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CTRI Number  CTRI/2024/05/067478 [Registered on: 16/05/2024] Trial Registered Prospectively
Last Modified On: 21/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing the effects of various techniques like proprioceptive neuromuscular facilitation with mulligan versus muscle energy technique With mulligan to enhance glenohumeral internal rotation deficit in college going athletes involved in overhead sports 
Scientific Title of Study   To compare the effects of proprioceptive neuromuscular facilitation with mulligan versus muscle energy technique with mulligan to improve glenohumeral internal rotation deficit in collegiate athletes playing overhead sports- an experimental study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Jyoti Bhatt 
Designation  Post Graduate Student 
Affiliation  Shri Guru Ram Rai University School of Paramedical and Allied Health Sciences 
Address  Room No-04, Department of Physiotherapy, North Block, Lower Ground, Shri Mahant Indresh Hospital, Patel Nagar, Dehradun

Dehradun
UTTARANCHAL
248001
India 
Phone  7456907715  
Fax    
Email  bhattjyoti014@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr Shama Praveen 
Designation  Assistant Professor 
Affiliation  Shri Mahant Indresh Hospital, Patel Nagar, Dehradun 
Address  Room No-04, Department of Physiotherapy, Lower Ground, Shri Mahant Indresh Hospital, Patel Nagar, Dehradun

Dehradun
UTTARANCHAL
248001
India 
Phone  8006965111  
Fax    
Email  shamapraveen@sgrrmc.com  
 
Details of Contact Person
Public Query  
Name  Dr Shama Praveen 
Designation  Assistant Professor 
Affiliation  Shri Mahant Indresh Hospital, Patel Nagar, Dehradun 
Address  Room No-04, Department of Physiotherapy, Lower Ground, Shri Mahant Indresh Hospital, Patel Nagar, Dehradun

Dehradun
UTTARANCHAL
248001
India 
Phone  8006965111  
Fax    
Email  shamapraveen@sgrrmc.com  
 
Source of Monetary or Material Support  
Shri Mahant Indresh Hospital, Patel Nagar, Dehradun 
 
Primary Sponsor  
Name  Shri Guru Ram Rai University School of Paramedical and Allied Health Sciences 
Address  Department of Physiotherapy North Block, Lower Ground Shri Mahant Indresh Hospital Patel Nagar Dehradun 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Jyoti Bhatt PT  Shri Mahant Indresh Hospital  Department of physiotherapy, North Block, Lower Ground, Patel Nagar, dehradun
Dehradun
UTTARANCHAL 		 7456907715

bhattjyoti014@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Commitee, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M708||Other soft tissue disorders related to use, overuse and pressure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Muscle energy technique with mulligan   The Mulligan intervention will be same as above. For Muscle Energy Technique, the subject will be placed in a supine posture with their elbow and shoulder in a 90-degree abduction and flexion position. Internal rotation will be applied to the humerus until the first resistance is reached. The next step for the subject is to execute a 5-second isometric contraction against a certain opposing force in the direction of external rotation at about 25% of peak effort. There will be a 30-second active assisted stretch for the external rotators. Subjects will be encouraged to relax and a new movement barrier will be engaged. Repetitions and Duration- 3 repetitions and 1 set with 5 sec isometric contraction followed by 30 second stretch for 5 days a week for 4 weeks.  
Intervention  Proprioceptive neuromuscular facilitation With mulligan  The Mulligan technique will involve placing the subject supine with their elbow and shoulder flexed at 90 degrees. A mobilizing belt will be secured around the therapists waist perpendicular to the humerus, and both hands will grab the distal humerus. The joint will be laterally distracted while pushing back the belt. The patient will voluntarily internally rotate their shoulder while the belt maintains lateral distraction. Repetitions and Duration- 4 to 5 repetitions and 1 set with 10 sec hold. 5 sessions a week for 4 weeks Three proprioceptive neuromuscular facilitation stretches will be employed: the sleeper, cross body, and genie. Subjects will be passively stretched to their endpoint for 7 seconds with the scapula stabilized. Then, they will be asked to contract against the resistance for 3 seconds, followed by another passive resistance to a new endpoint. Repetitions and Duration- 3 iterations and 1 set with first 7 seconds stretch at the end point then 3 sec hold against the resistance. . 5 sessions a week for 4 weeks  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  1. Age 18-30 years Athletes playing Overhead Sports.
2. Athletes playing Cricket, Basketball, Baseball, Tennis, Badminton, Javelin, Discuss Throw, Shot put
3. Both Females and Males
4. Subjects who are willing to participate in the study.
5. Posterior Capsular Tightness (assessed by Tyler Test)
 
 
ExclusionCriteria 
Details  1. Numbness or tingling in upper extremity
2. Previous shoulder or neck surgery
3. Shoulder conditions like adhesive capsulitis, labral tear, shoulder instability
4. Cervical or spine pathologies.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Hand-behind-back (HBB)  Baseline Data
4th week data 
 
Secondary Outcome  
Outcome  TimePoints 
Tyler Test  Baseline Data
4th week data 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   25/06/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  		 Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This study aims to compare the effects of two treatment protocols, Proprioceptive Neuromuscular Facilitation (PNF) with Mulligan and Muscle Energy Technique (MET) with Mulligan, on Glenohumeral Internal Rotation Deficit (GIRD) in Collegiate Athletes participating in Overhead Sports.
The objectives include assessing the efficacy of each technique individually and determining which protocol yields faster results.
The study proposes an alternate hypothesis suggesting a significant difference in the effects of the two techniques, while the null hypothesis indicates no significant difference.
 
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