Effect of Joint Mobilization and Movement Control Exercises on Shoulder Pain and Function in Fast Bowlers (RCT)

Combined Effects of Mulligan Mobilization With Movement and Kinetic Medial Rotation Control for Shoulder on Pain, Range of Motion, and Function Among Fast Bowlers

The goal of this clinical trial is to determine combined effects of the Kinetic control for shoulder on pain, range, and function among fast bowlers. The main question it aims to answer is:

Does mulligan mobilization with movement along with kinetic medial rotation control work in decreasing pain, improving shoulder internal range of motion and shoulder function in fast bowlers with glenohumeral internal rotation deficit? Is the combination of Mulligan mobilization with movement along with kinetic control therapy effective in fast bowlers with glenohumeral internal rotation deficit? Treatment arm will receive movement retraining exercises to develop kinetic control with mulligan mobilization and comparison arm will receive standard physical therapy exercises with mulligan mobilization.

Treatment group will receive shoulder warm up exercises, movement retraining exercises and mulligan mobilization with movement.

Comparison group will receive shoulder warm up exercises, modified sleeper stretch, shoulder isometrics and mulligan mobilization with movement.

Inclusion Criteria:

• Male cricketers aged 18-45 years.
• Participants experiencing persistent mild to moderate shoulder pain during overhead movements for more than 3 months.
• Fast bowlers actively participating in regular cricket training sessions.
• Presence of Glenohumeral Internal Rotation Deficit (GIRD) greater than 10 degrees, measured with a goniometer by comparing internal rotation of the dominant and non-dominant shoulders.

Exclusion Criteria

• Cricketers who have undergone shoulder (e.g., rotator cuff repair, arthroscopic labrum repair) or elbow surgery within the past 3 months.
• Participants presenting with numbness or tingling sensations in the upper extremity.
• Individuals with comorbidities such as a history of cardiac or pulmonary diseases.
• Subjects with a history of recurrent shoulder dislocations or shoulder instability.