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England's captain Ben Stokes is reportedly "worn out" but still "physically able" to bowl, per assistant coach Jeetan Patel, despite he abstained from bowling on the day three of a critical Ashes Test.

Stokes utilized a quintet of alternative bowlers as the Australian side moved to 271-4 in their follow-on, building a substantial advantage of 356 runs at the Adelaide Oval.

The dynamic player had earlier spent over five hours at the wicket over two days to compile 83 runs in England's initial batting effort.

A Demanding Knock

During his extended 198-ball innings, the 34-year-old was struck on the head by Mitchell Starc and suffered bouts of cramp. He also needed a period off the field on Friday after banging his head on the turf while attempting a stop.

"He might be a bit tired and just need a bit of time to himself right now," commented Patel.

"Based on my knowledge, he's pretty fit to bowl. I think he's just really exhausted and he's expended a great deal out of himself to reach this point in the game."

Injury History Scrutiny

Considering his complicated injury past – Stokes has not been fully available in any of England's last four series – any indication the Durham man might be carrying a problem attracts significant attention.

Eager to be in the heat of battle, Stokes' decision not to bowl on Friday was puzzling given it was England's final opportunity to stay in the Ashes series.

At trailing 2-0 and requiring a victory in Adelaide to keep their aspirations of regaining the urn alive, England had given up a first-innings lead of 85 runs.

"My understanding is he operates at 100%," remarked Patel. "If he thinks he can't do it at 100%, I don't think he's going to do it. That's likely where he's at."

The visiting side could have remained in the contest by dismissing Australia for approximately 240 in their second innings and had faint chances at 53-2 and 149-4, only for the hosts to accelerate away through Travis Head's not out 142.

Although England delivered 66 overs, Stokes did not use himself.

"He abstained from bowling but that's perhaps a different discussion with him," said ex-New Zealand player Patel.

"I don't actually know. We all know he doesn't do anything at 80%. Maybe he thought he was a liability, so he didn't bowl."

Past Instances and Current Strain

The most recent occasion Stokes curtailed his own bowling was on the final day of the drawn fourth Test against India at Old Trafford in July.

He afterwards was absent for the fifth Test at The Oval with a shoulder problem.

Stokes has a reputation of driving himself past breaking point, and it was put to Patel that the captain felt he might have endangered himself if he exerted himself any further in Adelaide.

Facing Imminent Loss

England stand on the edge of yet another defeat in Australia, once again likely to be beaten inside the initial three matches of the series.

If the tourists' loss is completed on day four, it would mean the destination of the Ashes has been determined in 10 days – the first and second Tests were over in two and four days respectively.

Not since 1921, when Australia needed only eight playing days to win in England, has the victor of an Ashes series been determined so swiftly.

A Formidable Challenge

If a first goal is to extend this match into a final day, England will also have to pull off the highest successful chase at the Adelaide Oval to keep the series alive.

"I remain convinced there's an chance for us," said Patel. "It won't be easy, we're going to need something extraordinary. I think it's about time we witnessed something special from us."

"After three matches, we've thrown some but taken a lot. It's about time, now we're backed into a corner, to fight back fiercely."