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CTRI Number  CTRI/2024/06/068377 [Registered on: 05/06/2024] Trial Registered Prospectively
Last Modified On: 15/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Correlation Study 
Study Design  Other 
Public Title of Study   Correlation of loss in internal rotation range of motion of the shoulder joint with dysfunction of scapular movement and shoulder muscle endurance in serving arm of tennis athletes. 
Scientific Title of Study   Correlation of Glenohumeral Internal Rotation Deficit with Scapular Dyskinesis and Posterior Shoulder Muscle Endurance in serving arm of tennis athletes 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Jyotsna Thosar 
Designation  Assistant Professor  
Affiliation  P.T. School and Centre,Seth G.S. Medical College and KEM Hospital 
Address  OPD No. 402, P.T. School and Centre,Seth G.S. Medical College and KEM Hospital, Acharya Donde Marg, Parel East, Mumbai

Mumbai
MAHARASHTRA
400012
India 
Phone  9821066016  
Fax    
Email  jyotsnathosar@rediffmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jyotsna Thosar 
Designation  Assistant Professor  
Affiliation  P.T. School and Centre,Seth G.S. Medical College and KEM Hospital 
Address  OPD No. 402, P.T. School and Centre,Seth G.S. Medical College and KEM Hospital, Acharya Donde Marg, Parel East, Mumbai

Mumbai
MAHARASHTRA
400012
India 
Phone  9821066016  
Fax    
Email  jyotsnathosar@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dharti Patel 
Designation  Master of Physiotherapy 
Affiliation  P.T. School and Centre,Seth G.S. Medical College and KEM Hospital 
Address  OPD No. 402, P.T. School and Centre,Seth G.S. Medical College and KEM Hospital, Acharya Donde Marg, Parel East, Mumbai

Mumbai
MAHARASHTRA
4000012
India 
Phone  8928280694  
Fax    
Email  drdhartipt@gmail.com  
 
Source of Monetary or Material Support  
P.T School and Centre. Seth G.S. Medical College and KEM Hospital 
 
Primary Sponsor  
Name  Dr Jyotsna Thosar 
Address  OPD No. 402, P.T. School and Centre,Seth G.S. Medical College and KEM Hospital, Acharya Donde Marg, Parel East, Mumbai  
Type of Sponsor  Other [Self] 
 
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 Jyotsna Thosar  P.T. School and Centre,Seth G.S. Medical College and KEM Hospital  OPD No. 402, P.T. School and Centre,Seth G.S. Medical College and KEM Hospital, Acharya Donde Marg, Parel East, Mumbai
Mumbai
MAHARASHTRA 
9821066016

jyotsnathosar@rediffmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Seth G.S. Medical College and KEM HospitalHospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Athletes  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  1. Tennis athletes having Glenohumeral Internal Rotation Deficit.
2. Tennis athletes playing as a recreation since atleast 1 year practicing for 3 to 12 hours/ week.
3. Tennis athletes willing to participate.  
 
ExclusionCriteria 
Details  1. Tennis athletes with present shoulder injury.
2. Tennis athletes with past shoulder injury in previous 3 months.
3. Tennis athletes who are symptomatic and taking treatment for GIRD.
4. Tennis athletes who have undergone surgery for SLAP/ impingement in previous 12 months. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Glenohumeral Internal Rotation Deficit using Inclinometer.
2. Scapular Dyskinesis using Pectoralis Minor Index for Scapular Protraction and using Inclinometer for Scapular Upward Rotation.
3. Posterior shoulder muscle endurance using Shoulder Endurance Test.  
Once 
 
Secondary Outcome  
Outcome  TimePoints 
NA  NA 
 
Target Sample Size   Total Sample Size="47"
Sample Size from India="47" 
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   N/A 
Date of First Enrollment (India)   15/07/2024 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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   GIRD of the playing arm is a predictor of risk for injury in overhead athletes. It has an effect
on dynamic scapular positioning which provides a stable base for efficient functioning of the
arm and in turn an injury-free performance by the athlete. GIRD may affect posterior muscle
endurance due the mis-match in length-tension relationship of posterior and anterior
muscles. It is therefore essential to further evaluate these links in preventing shoulder
injuries, enhancing performance and increasing longevity of playing years. 47 participants will
be selected on the basis of inclusion and exclusion criteria. Informed consent will be taken
and if they agree to participate in this study, they will be included in the study. A study of 15-
20 minutes will be performed. They will be asked about their demographic data (name, age,
etc). Glenohumeral internal rotation deficit will be assessed by measuring the difference of
internal rotation range between the serving and non-serving arm using an inclinometer in arm
abduction of 90º and elbow flexion of 90º in prone. Scapular dyskinesis is a computation of
Scapular protraction and anterior tilting and scapular upward rotation. Scapular protraction
and anterior tilting are measured by Pectoralis Minor Index which is the division of pectoralis
minor length (inferomedial aspect of coracoid process and caudal end of 4th rib at sternal
end) in cm by participant’s height in cm multiplied by 100. Scapular Upward Rotation angle is
measured by using 2 inclinometers; one at distal humerus to estimate abduction angle at of
0º, 45º, 90º, 135º and end range abduction; another at spine of scapula. Next, Posterior
shoulder muscle endurance is calculated by Shoulder Endurance Test which is performed by
the serving arm that will be placed in 90º forward flexion (starting position); holding a 1-m
long Thera-band fixed at shoulder height on a graduated stick, which will be placed 2 metres
from ending position (90º external rotation and 90º abduction) allowing a 100% stretch of
length of Thera-band. Males will be asked to pull green Thera-band (2.1 kg) and females a red
Thera-band (1.7 kg) and a metronome will be used to determine the cadence that will be
increased by 30 bpm every 20 seconds starting from 60 bpm to 150 bpm (60-90-120-150) and
will remain same till the end of the test. Time till the test is terminated will be calculated in
seconds and fatigue score will also be asked. Proper rest will be given between each test.
Once all data is collected, it will be analysed using the statistical tests. Depending upon the
normality of the data, Pearson’s or Spearman’s coefficient will be calculated.
 
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