Effectiveness of Pre-Ultrasound Stretching in Rotator Cuff Injury Management among Sports Athletes: A Randomized Controlled Trial
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| Format: | Recurso digital |
| Language: | English |
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2025
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| _version_ | 1866901903377432576 |
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| author | Mani Ram Meena, Dr. Mukesh Kumar Goyal |
| author_facet | Mani Ram Meena, Dr. Mukesh Kumar Goyal |
| contents | <table style="border-collapse: collapse; margin-left: 6.75pt; margin-right: 6.75pt;"> <tbody> <tr style="height: 91.3pt;"> <td style="width: 4.75in; padding: 0in 5.4pt 0in 5.4pt; height: 91.3pt;"> <h2><strong><span lang="EN-IN">Abstract</span></strong></h2> <h2><strong><span lang="EN-IN">Background</span></strong><strong><span lang="EN-IN">:</span></strong><span lang="EN-IN"> Rotator cuff injuries are highly prevalent in athletic populations, particularly in overhead sports. While both stretching exercises and therapeutic ultrasound are widely used in rehabilitation, optimal sequencing of these modalities remains unclear.</span></h2> <p><strong>Objective:</strong> To compare the effectiveness of stretching exercises performed immediately before ultrasound therapy versus ultrasound therapy alone in athletes with rotator cuff injuries.</p> <p><strong>Methods:</strong> A randomized controlled trial was conducted with 180 athletes (18–50 years) with subacute rotator cuff injuries. Participants were allocated into:</p> <p>Group A: 15-minute standardized stretching followed by ultrasound therapy</p> <p>Group B: Ultrasound therapy alone</p> <p>Ultrasound parameters were standardized (1 MHz, 1.5 W/cm², continuous mode, 10 minutes), 5 sessions per week for 10 weeks. Primary outcomes included pain (VAS), disability (SPADI), and shoulder range of motion (ROM).</p> <p><strong>Results:</strong> At 10 weeks, Group A demonstrated significantly greater improvements:</p> <p>Pain reduction: 72.4% vs 58.3% (p < 0.001)</p> <p>Disability reduction: 68.7% vs 52.4% (p < 0.001)</p> <p>Mean ROM recovery: 94.6% vs 86.8% (p < 0.001)</p> <p>Effect sizes were large (Cohen’s d > 1.0).</p> <p><strong>Conclusion:</strong> Stretching immediately before ultrasound therapy significantly enhances clinical and functional outcomes in athletic rotator cuff rehabilitation. Treatment sequencing plays a critical role in optimizing recovery.</p> <p><strong>Keywords:</strong> Rotator cuff injury, Ultrasound therapy, Stretching, Sports rehabilitation, Treatment sequencing</p> <p> </p> </td> </tr> </tbody> </table> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_18678660 |
| institution | Zenodo |
| language | eng |
| publishDate | 2025 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | Effectiveness of Pre-Ultrasound Stretching in Rotator Cuff Injury Management among Sports Athletes: A Randomized Controlled Trial Mani Ram Meena, Dr. Mukesh Kumar Goyal <table style="border-collapse: collapse; margin-left: 6.75pt; margin-right: 6.75pt;"> <tbody> <tr style="height: 91.3pt;"> <td style="width: 4.75in; padding: 0in 5.4pt 0in 5.4pt; height: 91.3pt;"> <h2><strong><span lang="EN-IN">Abstract</span></strong></h2> <h2><strong><span lang="EN-IN">Background</span></strong><strong><span lang="EN-IN">:</span></strong><span lang="EN-IN"> Rotator cuff injuries are highly prevalent in athletic populations, particularly in overhead sports. While both stretching exercises and therapeutic ultrasound are widely used in rehabilitation, optimal sequencing of these modalities remains unclear.</span></h2> <p><strong>Objective:</strong> To compare the effectiveness of stretching exercises performed immediately before ultrasound therapy versus ultrasound therapy alone in athletes with rotator cuff injuries.</p> <p><strong>Methods:</strong> A randomized controlled trial was conducted with 180 athletes (18–50 years) with subacute rotator cuff injuries. Participants were allocated into:</p> <p>Group A: 15-minute standardized stretching followed by ultrasound therapy</p> <p>Group B: Ultrasound therapy alone</p> <p>Ultrasound parameters were standardized (1 MHz, 1.5 W/cm², continuous mode, 10 minutes), 5 sessions per week for 10 weeks. Primary outcomes included pain (VAS), disability (SPADI), and shoulder range of motion (ROM).</p> <p><strong>Results:</strong> At 10 weeks, Group A demonstrated significantly greater improvements:</p> <p>Pain reduction: 72.4% vs 58.3% (p < 0.001)</p> <p>Disability reduction: 68.7% vs 52.4% (p < 0.001)</p> <p>Mean ROM recovery: 94.6% vs 86.8% (p < 0.001)</p> <p>Effect sizes were large (Cohen’s d > 1.0).</p> <p><strong>Conclusion:</strong> Stretching immediately before ultrasound therapy significantly enhances clinical and functional outcomes in athletic rotator cuff rehabilitation. Treatment sequencing plays a critical role in optimizing recovery.</p> <p><strong>Keywords:</strong> Rotator cuff injury, Ultrasound therapy, Stretching, Sports rehabilitation, Treatment sequencing</p> <p> </p> </td> </tr> </tbody> </table> |
| title | Effectiveness of Pre-Ultrasound Stretching in Rotator Cuff Injury Management among Sports Athletes: A Randomized Controlled Trial |
| url | https://doi.org/10.5281/zenodo.18678660 |