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Goal of this clinical trial is to determine whether Isometric muscle training decrease pain improve function and enhance performance.
Does Isometric exercise improve pain function and performance in bowlers? Researcher will compare the Isometric muscle training with Traditional therapy to examine that isometric exercise work on pain function and performance.
Participants will receive isometric exercises for three days in week and will be followed up after two weeks total four weeks of trial(experimental group).
Participants will receive traditional physical therapy treatment three days of week and followed up after two weeks total four weeks of trail (contril group)
This research is critical for addressing a common health concern and providing evidence-based recommendations for a potentially effective and accessible intervention that can significantly enhance the quality of life and performance of individuals dealing with shoulder pain. Thesis will benefit the bowlers by increasing their performance by enhancing accuracy, speed and consistency and over all shoulder health. Because shoulder discomfort is so common and has such a detrimental influence on everyday activities and performance, research on how isometric muscle training affects shoulder pain, function, and performance is crucial. In a variety of settings, isometric training has demonstrated promise in enhancing musculoskeletal function and pain management; however, its precise influence on shoulder-related problems is yet unknown.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Effects Of Isometric Muscle Training On Shoulder Pain, Function And Performance In Bowlers | Experimental | The Isometric Exercise Program which comprises targeted exercises for declining pain, improving function and performance, exercises were focused only on shoulder flexion, extension, abduction, adduction, internal rotation and external rotation. Exercises were performed via Thera Bands, free weights and resistance. Each repetition was of 10 to 15 seconds and 10 to 15 number of repetition total of three sets according to FITT formula. Under the supervision of a therapist, these exercises were performed three times each week. Every training session lasts 35 to 40 minutes, with a 5-minute warm-up and a 5-minute cool-down in between. Instruction in the correct form and technique was provided to participants throughout the intervention, and their development was closely evaluated to guarantee safety and effectiveness. Total duration of 35 to 40-minute session three sessions per week total four weeks of intervention, reading will be taken on baseline and after 2nd week and 4th week. |
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| Control Group | No Intervention | (control group) in this group participants will receive Traditional Physical therapy |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Isometric Exercises | Diagnostic Test | Isometric External Rotation (Perform isometric external rotation exercises with a resistance band to strengthen the rotator cuff.) Hold each contraction for 10-15 seconds. Isometric Internal Rotation (Hold each contraction for 10-15 seconds) Isometric Abduction (Supraspinatus). ( each contraction for 10 -15 sec) 10 repetition 3 sets Isometric Adduction (Subscapularis) Overhead Isometric Holds (Hold each contraction for 15-20 seconds) Isometric Shoulder External Rotation Against Resistance: (Hold each contraction for 15-20 seconds) Isometric Shoulder Press (Hold each contraction for 15-20 seconds) 15 to 20 repetitions 4 sets Total duration of 30 to 35 minute session three sessions per week total four weeks of intervention, reading will be taken on baseline and after 2nd week and 4th week |
| Measure | Description | Time Frame |
|---|---|---|
| Disability of Arm Hand and Shoulder (DASH) | The DASH questionnaire consists of 30 questions concerning upper limb function and symptoms. Patients figure out their ability to carry out each activity or the degree of their symptoms on a scale from 1 (no difficulty or no symptoms) to 5 (unable to perform the activity or vigorous symptoms). The results are then transformed into a standardized score, ranging from 0 to 100, with higher scores indicating more disabilities | 4th weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Manual Muscle Testing | It is used to assess weakness and also useful in identifying actual weakness from imbalance or inadequate endurance. It may be referred to as motor testing, muscular strength grading, manual muscle testing, or any other synonym | 4th week |
| Visual Analogue Scale VAS |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Riafat Mehmood, PhD* | Contact | 03132139115 | riafat.mehmood@riphah.edu.pk |
| Name | Affiliation | Role |
|---|---|---|
| Riafat Mehmood, PhD* | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Elite Cricket Academy Shahbaz sharif sports complex | Recruiting | Rawalpindi | Punjab Province | 44000 | Pakistan |
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| ID | Term |
|---|---|
| D020069 | Shoulder Pain |
| ID | Term |
|---|---|
| D018771 | Arthralgia |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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Group 1 Experimental Group 2 Control
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A VAS consists of a line, usually 10 cm long, with language anchors at each end, similar to an NRS (e.g., "no pain" on the far left and "the most intense pain imaginable" on the far right) |
| 4th week |
| Bowling Speed Test | Bowling speed test: A bowling speed app is a mobile application made to measure and analyze the speed of a thrown cricket ball | 4th week |
| Bowling Accuracy Test | (Cones, Target Set, Wicket to Wicket Bowling, and Video Analysis). | 4th week |
| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |