS DPT | Contact | 0336-2504318 | sana.fizza@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Sitara Jabeen, DPT | Study Principal Investigator | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pakistan sports board | Recruiting | Lahore | Punjab Province | 53700 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19083711 | Background | Giles K, Musa I. A survey of glenohumeral joint rotational range and non-specific shoulder pain in elite cricketers. Phys Ther Sport. 2008 Aug;9(3):109-16. doi: 10.1016/j.ptsp.2008.03.002. Epub 2008 May 9. | |
| 29593438 | Background | Rose MB, Noonan T. Glenohumeral internal rotation deficit in throwing athletes: current perspectives. Open Access J Sports Med. 2018 Mar 19;9:69-78. doi: 10.2147/OAJSM.S138975. eCollection 2018. |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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randomized clinical trail
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the assessor who will take the readings is blind
| Cross Body Stretch | Other | They will receive three sessions a week for four weeks. In a session, three sets with three repetitions of cross-body stretch will be done in sitting position. |
|
| 24175603 | Background | Wilk KE, Hooks TR, Macrina LC. The modified sleeper stretch and modified cross-body stretch to increase shoulder internal rotation range of motion in the overhead throwing athlete. J Orthop Sports Phys Ther. 2013 Dec;43(12):891-4. doi: 10.2519/jospt.2013.4990. Epub 2013 Oct 30. |
| 22893856 | Background | Aldridge R, Stephen Guffey J, Whitehead MT, Head P. The effects of a daily stretching protocol on passive glenohumeral internal rotation in overhead throwing collegiate athletes. Int J Sports Phys Ther. 2012 Aug;7(4):365-71. |
| 27632891 | Background | Mine K, Nakayama T, Milanese S, Grimmer K. Effectiveness of Stretching on Posterior Shoulder Tightness and Glenohumeral Internal-Rotation Deficit: A Systematic Review of Randomized Controlled Trials. J Sport Rehabil. 2017 Jul;26(4):294-305. doi: 10.1123/jsr.2015-0172. Epub 2016 Aug 24. |
| 29845083 | Background | Johnson JE, Fullmer JA, Nielsen CM, Johnson JK, Moorman CT 3rd. Glenohumeral Internal Rotation Deficit and Injuries: A Systematic Review and Meta-analysis. Orthop J Sports Med. 2018 May 22;6(5):2325967118773322. doi: 10.1177/2325967118773322. eCollection 2018 May. |
| 34358903 | Background | Dutton M, Tam N, Divekar N, Prins D, Gray J. The association between gird and overhead throwing biomechanics in cricket. J Biomech. 2021 Sep 20;126:110658. doi: 10.1016/j.jbiomech.2021.110658. Epub 2021 Jul 29. |
| 32534582 | Background | Moradi M, Hadadnezhad M, Letafatkar A, Khosrokiani Z, Baker JS. Efficacy of throwing exercise with TheraBand in male volleyball players with shoulder internal rotation deficit: a randomized controlled trial. BMC Musculoskelet Disord. 2020 Jun 13;21(1):376. doi: 10.1186/s12891-020-03414-y. |