Comparison of Muscle Energy Technique vs Mulligan to Improve Gird in District Level Cricket Bowlers

Abstract

Background: Cricket bowlers often have to perform overhead throwing due to which in the dominant arm, compared with the nondominant arm the magnitude of glenohumeral internal rotation is decreased and magnitude of external rotation is increased. Glenohumeral internal rotation deficits (GIRD) are deficits of internal rotation and total arc of motion in the dominant side which is common in overhead athletes including cricket bowlers. Hence the aim of the study was to compare the effectiveness of muscle energy technique vs mulligan in patients with glenohumeral internal rotation deficit. Methodology: 30 patients were included in the study which was divided into two groups; Group A with 15 patients and Group B with 15 patients.30 cricket bowlers with presence of glenohumeral internal rotation deficit were selected. Before application of muscle energy technique and mulligan active shoulder range of motion using full scale goniometer was taken. Treatment was given for 4 weeks, 6 sessions per week. All patients were given hotpacks and stretching for internal rotators before treatment. The difference of pre and post was then calculated. The data was statistically analysed using paired t-test. Results: Mulligan mobilization and met are both effective in improving glenohumeral internal rotation deficit in 4 weeks. Conclusion: Mulligan mobilization and met helps to improve glenohumeral internal rotation deficit almost with same margin. Key words: cricket bowlers, Glenohumeral internal rotation deficit, mulligan, Met

Effectiveness of Muscle Energy Techniques on Glenohumeral Internal Rotation Deficit in Overhead Athletes: A Systematic Review

“…Study Designs: Five RCTs used parallel designs (11,19,(28)(29)(30), whereas one RCT used a cross-over design (20). Two studies conducted a quasi-randomized study (31,32).…”

“…Participants: MET were performed in overhead athletes, including players of baseball, softball, volleyball, and cricket (bowlers) (11,19,20,(28)(29)(30)(31)(32). Sample sizes ages ranged 16 to 30.…”

“…The total sample size for the present review was 315 subjects [197 male and 12 female, no given information related to sex in 106 subjects (11,29,30)]. Of the athletes included in the studies, 85 were baseball players (11,19), 78 were volleyball players (20,31), and 18 were softball players (11), 64 were cricket bowlers (29,32) and two studies reported no specific sport for the 70 overhead athletes that they included (28,30). Six studies cited the presence of GIRD as an inclusion criteria (20,(28)(29)(30)(31)(32).…”

“…Of the athletes included in the studies, 85 were baseball players (11,19), 78 were volleyball players (20,31), and 18 were softball players (11), 64 were cricket bowlers (29,32) and two studies reported no specific sport for the 70 overhead athletes that they included (28,30). Six studies cited the presence of GIRD as an inclusion criteria (20,(28)(29)(30)(31)(32). GIRD definition varied among studies; two studies identified it as >10° restriction in IR ROM at 90° shoulder abduction in the dominant side compared to the non-dominant side (29,31) (30).…”

“…Interventions: All studies used the PIR technique among the MET (11,19,20,(28)(29)(30)(31)(32). PIR was used in crossbody stretching in supine position in 5 studies (11,19,20,28,29).…”