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CTRI Number  CTRI/2025/08/092665 [Registered on: 08/08/2025] Trial Registered Prospectively
Last Modified On: 07/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Single Arm Study 
Public Title of Study   Effect of proprioceptive training on throwing performance in overhead athletes with limited shoulder internal rotation 
Scientific Title of Study   Effect of proprioceptive training on throwing performance among overhead throwing athletes with shoulder internal rotation deficit- 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  Preethi H R 
Designation  Physiotherapist 
Affiliation  CAUVERY COLLEGE of PHYSIOTHERAPY 
Address  department of sports science MPT class room number 1, building 1 Cauvery College of physiotherapy KBL Layout, near devegowda Circle, nadanahalli, Mysore.
department of sports science MPT class room number 1, building 1 Cauvery College of physiotherapy KBL Layout, near devegowda Circle, nadanahalli, Mysore.
Mysore
KARNATAKA
570028
India 
Phone  8296448213  
Fax    
Email  preethiswathi29@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Preethi H R 
Designation  Physiotherapist 
Affiliation  CAUVERY COLLEGE of PHYSIOTHERAPY 
Address  department of sports science MPT class room number 1, building 1 Cauvery College of physiotherapy KBL Layout, near devegowda Circle, nadanahalli, Mysore.
department of sports science MPT class room number 1, building 1 Cauvery College of physiotherapy KBL Layout, near devegowda Circle, nadanahalli, Mysore.
Mysore
KARNATAKA
570028
India 
Phone  8296448213  
Fax    
Email  preethiswathi29@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Preethi H R 
Designation  Physiotherapist 
Affiliation  CAUVERY COLLEGE of PHYSIOTHERAPY 
Address  department of sports science MPT class room number 1, building 1 Cauvery College of physiotherapy KBL Layout, near devegowda Circle, nadanahalli, Mysore.
department of sports science MPT class room number 1, building 1 Cauvery College of physiotherapy KBL Layout, near devegowda Circle, nadanahalli, Mysore.
Mysore
KARNATAKA
570028
India 
Phone  8296448213  
Fax    
Email  preethiswathi29@gmail.com  
 
Source of Monetary or Material Support  
Cauvery College of Physiotherapy department of sports science MPT class room number 1, building 1 KBL Layout, near devegowda Circle, nadanahalli, Mysore-570028 Karnataka India  
 
Primary Sponsor  
Name  Cauvery College of Physiotherapy 
Address  KBL Layout, Nadanahalli, Mysore 
Type of Sponsor  Other [Private 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 
SwetalKumari Satishbhai Patel  Cauvery Group of institutions  staff room1, first floor, KBL Layout, near deveGowda Circle, nadanahalli, Mysore.
Mysore
KARNATAKA 
07016025775

sweetypatel.sp50@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethical committee, Cauvery Heart and Multispeciality Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  NIl 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  its a single arm study so no comparator require  
Intervention  Propioception training   Quick Catch & Throw: Participant catches and immediately throws the ball without pausing. Deceleration Drill: In a kneeling position (same-side knee down), participant throws the ball backward over the shoulder. The examiner tosses it back, and the participant catches in throwing position and decelerates forward. Wall Dribble at 90°: Facing the wall, arm in throwing position with elbow close to the wall, participant rapidly dribbles the ball against the wall without pausing. Wall Dribble Circle: Facing the wall, arm overhead with elbow near wall, participant uses fingertips to dribble the ball in an arc from above the head to shoulder level and back. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  28.00 Year(s)
Gender  Both 
Details  Male and female athletes aged 18–28 years,engaged in overhead sports e.g., volleyball, badminton, baseball, cricket, or overhead lifting.

Diagnosed with Shoulder Internal Rotation Deficit, loss in internal rotation and loss in total rotational motion compared to the non-dominant side.

Professional or actively competing athletes.

 
 
ExclusionCriteria 
Details  History of shoulder pain in the past 6 months.

Previous surgery, trauma, or fracture involving the shoulder girdle, neck, or elbow within the past year.

Presence of radicular pain originating from the cervical spine. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Functional Throwing Performance Index  The functional ability of the shoulder joint will be assessed using the Functional Throwing Performance Index (FTPI). The subject will stand 4.57 meters away from a 30.48 x 30.48 cm target marked on a wall at a height of 1.22 meters from the floor. The athlete will be instructed to throw a rubber playground ball into the target as many times as possible during a 30-second trial.

Before testing, each subject will perform 8 warm-up throws. The test will begin immediately after the warm-up, with the subject repeatedly throwing the ball into the target, catching the rebound from the wall, and continuing for 30 seconds.

The FTPI will be calculated as:
FTPI = (Number of accurate throws within the target) / (Total number of throws).

To ensure consistency, the same examiner will determine the accuracy of all throws. 
 
Secondary Outcome  
Outcome  TimePoints 
SEATED MEDICINE BALL THROW  An open-kinetic chain test to assess upper-body strength and power

Participants will sit with legs extended and back, shoulders, and head against a wall. Holding a 2 kg medicine ball at 90° shoulder abduction and elbow flexion, they will perform a chest pass without losing wall contact.

Three warm-up throws will be done, followed by a 2-minute rest. Four maximal-effort throws will be performed, with 1-minute rest intervals. Technique will be monitored.

A 10 m tape will be fixed to the floor. The ball, coated with magnesium carbonate, will mark the floor. The examiner will measure the distance from the wall to the nearest point of contact as the score. 
 
Target Sample Size   Total Sample Size="33"
Sample Size from India="33" 
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)   19/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  19/08/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="1"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [preethiswathi29@gmail.com].

  6. For how long will this data be available start date provided 01-08-2025 and end date provided 01-08-2026?
    Response (Others) - 

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary  

Overhead athletes frequently perform repetitive throwing motions, which will increase the risk of shoulder injuries, particularly in the presence of Glenohumeral Internal Rotation Deficit (GIRD). GIRD will result in reduced internal rotation and altered joint mechanics, contributing to instability and overuse injuries.

Proprioception will play a crucial role in dynamic shoulder stability and throwing performance, yet it will remain underemphasized in upper-limb rehabilitation. This study will evaluate the effect of proprioceptive training on throwing performance in overhead athletes with shoulder internal rotation deficits, addressing a gap in current research.

 
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