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CompletedNCT03421535Updated Feb 5, 2018

Opposite SI Joint Stretching for GIRD

An interventional study of Sleeper Stretch and Opposite SI joint Stretch in Shoulder Impingement, sponsored by Romano Orthopaedic Center. Completed at 1 site in United States. Open to male participants aged 23 Years to 25 Years. Per ClinicalTrials.gov, last updated 2018-02-05.

Sponsored by Romano Orthopaedic Center · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
23
Allocation
Randomized
Ages
23 Years to 25 Years
Sex
Male
01

Study summary

The purpose of this study is to investigate if stretching the contralateral sacroiliac (SI) joint improves GIRD in baseball players. Additionally, we aimed to compare our SI joint stretching regiment with a classically described sleeper stretch routine.

Read the detailed description

Abstract:

Background:

Glenohumeral Internal Rotational Deficit (GIRD) is a well-documented finding in throwing athletes.

Hypothesis/Purpose:

The purpose of this study is to investigate if stretching the contralateral sacroiliac (SI) joint improves GIRD in baseball players. Additionally, the effect of the SI joint stretch will be compared to that of the classically described sleeper stretch.

Study Design:

Randomized Controlled Clinical Trial

Methods:

With the athlete supine and arm abducted 90o, internal rotation of both shoulders was measured in 23 minor league baseball players.

Next, each player randomly was assigned to either a control (sleeper stretch of dominant shoulder) or experimental (stretch of the SI joint contralateral to the dominant shoulder) group supervised by a certified athletic trainer. The players performed their own stretches.

Finally, the initial two investigators, unaware of to which group the player was assigned, re-measured the end-range internal rotation of each athlete's dominant shoulder.

02

Conditions studied

  • Shoulder Impingement

Keywords

  • Glenohumeral internal rotational deficit
  • GIRD
  • Sleeper stretch
  • SI joint stretch
03

Who can participate

Ages eligible
23 Years to 25 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • All members a minor league baseball team

Exclusion criteria

Exclusion Criteria:

  • Any active shoulder or back injury or history of shoulder or back injury
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
23 participants (actual)

Study arms

  • Active comparator
    Sleeper stretch group

    A certified athletic trainer supervised and observed the athlete as he performed the sleeper stretch on his dominant shoulder.

    Procedure: Sleeper Stretch

  • Experimental
    Opposite SI joint Stretch

    A certified athletic trainer supervised and observed the athlete as he performed the SI joint stretch opposite his dominant shoulder.

    Procedure: Opposite SI joint Stretch

Interventions

  • ProcedureSleeper Stretch

    Internal Range of motion of dominant shoulder

  • ProcedureOpposite SI joint Stretch

    Internal range of motion of dominant shoulder

05

What researchers measure

Primary outcomes

  1. Shoulder internal ROM after stretching opposite SI joint

    Internal range of motion of dominant shoulder after stretching opposite SI joint

    Time frame: Measurement made within 30 minutes of stretching

Secondary outcomes

  1. Shoulder Internal ROM after sleeper stretch

    Internal range of motion of dominant shoulder after sleeper stretch

    Time frame: Measurement made with 30 minutes of stretching

06

Study locations

1 site
  • Romano Orthopaedic Center
    Oak Park, Illinois 60302, United States
07

References and documents

Publications

  • Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology Part I: pathoanatomy and biomechanics. Arthroscopy. 2003 Apr;19(4):404-20. doi: 10.1053/jars.2003.50128. PubMed 12671624 ↗
  • Bigliani LU, Codd TP, Connor PM, Levine WN, Littlefield MA, Hershon SJ. Shoulder motion and laxity in the professional baseball player. Am J Sports Med. 1997 Sep-Oct;25(5):609-13. doi: 10.1177/036354659702500504. PubMed 9302464 ↗

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT03421535
Lead sponsor
Romano Orthopaedic Center
Responsible party
Victor Romano, MD (Orthopaedic Surgeon, Romano Orthopaedic Center) — Principal investigator
First posted
Feb 5, 2018
Start date
May 23, 2017
Primary completion
May 23, 2017
Completion
May 23, 2017
Last update
Feb 5, 2018

Study contacts

Victor Romano
principal investigator · Romano Orthopaedic Center

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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