Cross Fiber Fascial Manipulation and Stretching Techniques in Overhead Throwing Athletes

Athletic training and sports participation is to enhance athletic performance. Performance is however multifactorial i.e., depending upon several parameters including warm-up practice, training regimes and other interventions. Stretching techniques that focus on increasing posterior shoulder soft tissue flexibility are commonly incorporated into prevention and treatment programs for the overhead athletes. GIRD is usually managed by stretching and soft tissue release of posterior shoulder capsule. Fascial manipulation is a manual therapy technique used in the management of musculoskeletal disorders. This study aims to evaluate the comparative effects of cross fiber fascial manipulation with stretching techniques in overhead throwing athletes

Inclusion Criteria:Active male and female athletes were included.Age group was (18-40) .Overhead throwing athletes(tennis, volleyball, bowlers) were included in this study)Screening tests were taken to identify subjects with GIRD. GIRD was defined as more than 20o decrease in IR at 90o abduction in the dominant side compared to non-dominant side .Subjects who rated shoulder pain 5 or more in NPRS/symptomatic with GIRD were recruitedExclusion Criteria :Any deformityAny radiculopathyShoulder traumatic injuries( dislocation, subluxation, fracture)Systemic illnessSubacromial impingement signs