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Not yet recruiting NCT07637916

Comparing Two Shoulder Treatments for Athletes

No phase Interventional Posterior Capsule Tightness Joint Diseases Joint Range of Motion

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Kaltenborn Joint Mobilization, Pragmatic Capsular Stretch.
Who it may be relevant to
Registry conditions: Posterior Capsule Tightness, Joint Diseases, Joint Range of Motion. Basic parameters: 22 years — 40 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Pakistan
Next step
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Official title

Comparative Effects of Kaltenborn Joint Mobilization (Posterior Glide) Versus Pragmatic Posterior Capsular Stretch on Pain, Limited ROM and Functional Disability in Athletes With Posterior Capsule Tightness

Overview

Many athletes who play overhead sports like cricket develop tightness in the back of the shoulder. This causes pain and makes it hard to lift the arm. This study will compare two common physical therapy treatments: Kaltenborn joint mobilization (a specific manual therapy glide) versus a Pragmatic Posterior Capsular Stretch (a specific stretching technique). We want to see which one works better for pain, range of motion, and daily function. 28 athletes will be treated for 4 weeks, and we will measure their progress using a goniometer and the SPADI questionnaire.

Detailed description

This is a single-center, randomized controlled trial. Participants aged 22-40 years with a positive GIRD test (indicating posterior capsule tightness) will be recruited from pedal courts and clinics in Faisalabad. After obtaining informed consent, participants will be randomly assigned to one of two parallel groups using a random number generator.

Group A (Experimental): Receives Pragmatic Posterior Capsular Stretch. The participant lies side-lying. The therapist stabilizes the scapula and applies medial rotation, extension, and traction for 30 seconds, repeated to achieve 15 minutes total per session.

Group B (Active Comparator): Receives Kaltenborn Joint Mobilization (Posterior Glide). The participant is positioned with the shoulder abducted and externally rotated. The therapist applies a Grade III posterior glide with lateral distraction, sustained at end-range for 15 minutes.

Both groups receive 3 sessions per week for 4 weeks (12 sessions total). Outcome measures (Pain via SPADI, ROM via Goniometer, Function via SPADI) are taken at baseline and at the end of 4 weeks. Data will be analyzed using SPSS version 20 using independent t-tests or Mann-Whitney U tests depending on normality.

Interventions

  • Procedure Kaltenborn Joint Mobilization
    Kaltenborn Grade III sustained posterior glide with lateral distraction. Applied to the glenohumeral joint for 15 minutes per session, 3x/week for 4 weeks.
  • Procedure Pragmatic Capsular Stretch
    Side-lying stretch combining medial rotation, extension, and traction. Held for 30 seconds with deep breathing, repeated for 15 minutes total per session, 3x/week for 4 weeks.

Primary outcome measures

  • Change in Pain [Time frame: Baseline and Week 4]
  • Change in Range of Motion [Time frame: Baseline and Week 4]
Secondary outcome measures (1)
  • Change in Functional Disability [Time frame: Baseline and Week 4]

Eligibility criteria

Inclusion criteria

  • Male and female athletes
  • Positive GIRD test
  • Age 22-40 years
  • Overhead throwing athletes (Cricketers)
  • Able to provide informed consent

Exclusion criteria

  • Fracture
  • Recent shoulder injury (last 6 months)
  • History of shoulder surgery
  • Osteoarthritis
  • Peripheral nerve injuries

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Double blind
Primary purpose
Treatment

Study locations

Pakistan · 1 center
  • The University of Faisalabad — Faisalābad

Identifiers

NCT: NCT07637916 · TUF/EIRB/ 224 /26

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