Effect of Pilates Core Stabilization in Adjunct With Plyometric Shoulder Training on Low Back Pain in Fast Bowlers(RCT)

N/AActive Not RecruitingNCT06901804

Superior University36 enrolled

Overview

This RCT will seek to determine both the Pilates core stabilization and plyometric shoulder training on LBP in fast bowlers. The research problem will emphasize the absence of detailed rehabilitation protocols that address the upper and lower limb strength dysfunction, pain, quality of life, and biomechanics of fast bowlers. Prior literature has not examined the combined use of these two training interventions to address LBP, which affects the performance of fast bowlers. In this study, participants will be randomly assigned to two groups. Group A (experimental) will receive Pilates core stabilization and plyometric shoulder training, while Group B (control) will receive conventional physiotherapy for LBP. There will be two sessions per week for six weeks, and the intensity of the exercises will gradually increase to address athletes' strength, flexibility, and movement control.

Assessments will be conducted using multiple scales of upper limb strength for the Cricket Ball Throw Test, lower limb strength for the Vertical Jump Test, Quality of Life for the Oswestry Disability Index, biomechanics analysis to determine movement efficiency and Pain Intensity for Numeric Pain Rating Scale. This study will give information about the efficiency of adding core and shoulder training to managing LBP in fast bowlers, increasing their athletic performance and bringing helpful value to the sports and physiotherapy domain.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Low Back Pain

Interventions

Experimental Group (training and stabilization)DIAGNOSTIC_TEST

Plyometric Shoulder Training \[28\] and Pilates Core Stabilization \[27\] Exercise 1-2 weeks (rep × kg) 3-4 weeks (rep × kg) 5-6 weeks (rep × kg) Throwing Movements Medicine ball chest pass 8 × 1 kg 10 × 2 kg 12 × 3 kg Medicine ball step and pass 8 × 1 kg 10 × 2 kg 12 × 3 kg Medicine ball side throw 8 × 1 kg 10 × 2 kg 12 × 3 kg Tubing Plyos IR/ER 8 × 10 10 × 10 12 × 12 Tubing Plyos Diagonal 8 × 10 10 × 10 12 × 12 Tubing Plyos Biceps 8 × 10 10 × 10 12 × 12 Plyo Push-ups (boxes) 8 × 10 10 × 10 12 × 12 Push-ups (clappers) 8 × 10 10 × 10 12 × 12

Control Group (physiotherapy and exercise)COMBINATION_PRODUCT

Physiotherapy Care for Low Back Pain \[30\] Exercise Week 1-2 (Sets x Reps/Duration) Week 3-4 (Sets x Reps/Duration) Week 5-6 (Sets x Reps/Duration) Plank 3 x 20 sec 3 x 30 sec 4 x 45 sec Bicycle Crunches 3 x 12 3 x 15 4 x 20-25 Leg Raises 3 x 12 3 x 15 4 x 20-25 Russian Twists 3 x 20 3 x 25 4 x 30-35 Slump Exercise 3 x 10 3 x 12 4 x 15-18 Bridge Exercise with Swiss Ball 3 x 12 3 x 15 4 x 18

Eligibility

Sex: ALLMin age: 17 YearsMax age: 25 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age between 17-25 years * Male cricket players * Playing cricket for more than 2 years * Low back pain without radiation * Chronic low back pain for more than 3 months * Non-specific mechanical type without identifiable specific anatomical or neurophysiological causative factors and medically fit Exclusion Criteria: * Any pathological condition of the spine, hip, knee, and pelvis. * Any history of musculoskeletal injury in the past 6 months. * Any history of a neurological condition. * Uncontrolled metabolic disorders such as Diabetes Mellitus * Any surgical h/o shoulder or elbow in the past 6 months

Outcomes

Primary Outcomes

NPRS (Numeric Pain Rating Scale)

The NPRS denotes pain severity on a whole-number scale, ranging from 0 to 10, with 0 meaning no pain at all and 10 signifying the worst pain one has ever experienced. A lower score on the scale indicates a reduced level of pain as perceived by the patients having ICC 0.95.

Time frame: 12 Months

CBTT (Cricket Ball Throw Test)

This test evaluates upper limb strength and coordination by documenting the distance a cricket ball attained (in meters). More separation suggests better strength of the upper limbs and better place and movement of the limbs with ICC: 0.92.

Time frame: 12 months

VJT (Vertical Jump Test)

The VJT quantifies lower limb explosive power by only assessing the vertical jump height expressed in centimeters. Higher values denote better control of the lower extremities with ICC 0.95.