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Effects of Dynamic Neuromuscular Stabilization (DNS) and Gyrotonic Training on Shoulder Function in Overhead Athletes
Sponsor: Sport University of Tirana
Summary
The goal of this randomized control trial is to evaluate the effect of the Dynamic Neuromuscular Stabilization (DNS) and Gyrotonic training compared to a control group on pain level, functional performance, and shoulder stability in overhead athletes aged 18 to 25 years. The main question is whether these interventions are more effective than usual training in improving clinical and performance related outcomes. Participants will take part in a supervised rehabilitation program based on these methods three times per week for six weeks. Assessments were performed at baseline and after 6 weeks of intervention. Outcome measures included pain level, functional performance, and dynamic shoulder stability. Also, core endurance, shoulder mobility, and shoulder muscle strength will be evaluated as a secondary outcomes. These outcomes will be assessed using Visual Analog Scale (VAS), Kerlan-Jobe Orthopedic Clinic score (KJOC), the Y-Balance Upper Quarter Stability Test (UQYBT), McGill Endurance Test Battery, goniometer and digital dynamometer. The study was approved by the Ethics Committee of the Sports University of Tirana. All participants involved in this study provided written informed consent.
Official title: Evaluation of Effects of Dynamic Neuromuscular Stabilization Treatments and Other Innovative Methods on Shoulder Problems in Athletes
Key Details
Gender
All
Age Range
18 Years - 25 Years
Study Type
INTERVENTIONAL
Enrollment
90
Start Date
2025-02-17
Completion Date
2025-06-20
Last Updated
2026-05-07
Healthy Volunteers
No
Conditions
Interventions
Dynamic Neuromuscular Stabilization (DNS)
Dynamic Neuromuscular Stabilization (DNS) The exercise program based on the DNS method was focused on core activation, diaphragmatic breathing, and shoulder stabilization in various positions based on development kinesiology. Sessions were supervised by certificated therapist and were performed three times per week over a period of 6 weeks.
Gyrotonic Training
A structured rehabilitation program based on the Gyrotonic method were conducted in the second intervention group. Sessions were supervised by certificated therapist and were conducted three times per week for 6 weeks. The program based on this method was focused on shoulder mobility and stability.
Usual Training
Participants continued their usual sports training without any additional protocol exercise. The inclusion of the control group allows for the assessment of the additional effect of the interventions beyond usual training.
Locations (1)
Sport University of Tirana
Tirana, Tirana, Albania