Clinical Research Directory

Effects of Scapular Training on Adolescent Boxers

Boxing is a combat sport that requires repetitive, high-speed upper extremity movements, placing substantial demands on shoulder stability, scapular control, and neuromuscular coordination. Repetitive punching movements may contribute to scapular dyskinesis, shoulder dysfunction, and impaired upper extremity performance. Scapular stabilization exercises aim to improve scapular positioning, muscle activation, and movement coordination by targeting key stabilizing muscles, including the serratus anterior and trapezius. The aim of this study is to investigate the effects of scapular stabilization exercises on scapular control and upper extremity performance in adolescent boxers. Scapular control, muscular endurance, stability, strength, balance, and reaction time will be assessed to determine changes following the exercise intervention. The findings are expected to provide evidence regarding the potential benefits of scapular stabilization training for improving upper extremity function and sports performance in adolescent boxers.

Dynamic vs. PNF Quadriceps Stretching in Cyclists

Following an initial assessment, 30 professional cyclists will be divided into two groups (1:1). PNF stretching will be applied to the Quadriceps muscles of the participants in Group A, while Group B will perform dynamic stretching on the Quadriceps muscles. After the interventions, all participants will undergo a second assessment. The study aims to compare the immediate effects of these two different types of stretching on muscle performance, strength and joint range of motion. Participants will attend a single day for both the assessments and the intervention sessions.

Comparative Effects of Dolphin Kick Streamline Training Versus Flutter Kick Training in Competitive Swimmers

This randomized controlled trial will compare the effects of dolphin kick streamline training versus flutter kick training on core stability and sprint performance in competitive swimmers. Both groups will receive the same land-based core conditioning program in addition to their assigned aquatic kicking training. Core stability and sprint performance will be assessed at baseline, Week 4, and Week 8 to determine whether either training approach produces greater improvements in competitive swimming performance.

Effects of Explosive Plyometric Training Versus Thera-Band Power Training on Sprint Swimming Performance

This randomized controlled trial will compare the effects of upper-limb explosive plyometric training and TheraBand-based power training on sprint swimming performance in competitive swimmers. Participants will be randomly allocated to either an explosive plyometric training group or a TheraBand-based power training group. Both groups will continue their routine aquatic training while completing their assigned dry-land training program for eight weeks. Outcomes including 50-meter freestyle performance, Medicine Ball Throw Test performance, and 15-meter sprint time will be assessed at baseline and after completion of the intervention. The study aims to determine which upper-limb training approach is more effective for improving sprint swimming performance.

Reliability of Custom-Made Platform for Trunk Flexion Isometric Strength Assessment

Trunk flexion strength is an essential component of core muscle performance, playing a critical role in spinal stability, injury prevention, and athletic function. While isokinetic dynamometers remain gold standard for trunk strength assessment, their high cost and limited accessibility restrict their use in most clinical and field settings in Pakistan. There is a need for reliable, affordable alternative that can be used by physiotherapists and sports practitioners without access to specialized laboratory equipment. Therefore, this study aims to evaluate the reliability of a custom-made standing platform for measuring trunk flexion isometric strength in healthy young adults. Establishing the reliability of this device will enable clinicians and researchers to confidently use it as a practical and cost effective tool for trunk strength assessment in both clinical and sports settings.

Effects of Functional Movement and Conventional Training

Comparative effects of functional movement and conventional training

Comparative Effects of Sprint Interval Training and Continuous Aerobic Conditioning in Runners

Comparative effects of sprint interval training and continuous aerobic conditioning in runners

Are Alterations in Shoulder Rotations and Core Stability Effective for Water Polo Shoulder Problems?

Hypothesis of the clinical study: There are differences between the Water Polo Group and the Non-Water Polo Group in terms of shoulder parameters and core (lumbopelvic) parameters and there are differences between the throwing and non-throwing sides in terms of shoulder parameters in Water Polo Group.

Effects of Agility Ladder Training on Football Players

Football world has been using new techniques to have edge in competitions. One such tool is agility ladder that involve repetitive series of high intensity in and out movements between rungs' and is made out of two nylon straps with plastic rungs spaced 15-18 inches, but it can also be made by using home supplies of PVC pipes or ropes or simply sticking tape on floor. The standard ladder is 10 yards long. It is used to improve speed, balance, coordination, power and agility. But it is not limited to only these qualities, it's a multipurpose equipment with which sport specific skills can be improved. For footballers it can be used to improve dynamic balance, flexibility and running performance.

