Sleeper's and Adduction Stretch to Increase Shoulder ROM

King Saud University30 enrolled

Overview

The study aimed to compare the efficacy of modified sleeper stretch and modified cross-body adduction stretch in improving shoulder internal rotation range of motion and upper limb function. Thirty male lawn tennis players aged between 20 to 35, with more than 150 glenohumeral internal rotation deficiency (GIRD) on the dominant shoulder (compared to the nondominant side) participate in the study and divided into two groups (A and B). Group A received a modified sleeper stretch and group B received a modified cross-body adduction stretch for four weeks, five times per week. The outcome measures were the internal rotation range of motion measured by a universal goniometer and upper limb functions measured by the Disability of the Arm, Shoulder, and Hand (DASH) scale.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Stiffness of Shoulder, Not Elsewhere Classified

Interventions

Eligibility

Sex: MALEMin age: 20 YearsMax age: 35 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Lawn Tennis Players * Male * more than 15 degree glenohumeral internal rotation deficiency Exclusion Criteria: * systemic or metabolic disorders * a positive test for labral lesions or rotator cuff tears * a history of recent fracture * a history of orthopaedic surgery in the upper limbs or cervical region

Outcomes

Primary Outcomes

Internal rotation range of motion

Internal rotation range of motion (ROM) was measured using the universal goniometer before and after the completion of the intervention. The greater the ROM, the better the prognosis.

Time frame: 4 weeks.

Upper limb functions

The Disability of the Arm, Shoulder, and Hand (DASH) scale was used to assess the upper limb functions. The DASH consists mainly of a 30-item disability/symptom scale, scored 0 (no disability) to 100. The higher the score, the worse the prognosis.