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RecruitingNCT07724977Updated Aug 12, 2026

Comparative Effects of Closed Kinetic Chain Exercises and Thrower's Ten Exercises in Glenohumeral Instability

An interventional study of closed kinetic chain exercises and thrower's ten exercises in Instability, Joint, sponsored by Riphah International University. Recruiting at 1 site in Pakistan. Open to male participants aged 16 Years to 25 Years. Per ClinicalTrials.gov, last updated 2026-08-12.

Sponsored by Riphah International University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Oct 2025, registered Jul 2026).
  • Started Oct 2025; still recruiting 1 year later.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
16 Years to 25 Years
Sex
Male
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Study summary

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.

Read the detailed description

This study will be a randomized clinical trial duration of study will be 10 months.

Data will be collected by convenient sampling technique from Pakistan cricket board. Three outcome measures will be compared by using different tools pain is measured by NPRS, mobility is measured by goniometer and performance is measured by upper limb rotation test .pre and post assessment is done Participants are divided into two groups group A undergoes closed kinetic chain exercise , group B undergoes throwers ten exercise observed values will be analyzed by using SPSS 27 software

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Conditions studied

  • Instability, Joint

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Keywords

  • closed chain kinetic exercises
  • thrower's ten exercises
  • instability
03

In context

Joint Instability

115 studies on the registry are indexed under Joint Instability; 21 are open to participants now.

This study's planned enrollment of 40 is below the median of 46 across 58 interventional studies indexed under Joint Instability.

Browse Joint Instability studies →

Lead sponsor

Riphah International University is the lead sponsor of 2,193 studies on the registry; 650 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male bowlers are included in this study
  • Healthy athletes with age group 16-25y
  • Athletes having 2 years of bowling experience

Exclusion criteria

Exclusion Criteria:

  • 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
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    closed chain kinetic exercises

    The 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

    Other: closed kinetic chain exercises

  • Experimental
    Thrower's ten exercises

    Throwers 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.

    Other: thrower's ten exercises

Interventions

  • Otherclosed kinetic chain exercises

    The 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

  • Otherthrower's ten exercises

    Throwers 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.

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What researchers measure

Primary outcomes

  1. 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.

    Time frame: Pre and 6 week post interventional

  2. 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

    Time frame: Pre and 6 week post interventional

  3. 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

    Time frame: Pre and 6 week post interventional

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Study locations

1 of 1 sites recruiting
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References and documents

Publications

  • Gokalp O, Kirmizigil B. Effects of Thrower's Ten exercises on upper extremity performance: A randomized controlled study. Medicine (Baltimore). 2020 Oct 16;99(42):e22837. doi: 10.1097/MD.0000000000022837. PubMed 33080765 ↗
  • Shah R, Thakkar S, Patel GJJP-TJoIAoP. Effect of Thrower's ten exercises versus core strengthening exercise on upper extremity performance in handball players. 2024;18(2):156-60.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07724977
Responsible party
Sponsor
First posted
Jul 24, 2026
Start date
Oct 15, 2025
Primary completion
Aug 15, 2026 (estimated)
Completion
Aug 30, 2026 (estimated)
Last update
Aug 12, 2026

Study contacts

Amna Shahid, t-dpt
Contact
amna.shahid@riphah.edu.pk
0334-4512823
Sidra Rabbani, DPT
principal investigator · Study Principal Investigator

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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