About this trial
Many athletes who play overhead sports like cricket develop tightness in the back of the shoulder. This causes pain and makes it hard to lift the arm. This study will compare two common physical therapy treatments: Kaltenborn joint mobilization (a specific manual therapy glide) versus a Pragmatic Posterior Capsular Stretch (a specific stretching technique). We want to see which one works better for pain, range of motion, and daily function. 28 athletes will be treated for 4 weeks, and we will measure their progress using a goniometer and the SPADI questionnaire.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male and female athletes
Positive GIRD test
Age 22-40 years
Overhead throwing athletes (Cricketers)
Disqualifiers
Fracture
Recent shoulder injury (last 6 months)
History of shoulder surgery
Osteoarthritis
Trial design
Parallel
Treatments tested in this trial
Kaltenborn Joint Mobilization
Procedure/SurgeryKaltenborn Grade III sustained posterior glide with lateral distraction. Applied to the glenohumeral joint for 15 minutes per session, 3x/week for 4 weeks.
Pragmatic Capsular Stretch
Procedure/SurgerySide-lying stretch combining medial rotation, extension, and traction. Held for 30 seconds with deep breathing, repeated for 15 minutes total per session, 3x/week for 4 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Change in Pain
Measured using the Shoulder Pain and Disability Index (SPADI) - Pain subscale. Score range 0-100 (higher = more pain).
Change in Range of Motion
Measured using a universal goniometer. Specifically Glenohumeral Internal Rotation (GIR) and Horizontal Adduction (HA) range in degrees.
Secondary outcomes
Change in Functional Disability
Measured using the Shoulder Pain and Disability Index (SPADI) - Disability subscale. Score range 0-100 (higher = more disability).
Locations
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Sponsors and contacts
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