Comparative Effects of Spencer Muscle Energy Technique Versus Post Facilitation Stretch Among Fast Bowlers

This study compares the effectiveness of Spencer Muscle Energy Technique and Post Facilitation Stretch in reducing shoulder pain in 32 fast bowlers aged 18-35. Participants will receive treatment three times a week for four weeks. Pain, shoulder mobility, and functional ability will be measured before and after the intervention to identify the more effective technique

Effectiveness of an Adapted Physical Activity Program for Subjects Suffering From Haemophilia

The present study aims to evaluate the modification of functional capacity induced by an adapted physical activity program in subjects with haemophilia. The exercise program used aims to improve joint mobility, muscle strength, static and dynamic balance, motor coordination. The program is structured in 1 hour sessions of 2 days/week and lasts 6 months. The primary endpoint is the change in functional capacity calculated as the difference between the baseline assessment and the 3 and 6 month assessment of the 6 Minutes Walking Test measured with the G-Walk (BTS Bioengineering S.p.A).

Comparative Effects of Dynamic Stability Drills and Plyometric Training After Anterior Crutiate Ligament Reconstruction

Terminal Extension lag (TEL) is a condition that develops when active range of extension is smaller than passive range; frequently noticed in post-traumatic knees after injuries and Anterior Cruciate ligament reconstruction surgery. TEL is typically seen within 6 to 12 weeks after ACL reconstruction. Anterior cruciate ligament reconstruction surgery is a critical surgical intervention used to repair ACL tear; which is common among those who are engaged in physical demanding activities and Sportsmen. In the initial days following surgery terminal extension lag affects up to 10 to 35% of individuals. ACL is expectational because it's not just a static stabilizer of knee but also transfers proprioceptive information to the brain so to improve joint's dynamics. This study aims to compare effects of Dynamic Stability Drills (DSD) and Plyometric Training (PT) in reducing terminal knee extension lag in post-ACL reconstruction patients. This study will be a Randomized Clinical Trail and will be conducted in Physiotherapy Department of Bethania Hospital Sialkot. Non-Probability Convenience Sampling will be used to collect data. Total of 48 Participants of the age 20 to 40 years with terminal extension lag of moderate lag stage (typically 9-12 weeks post-op with 5-10° lag) will be selected as sample size. An informed consent will be taken prior study from all the subjects. Outcomes measure will be included Numerical Pain Rating Scale (NPRS) for pain, Single Leg Hope Test and Y Balance Test (Y-BAL) for Dynamic Stability, Universal Goniometer (UG) for Range of Motion, Sphygmomanometer for Knee Strength, International Knee Documentation Committee scores, (IKDC) for Knee function and Limb Symmetry Index (LSI) Calculations. Subjects will be divided into two groups by random number generator table. Both groups will receive a standard physiotherapy protocols which will include: Hot pack , TENS , Mobilizations, Stretching and Strengthening. Group A will receive Dynamic Stability Drills and Group B will receive Plyometric Training along with conventional treatment. Patient will come 3 time a week and data will be recollected after 6 weeks. Data will be analyzed by SPSS version 25.

Core Training in Amateur Soccer Players

The core region is a part of the body composed of axes surrounding the torso and plays a crucial role in maintaining stability. Therefore, it is considered important for maintaining athletic performance in athletes. This study aims to investigate the effects of core strength training, in addition to routine training programs, on jumping, agility, speed, balance, and shooting speed performance in amateur football players.

Effects of Myofascial Release, Dynamic and Static Stretching in Adolescent Karate Athletes

This randomized single-blind crossover trial investigated the acute effects of three different exercise modalities, namely self-myofascial release with a foam roller, dynamic stretching, and static stretching, on posture, flexibility, dynamic balance, and lower-extremity performance in adolescent karate athletes (12-18 years). Participants attended four weekly sessions at the same time of day and after a 48-hour rest period. In the first week a baseline (control) measurement was performed, and in the following three weeks each participant received the three interventions in a randomized order. Outcomes included a four-view smartphone-based posture analysis (PostureScreen Mobile), the Sit-and-Reach Test, the Y Balance Test, the 30-second Sit-to-Stand Test, and the Vertical Jump Test (My Jump Lab 2). The aim was to identify which warm-up modality offers the greatest acute benefit before karate-specific performance

Perceptual-vision Training and Intellectual Disabilities

Physical activity for healthy ageing is an important feature and the possibility to detect practical solutions to solve the need for feasible health promotion interventions to reduce health disparities and wellbeing in individuals with intellectual disability (ID) is an open question. In this perspective, vision has a remarkable role in spatial cognition and organization, especially in individuals with ID. Therefore, the aim is to investigate the effectiveness of a perceptual-vision training program on cognitive performance (inhibitory control) and physical fitness (balance, agility and muscular strength) in adults with ID throughout 16 weeks. Participants with mild ID will be randomly divided into a perceptual-vision training group, a perceptual-vision training-detraining group and a control group. Cognitive performance and physical fitness will be assessed at baseline, mid and at the end of 16 weeks. In conclusion, a visual training program may present the potentiality to impact various health domains, from cognition to physical performance in individuals with intellectual disabilities, promoting their healthy aging.

