End-range Maitland Mobilization on Glenohumeral Internal Rotation Deficit and Proprioception

Sports Physical Therapy Clinical Trial

Official title:

The Effect of End-range Maitland Mobilization on Glenohumeral Internal Rotation Deficit and Proprioception in Volleyball Players

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04868006
• Other study ID #: Maitland_GIRD
• Status: Completed
• Phase: N/A
• Start date: September 28, 2021
• Est. completion date: October 10, 2021

Study information

• Verified date: September 2022
• Source: University of Pecs
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Glenohumeral internal rotation deficit (GIRD) is one of the main reasons for glenohumeral pain in athletes with over-head activity. As GIRD increases, the ratio between internal and external rotation changes resulting in decreased joint stability. Joint mobilization is a possible option for the decrease of GIRD and contribution to improvement of proprioception in addition to physical therapy. The aim of this trial is to investigate the effect of end-range Maitland mobilization in addition to physical therapy on GIRD, other joint movements and proprioception.

Description:

Glenohumeral internal rotation deficit (GIRD) is one of the main reasons for glenohumeral pain in athletes with over-head activity. As GIRD increases, the ratio between internal and external rotation changes resulting in decreased joint stability. The occurence of GIRD and decreased joint proprioception may lead to different shoulder pathologies (e.g. Impingement syndrome). Joint mobilization is a possible option for the decrease of GIRD and contribution to improvement of proprioception in addition to physical therapy. Several joint mobilization techniques exists, which can be applied for stretching of periarticular tissues. Maitland mobilization is a well applied mobilization type. The effectiveness of both end-range and not end-range Maitland mobilization in lengthening of periarticular tissues and improvement of joint proprioception has been previously confirmed amongst several diseases. However, the effect of end-range Maitland mobilization on decrease of GIRD and proprioception in addition to physical therapy has not been investigated in volleyball players so far. The aim of this trial is to investigate the effect of end-range Maitland mobilization in addition to physical therapy on GIRD, other joint movements and proprioception.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: October 10, 2021
• Est. primary completion date: October 10, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 30 Years

Eligibility

Inclusion Criteria:

• National Championship players in I. or II. level
• at least, 10 degree deficit of glenohumeral internal rotation in the dominant shoulder compared to the non-dominant hand

Exclusion Criteria:

• previous trauma or surgery on the dominant shoulder
• participation in any kind of treatment during the intervention period

Related Conditions & MeSH terms

• Sports Physical Therapy

Intervention

Procedure:
• End-range Maitland mobilization + proprioception training
End-range Maitland mobilization performed in end position of internal rotation of the shoulder accompanied with 8--week long proprioception training
• Non end-range Maitland mobilization + proprioception training
Non end-range Maitland mobilization performed in loose position of the shoulder accompanied with 8--week long proprioception training
• Sham manual therapy technique + proprioception training
Placebo performed in loose position of the shoulder accompanied with 8--week long proprioception training

Locations

Country	Name	City	State
Hungary	Harkány Thermal Rehabilitation Centre	Harkány	Please Select

Sponsors (1)

Lead Sponsor	Collaborator
University of Pecs

Country where clinical trial is conducted

Hungary, 

References & Publications (2)

Miura K, Tsuda E, Ishibashi Y. Glenohumeral Rotational Deficit and Suprascapular Neuropathy in the Hitting Shoulder in Male Collegiate Volleyball Players. Prog Rehabil Med. 2019 Jan 12;4:20190002. doi: 10.2490/prm.20190002. eCollection 2019. — View Citation

Wilk KE, Reinold MM, Macrina LC, Porterfield R, Devine KM, Suarez K, Andrews JR. Glenohumeral internal rotation measurements differ depending on stabilization techniques. Sports Health. 2009 Mar;1(2):131-6. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Internal rotation of the dominant glenohumeral joint	Measurement of active internal rotation of the dominant glenohumeral joint with goniometer expressed in degree	after 8 weeks
Secondary	Flexion of the dominant glenohumeral joint	Measurement of active flexion of the dominant glenohumeral joint with goniometer expressed in degree	after 8 weeks
Secondary	Extension of the dominant glenohumeral joint	Measurement of active extension of the dominant glenohumeral joint with goniometer expressed in degree	after 8 weeks
Secondary	Abduction of the dominant glenohumeral joint	Measurement of active abduction of the dominant glenohumeral joint with goniometer expressed in degree	after 8 weeks
Secondary	Adduction of the dominant glenohumeral joint	Measurement of active adduction of the dominant glenohumeral joint with goniometer expressed in degree	after 8 weeks
Secondary	External rotation of the dominant glenohumeral joint	Measurement of active external rotation of the dominant glenohumeral joint with goniometer expressed in degree	after 8 weeks
Secondary	Western Ontario Shoulder Instability Index	Western Ontario Shoulder Instability Index of the dominant shoulder	after 8 weeks
Secondary	Posterior Shoulder Endurance Test	Muscle strength test of the dominant shoulder expressed in Newton	after 8 weeks
Secondary	Proprioception of the shoulder	Proprioception of the shoulder measured with plurimeter expressed in degree	after 8 weeks
Secondary	Davies test	Measurement of proprioception and muscle strength test by the Davies test expressed in amount of success touch	after 8 weeks
Secondary	Sportspecific proprioception test	Measurement of the precision of serving expressed in centimeter	after 8 weeks