| CTRI Number |
CTRI/2025/07/090929 [Registered on: 15/07/2025] Trial Registered Prospectively |
| Last Modified On: |
14/07/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized Factorial Trial |
|
Public Title of Study
|
Reactive shoulder training (RST) vs kinetic chain integration (KCI) among
recreational racket sports players with shoulder instability |
|
Scientific Title of Study
|
reactive shoulder training (RST) vs kinetic chain integration (KCI) among
recreational racket sports with shoulder instability |
| Trial Acronym |
nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Monika R |
| Designation |
PG student |
| Affiliation |
SAVEETHA COLLEGE OF PHYSIOTHERAPY, SIMATS |
| Address |
Room no.A5 5th floor Health Science block Saveetha college of
Physiotherapy Saveetha nagar Thandalam Kancheepuram Tamil
Nadu 602501
Kancheepuram
TAMIL NADU
602501
India |
| Phone |
6380497056 |
| Fax |
|
| Email |
monideepa1407@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
VINODH KUMAR R |
| Designation |
Professor |
| Affiliation |
Saveetha College Of Physiotherpay |
| Address |
Room no.A5 5th floor Health Science block Saveetha college of
Physiotherapy Saveetha nagar Thandalam Kancheepuram Tamil
Nadu 602501
Kancheepuram
TAMIL NADU
602501
India |
| Phone |
8760563032 |
| Fax |
|
| Email |
vinodhkumar.scpt@saveetha.com |
|
Details of Contact Person
Public Query
|
| Name |
VINODH KUMAR R |
| Designation |
Professor |
| Affiliation |
Saveetha College Of Physiotherpay |
| Address |
Room no.A5 5th floor Health Science block Saveetha college of
Physiotherapy Saveetha nagar Thandalam Kancheepuram Tamil
Nadu 602501
TAMIL NADU
602501
India |
| Phone |
8760563032 |
| Fax |
|
| Email |
vinodhkumar.scpt@saveetha.com |
|
|
Source of Monetary or Material Support
|
| A5 5th floor,Health Science block Saveetha college of Physiotherapy,Saveetha
nagar,Thandalam,Kancheepuram,Tamil Nadu Kancheepuram TAMIL NADU 602105 |
|
|
Primary Sponsor
|
| Name |
Monika R |
| Address |
A5 5th floor,Health Science block Saveetha college of Physiotherapy,Saveetha nagar,Thandalam,Kancheepuram,Tamil Nadu Kancheepuram TAMIL NADU 602105 |
| Type of Sponsor |
Other [Self] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Monika R |
Saveetha college of physiotherapy |
Room no. A5 5th floor
Health Science block
Saveetha college of
Physiotherapy
Saveetha nagar
Thandalam
Kancheepuram Tamil
Nadu 602105
India
Kancheepuram
TAMIL NADU |
6380497056
monideepa1407@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Scientific Review Board |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
Recreational racket sports with shoulder instability. |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Kinetic chain integration (KCI) training |
Core exercises ,Lower extremity exercises, Scapular exercises, Functional exercises , Functional drills with kinetic focus multi footwork and overhead hit. All the exercise are given for 3 session per week with the total duration of 6 weeks. |
| Intervention |
Reactive Shoulder Training |
Prone Arm Elevation- (Start with no weight or 0.5–1 kg),Side-lying External Rotation (Use resistance band or light dumbbell),Prone 90/90 External Rotation (Focus on scapular stability), D2 Flexion with Resistance (Band resistance, controlled movement).Increase weight/ resistance slightly,functional integration. All the exercise are given for 3 session per week with the total duration of 6 weeks. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
25.00 Year(s) |
| Gender |
Both |
| Details |
1.Actively engaged in recreational racket sport atleast twice per week for past 6 months.
2.Clinical diagnosis of shoulder instability with the SPADI, suggesting mild to moderate pain.
3.FMS, suggesting suboptimal movement patterns contributing to shoulder dysfunction. |
|
| ExclusionCriteria |
| Details |
1.Participants with a history of surgical intervention on the shoulder or upper
extremity.
2. Any acute shoulder or upper limb injury (e.g., fracture, dislocation) within the
past 3 months.
3. Presence of neurological conditions affecting shoulder function or motor control
(e.g., cervical radiculopathy, stroke).
4.Ongoing participation in other structured shoulder rehabilitation or
strengthening programs.
5. Inability to follow the intervention protocol due to scheduling conflicts, noncooperation, or cognitive limitations. |
|
|
Method of Generating Random Sequence
|
Coin toss, Lottery, toss of dice, shuffling cards etc |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant, Investigator and Outcome Assessor Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Shoulder Pain and Disability Index (SPADI) |
6 weeks |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Functional Movement Screening |
6 weeks |
| Closed kinetic chain upper extremity stability test. |
6 weeks |
| Seated medicine ball throw test. |
6 weeks |
|
|
Target Sample Size
|
Total Sample Size="64"
Sample Size from India="64"
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 1 |
|
Date of First Enrollment (India)
|
31/07/2025 |
| 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="0"
Months="1"
Days="15" |
|
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 instability is common in recreational racket sports due to repetitive
overhead movements and high joint stress. Reactive Shoulder Training (RST) focuses
on improving neuromuscular control and dynamic stability through unpredictable
movements and reflex-based exercises. Kinetic Chain Integration (KCI) emphasizes
strengthening and coordinating the whole body—especially the core and lower limbs—
to support shoulder function.
While both methods are used in rehabilitation, limited research compares their
effectiveness specifically in recreational athletes with shoulder instability. This study
aims to explore which approach better improves stability and function in
this population |