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IRCT20210811052138N3 IRCT 2022-07-18 Riphah International University Effects of post isometric relaxation and myofascial release in volleyball players with shoulder internal rotation deficit Comparative effects of post isometric relaxation and myofascial release on range of motion and disability in volleyball players with glenohumeral internal rotation deficit 2022-03-01 anticipated 44 Complete https://irct.ir/trial/60687 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Participants were selected by non-probability convenience sampling from the college setting. Each participant is allocated a number on enrollment in the study. Participants were randomly allocated into two groups by a random number sequence generated by a computer software program called "research randomizer". According to the number generated by a computer software, the participant is allocated into group in which that number falls. This software is used to generate 2 sets of 20 unique numbers via setting the range from 1-40 from least to greatest order. N/A Glenohumeral internal rotation deficit. Intervention 1: Intervention group A: Treatment with Post isometric Muscle Energy Technique applied over the period of 2 weeks. Post isometric Muscle Energy Technique application (experimental) to dominant side Glenohumeral joint horizontal abductors. The participant was in a supine position on the examination table. With the humerus supported and the participant’s shoulder and elbow in 90° of abduction and flexion, respectively, the examiner passively moved the humerus into internal rotation until the first barrier of motion was reached. The participant was then instructed to perform a 5-second isometric contraction in the direction of external rotation, against an opposing force provided by the examiner at the distal forearm. Following the contraction, the participant was instructed to internally rotate the arm toward the ground as a 30-second active assisted stretch was applied. The participant was instructed to relax.This protocol was performed for a total of 3 repetitions three times a week for 2 weeks. Intervention 2: Intervention group B:Treatment with Myofascial release to subscapularis applied over the period of 2 weeks. Myofascial release to subscapularis application performed by applying hot pack for 10 min and also sustain manual pressure with therapy Ball and strengthening exercises of periscapular muscles by a physiotherapist three times a week for 2 weeks. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Wajiha Mushtaq
Madar-e-Millat Road, Quaid-e-Azam Industrial Estate Quaid e Azam Industrial Estate.
Lahore Pakistan 54000 +92 42 35126110 Wajiha3030@gmail.com Riphah International University scientific Halima Shoukat
Madar-e-Millat Road, Quaid-e-Azam Industrial Estate Quaid e Azam Industrial Estate.
Lahore Pakistan 54000 +92 42 35126110 halima.shoukat@yahoo.com Riphah International University Pakistan Age between 15 to 30 years. Both male and female. Internal rotation range of motion less than 18 degrees to 20 degrees in the dominant shoulder as compared to the non-dominant one. Players that are practicing for thrice or more times in a week. Novice players. 15 years 30 years Both Having any abnormality in body biomechanics. A Shoulder injury in the last 6 months. History of shoulder surgery. Any systemic pathology observed in the last 3 months. Corticosteroid injection in any glenohumeral joint (GHJ) in the last 3 months. Lack of active joint motion deficit of dominant side GHJ. All participants playing volleyball for 1 year. M25.619 Stiffness of unspecified shoulder, not elsewhere classified Treatment - Other Treatment - Other Intervention group A: Treatment with Post isometric Muscle Energy Technique applied over the period of 2 weeks. Post isometric Muscle Energy Technique application (experimental) to dominant side Glenohumeral joint horizontal abductors. The participant was in a supine position on the examination table. With the humerus supported and the participant’s shoulder and elbow in 90° of abduction and flexion, respectively, the examiner passively moved the humerus into internal rotation until the first barrier of motion was reached. The participant was then instructed to perform a 5-second isometric contraction in the direction of external rotation, against an opposing force provided by the examiner at the distal forearm. Following the contraction, the participant was instructed to internally rotate the arm toward the ground as a 30-second active assisted stretch was applied. The participant was instructed to relax.This protocol was performed for a total of 3 repetitions three times a week for 2 weeks. Intervention group B:Treatment with Myofascial release to subscapularis applied over the period of 2 weeks. Myofascial release to subscapularis application performed by applying hot pack for 10 min and also sustain manual pressure with therapy Ball and strengthening exercises of periscapular muscles by a physiotherapist three times a week for 2 weeks. Glenohumeral internal rotation range of motion. Timepoint: Before intervention and 2 week after intervention. Method of measurement: We used a manual Goniometer to measure the range of motion of the involved shoulder and DASH (Disabilities of the Arm, Shoulder and Hand) Questionnaire is used to indicate the impact of an impairment on the level and disability. Riphah International University Approved 2021-12-29 Ethics Committee of Riphah College of Rehabilitation and Allied Health Sciences Madar-e-Millat Road, Quaid-e-Azam Industrial Estate Quaid e Azam Industrial Estate, Lahore, Punjab Lahore Punjab Pakistan