NCT07229274

Effect of Joint Mobilization and Movement Control Exercises on Shoulder Pain and Function in Fast Bowlers (RCT)

Combined Effects of Mulligan Mobilization With Movement and Kinetic Medial Rotation Control for Shoulder on Pain, Range of Motion, and Function Among Fast Bowlers

• Status: Enrolling By Invitation
• Phase: N/A
• Study type: Interventional
• Enrollment: 42 (estimated)
• Sponsor: Lahore University of Biological and Applied Sciences · Academic / Other
• Sex: Male
• Age: 18 Years – 45 Years
• Healthy volunteers: Not accepted

Summary

The goal of this clinical trial is to determine combined effects of the Kinetic control for shoulder on pain, range, and function among fast bowlers. The main question it aims to answer is: Does mulligan mobilization with movement along with kinetic medial rotation control work in decreasing pain, improving shoulder internal range of motion and shoulder function in fast bowlers with glenohumeral internal rotation deficit? Is the combination of Mulligan mobilization with movement along with kinetic control therapy effective in fast bowlers with glenohumeral internal rotation deficit? Treatment arm will receive movement retraining exercises to develop kinetic control with mulligan mobilization and comparison arm will receive standard physical therapy exercises with mulligan mobilization. Treatment group will receive shoulder warm up exercises, movement retraining exercises and mulligan mobilization with movement. Comparison group will receive shoulder warm up exercises, modified sleeper stretch, shoulder isometrics and mulligan mobilization with movement.

Conditions

• Glenohumeral Internal Rotation Deficit (GIRD)

Interventions

Type	Name	Description
OTHER	Kinetic control for shoulder internal rotation with mobilization with movement	stretches and strengthening along with mobilization with movement is given to participants. stretches include sleeper stretch and isometrics in strengthening
OTHER	stretches, strengthening and mobilization with movement	Each person in the control group will do these exercises three times a week. The session starts with shoulder warm-up exercises like arm circles, shoulder rolls, and reaching overhead. These are done in 2 sets of 10 reps. Next is the modified sleeper stretch. This is repeated 3 times, with a 30-second rest between each stretch. Then, isometric shoulder exercises are done in standing. The person pushes their arm inward against resistance without actually moving it. Finally, Mobilization with Movement (MWM) is used.

Timeline

• Start date: 2025-10-01
• Primary completion: 2026-01-15
• Completion: 2026-02-25
• First posted: 2025-11-14
• Last updated: 2025-11-14

Locations

2 sites across 1 country: Pakistan