Evaluation of Product Effectiveness of the Intervention for Patients With Knee Osteoarthritis

Osteoarthritis of the knee is a common, chronic joint pathology that causes participants to suffer from pain, dysfunction, and reduced quality of life. The goal is to improve the quality of life and rehabilitation of patients by making rehabilitation exercises electronic and the system can be personalized to their specific conditions. The focus of this study was on exercise interventions, and an interactive software was designed that combines repetitive motion and real-time feedback mechanisms. The software provides a series of rehabilitation movements that are specific to the characteristics of osteoarthritis of the knee in older adults, aiming to help participants gradually improve joint range of motion and muscle strength through exercise. The real-time feedback mechanism, on the other hand, monitors the participants' exercise status in real time through wearable devices, providing intuitive feedback to the participants to ensure that they perform the rehabilitation movements correctly, thus ensuring the scientificity and safety of the exercise. In this study, investigators designed an exercise assessment and exercise intervention system for patients with knee osteoarthritis. In the exercise assessment part, the study combines several tools. First, the WOMAC scale was used to systematically assess patients' joint pain, stiffness, and dyskinesia. Second, physical function tests are used to assess the patient's overall exercise capacity, including indicators such as the number of sit-ups and rises. In addition, a wearable device was designed in this paper for real-time collection of knee angle information.

Outdoor Horseback Riding and Its Effects on Muscle Strength, Balance, Sleep, and Movement

This study aims to investigate the effects of regular outdoor horseback riding on lower extremity muscle strength, core stabilization, balance, functional movement capacity, sleep quality, and overall well-being in healthy adults. Participants with at least 6 months of routine outdoor horseback riding will be compared to non-riders to evaluate differences in physical performance and functional capacity. The study will provide evidence on the potential health benefits of horseback riding.

Comparative Effects of Cadence Training vs Elliptical Training in Cricketers

Patellofemoral pain syndrome (PFP) is a frequent cause of anterior knee pain in sportspeople, especially those playing some sport that involves high-impact and rapid changes of direction and frequent lower-limb loading such as in cricket. The stress of patella is augmented by the activities and results in pain and functional performance decline. Strategies of rehabilitation which minimize the stress on the knee joints and maximizes strength, power and endurance are required. Elliptical training offers a low-impact aerobic alternative with negligible patellofemoral loading whereas cadence training highlights a controlled movement frequency and ideal movement patterns which may alleviate stress on the joints and increase neuromuscular coordination. To compare the effects of cadence training versus elliptical training on pain, power, and endurance among cricketers with patellofemoral pain syndrome. It was a randomized clinical trial involving 48 cricketers aged between 18 35 years with positive patellofemoral compression test and at least 2 3 years of playing experience. The individuals were randomly divided into two groups (n = 24 each) and Group A was allocated to the cadence training and Group B to elliptical training. The sessions were conducted over six weeks with each session taking 45 minutes three times a week. The pre- and post-intervention measures were Vertical Jump Test (power), Wall Sit Test (endurance), and Numeric Pain Rating Scale. The paired, Wilcoxon, Mann Whitney and independent t tests were used to analyze the data and compare the within and between-group differences.

Inspiratory Muscle Activation and Post-Exercise Recovery in Professional Football Players

