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CTRI Number  CTRI/2025/03/082081 [Registered on: 10/03/2025] Trial Registered Prospectively
Last Modified On: 10/03/2025
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   Effects of Post-Isometric Relaxation on Pain, Shoulder Alignment, and Function in Overhead Shoulder Injuries. 
Scientific Title of Study   Impact Of Post Isometric Relaxation On Pain, Glenohumeral joint positional fault and Functional ability in Overhead Shoulder Injury. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sim Tanwar 
Designation  Student  
Affiliation  SGT University  
Address  Department of faculty of Physiotherapy, SGT University Chandu budhera Gurgaon Haryana 122505 India

Gurgaon
HARYANA
122505
India 
Phone  9460023354  
Fax    
Email  simtanwar05@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Siddhartha Sen  
Designation  Professor  
Affiliation  SGT University  
Address  Department of faculty of Physiotherapy, SGT University Chandu budhera Gurgaon Haryana 122505 India

Gurgaon
HARYANA
122505
India 
Phone  9412985124  
Fax    
Email  siddhartha_fphy@sgtuniversity.org   
 
Details of Contact Person
Public Query
 
Name  Dr Siddhartha Sen  
Designation  Professor  
Affiliation  SGT University  
Address  Department of faculty of Physiotherapy, SGT University Chandu budhera Gurgaon Haryana 122505 India

Gurgaon
HARYANA
122505
India 
Phone  9412985124  
Fax    
Email  siddhartha_fphy@sgtuniversity.org   
 
Source of Monetary or Material Support  
Faculty of physiotherapy,SGT UniversityChandu Budhera Village 122505 
 
Primary Sponsor  
Name  Sim Tanwar  
Address  Faculty of Physiotherapy SGT University Chandu Budhera Gurugram 122505 
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 Sim Tanwar  SGT Hospital  Room No-13, physiotherapy OPD, Budhera, Gurugram- 122505
Gurgaon
HARYANA 
9460023354

simtanwar05@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Departmental Ethical Committee, Faculty of physiotherapy,SGT University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M751||Rotator cuff tear or rupture, notspecified as traumatic, (2) ICD-10 Condition: M754||Impingement syndrome of shoulder,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group 1 - Post isometric relaxation technique   Patient will perform post isometric relaxation technique which include strengthening exercise for shoulder muscles.Each exercise will be performed 3 time a week for 4 week with 3 set of 10 repetation. 
Comparator Agent  Group 2 - Strengthening Exercise  Normal stretching and strengthening of shoulder muscles.Each exercise will be performed 3 time a week for 4 week with 3 set of 10 repetation. 
 
Inclusion Criteria  
Age From  17.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  Age 17-35
2/5 impingement test to be positive (Neer’s impingement test, Hawkins – Kennedy test, positive abduction test, jobes test , Apprehension test )
Painfull arc between 60-120 degree
 
 
ExclusionCriteria 
Details  History of surgery for affected shoulder
Fracture in and around shoulder
Neurological disorder leading to altered muscle activity
Systematic arthritis( Osteoarthritis ,Rheumatoid arthritis, malignancies)
Corticosteroids injections in the affected shoulder in preceding 6 weeks
Shoulder injuries such as Rotator cuff tear
Disorder of cervical spine
 
 
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   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Glenohumeral joint Positioning Fault

 
Day 1 assessment
4th week assessment 
 
Secondary Outcome  
Outcome  TimePoints 
Pain
Functional Ability 
Day 1 assessment
4th week assessment 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   21/03/2025 
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="1"
Months="0"
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  

Shoulder injuries are a prevalent concern among athletes participating in overhead sports such as baseball, swimming, tennis, and volleyball. The repetitive high-velocity movements in these sports place significant stress on the glenohumeral joint, leading to conditions like subacromial impingement syndrome (SAIS) and rotator cuff (RTC) tendonitis. These injuries often stem from muscle imbalances, altered kinematics, and structural changes, which can impair performance and increase the risk of chronic dysfunction.

One promising rehabilitation approach is Post Isometric Relaxation (PIR), a Muscle Energy Technique (MET) that utilizes autogenic inhibition to enhance muscle flexibility, restore joint positioning, and improve neuromuscular function. This study aims to investigate the effectiveness of PIR in alleviating pain, correcting glenohumeral joint positional faults, and enhancing functional abilities in overhead athletes, contributing to improved rehabilitation strategies for shoulder injuries.


Null Hypothesis

H01 : There will be no significant effect of Post isometric relaxation on pain in patient with Overhead shoulder injury.

H02 : There will be no significant effect of Post isometric relaxation on glenohumeral joint  positional  fault  in patient with Overhead shoulder injury

H03: There will be no significant effect of Post isometric relaxation on functional ability in patient with Overhead shoulder injury

 

Alternate Hypothesis

H11 :There will be significant effect of Post isometric relaxation on pain in patient with Overhead shoulder injury

H12: There will be significant effect of Post isometric relaxation on glenohumeral joint  positional fault  in patient with Overhead shoulder injury

H13: There will be  significant effect of Post isometric relaxation on functional ability in patient with Overhead shoulder injury


 
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