About this trial
The study is randomized and single-blinded. Ethical approval is taken from ethical committee of Riphah International University, Lahore. Participants who meet the inclusion criteria will be enrolled and allocated in group A \& B through sealed envelope method by Non-probability Convenient random sampling technique. Subjects in Group A will receive closed kinetic chain exercises. Group B will receive thrower's ten exercises.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male bowlers are included in this study
Healthy athletes with age group 16-25y
Athletes having 2 years of bowling experience
Disqualifiers
Bowlers with prior history of trauma and shoulder injuries from past 6 months bowlers with any medical issues such as hypertension, any , neurological , cardiovascular and psychological problems
if athlete suffered from any upper extremity orthopedic or musculoskeletal injury from last 6 months
Trial design
Parallel
Treatments tested in this trial
closed kinetic chain exercises
Other interventionThe group participated in 6 weeks of training session lasting for 45-50 minutes.The individual was positioned standing with the elbow joint completely extended, palm on the wall, and shoulder flexion at a 90° angle
thrower's ten exercises
Other interventionThrowers ten exercise are used to improve strength and endurance of rotator cuff muscles and scapular stabilizers, pre and post assessment is done as my study will be randomized clinical trial , 5-10 minutes of warm up , 45 minutes of resistance training and 5-10 minutes of cool down is added.
Treatment groups
Trial outcomes
Primary outcomes
Pain measure through NPRS
Pain measure through NPRS, The NPRS scoring system is a widely used tool in healthcare for assessing pain intensity. It typically uses a scale from 0 to 10, where 0 indicates no pain and 10 represents the worst possible pain.
Mobility measure through Goniometry
Mobility measure through Goniometry, Goniometry measures glenohumeral (shoulder) mobility by placing a goniometer axis on the humeral head or acromion process to score active and passive range of motion degrees. Normal adult values typically reach 170°-180° for flexion and abduction, 70°-90° for internal rotation, and 90°-100° for external rotation
performance measure through upper limb rotation test
performance measure through upper limb rotation test, The Upper Limb Rotation Test (ULRT) for the glenohumeral joint is scored by counting the total number of valid repetitions (touches) achieved across three 15-second trials. The final score is the average or sum of valid touches per side, reflecting shoulder stability, dynamic control, and trunk rotation coordination
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