Respiratory muscles play a fundamental role in sports performance. Fatigue of these muscles induces changes in maximal inspiratory pressure and autonomic nervous system activity, thereby compromising the athlete's recovery process. The primary aim of this study is to evaluate the specific effects of different inspiratory muscle activation modalities on post-exercise recovery in professional male football players. The study seeks to determine which of the three modalities-bilateral phrenic nerve electrical stimulation, a threshold loading device protocol, or inactivity-provides greater benefits for recovery. The effectiveness of these interventions will be assessed using two key outcome variables: maximal inspiratory pressure (MIP) and heart rate variability (HRV). This study is designed as a randomized clinical trial (RCT) in which participants will be allocated into three intervention groups: a bilateral phrenic nerve electrical stimulation group (EG1), in which involuntary diaphragmatic contractions will be induced using an electrotherapy device with current applied to the phrenic nerves; a threshold device group (EG2), in which participants will perform breathing against submaximal inspiratory loads equivalent to 40% of their MIP; and a control group (CG), which will remain seated for a period equivalent to the duration of the other interventions. Group allocation will be ensured through randomization using Microsoft Excel. Regarding statistical analysis, data normality will be assessed using the Shapiro-Wilk test. Comparisons of quantitative variables will be performed using Student's t test when normality assumptions are met, or the Mann-Whitney U test otherwise. A p value \< 0.05 will be considered statistically significant.

The Effects of Visual Input on Cognitive Function, Physical Performance, and Postural Stability in Adolescent Male Basketball Players

The aim of this study is to investigate the effects of exercises performed with stroboscopic glasses-recently gaining popularity in sports-on cognitive function, physical performance, and postural stability, which are among the key skills in athletic performance. The originality of the study lies in being the first to examine the effects of stroboscopic glasses-based exercises on basketball players. Hypotheses of the study: H1: Exercises performed with stroboscopic glasses have an effect on athletes' cognitive functions. H2: Exercises performed with stroboscopic glasses have an effect on athletes' physical performance. H3: Exercises performed with stroboscopic glasses have an effect on athletes' static and dynamic postural stability.

Effects of Tibialis Anterior Resistance Training With Ladder Drills in Basketball Athletes

The effects of tibialis anterior resistance training with ladder drills in basketball athletes.

Heavy-load Resistance Training With and Without Blood Flow Restriction Therapy in Athletes

A 8 weeks, single-blinded randomized controlled trial will be conducted at Pakistan Sports Board (PSB). Forty-four athletes (18-35 years) will be randomized into Group A (HL-RT + BFR, n = 22) and Group B (HL-RT only, n = 22). BFR will be applied at 50% limb occlusion pressure during lower-body exercises (squats, leg press). Both groups trained 3x/week for 4 weeks at 70-80% 1RM. Outcomes included 1RM strength, squat endurance, push-up performance, and International Physical Activity Questionnaire (IPAQ) scores.

Plyometrics vs PAPE Training in Football: Effects on Agility, Explosive Power and Speed

The goal of this clinical trial is to compare the effects of 8 week plyometric training and post-activation performance enhancement (PAPE) training on explosive power, agility, acceleration and sprint speed, muscle strength and flexibility in healthy male semi-professional football players aged 18-35. The main questions it aims to answer are: Does PAPE training have effects on performance metrics of football players when planned and applied long-term (8 weeks)? Does long term PAPE training improve agility, acceleration and speed, flexibility, vertical jump height, and muscle strength more effectively than Plyometric training? Is there a significant difference in performance gains between PAPE and plyometric training compared to a control group receiving only routine football training? Researchers will compare a plyometric training group, a PAPE training group, and a control group to determine which method most effectively enhances football-specific performance outcomes. Participants will: * Be randomly assigned to one of three groups (Plyometric, PAPE, or Control) * Continue their routine football training as usual * Receive additional training sessions applied immediately after warm-up and before continuing regular team training alongside the Control group (for PAPE and Plyometric group) * Undergo an 8-week training program (3 times per week for Plyometric and PAPE groups) Assessments will be conducted at baseline, week 4, and week 8, including: * Vertical Jump Test (explosive power) * 30-Meter Sprint Test, including 10-meter acceleration recording * Illinois Agility Test * Isometric strength measurements of quadriceps, hamstrings, and gastrocnemius using a handheld dynamometer * Sit and Reach Test and Modified Thomas Test (flexibility) In addition, all participants will complete a sociodemographic and lifestyle assessment form capturing: Age, height, weight, BMI Football experience and playing position Education level, employment status Sleep duration, training frequency, and training intensity Smoking and alcohol use status.

Acute Effects of Inspiratory Muscle Load on Diaphragmatic Recovery in Athletes

This randomized controlled trial investigates the acute effects of inspiratory muscle warm-up and fatigue on diaphragmatic function in professional basketball players. Using ultrasound imaging and maximal inspiratory pressure (PIM) assessment, the study evaluates changes in diaphragmatic thickness and respiratory strength before and after specific inspiratory muscle loading protocols. Findings aim to clarify the short-term impact of these interventions on diaphragmatic recovery capacity, with potential implications for respiratory training, performance enhancement, and injury prevention strategies in elite athletic populations.