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England's captain Ben Stokes is said to be "worn out" but still "physically able" to deliver overs, according to assistant coach Jeetan Patel, even though he did not bowl on the third day of a critical Ashes Test.

Stokes deployed a quintet of alternative bowlers as Australia progressed to 271-4 in their follow-on, establishing a substantial advantage of 356 runs at the Adelaide Oval.

The dynamic player had previously battled for more than five hours at the crease across two days to score 83 runs in England's first innings.

A Grueling Innings

Throughout his extended 198-ball innings, the veteran cricketer was struck on the head by Mitchell Starc and suffered muscle cramps. 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," stated 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 get through this point in the match."

Past Fitness Concerns

Given his chequered injury history – Stokes has not played a full part in any of England's last four series – any suggestion the star all-rounder might be carrying a problem attracts significant attention.

Eager to be in the thick of the action, Stokes' absence from the attack on Friday was puzzling given it was England's last chance to stay in the Ashes series.

At 2-0 down and requiring a victory in Adelaide to keep their aspirations of regaining the urn intact, England had conceded a first-innings lead of 85 runs.

"All I know is he goes 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 probably where he's at."

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

Even though 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'm not entirely sure. We all know he never performs at 80%. Maybe he thought he was a liability, so he didn't bowl."

Past Instances and Current Strain

The last time Stokes limited his bowling was on the last day of the drawn fourth Test against India at Old Trafford in July.

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

Stokes has a history of pushing his body to its absolute limit, and it was put to Patel that the captain felt he might have risked injury if he exerted himself any further in Adelaide.

On the Brink of Defeat

England are on the verge of yet another defeat in Australia, once again probably facing defeat inside the initial three matches of the series.

If the tourists' loss is completed on Saturday's fourth day, it would mean the destination of the Ashes has been determined in 10 days – the opening two matches 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 decided this quickly.

A Daunting Task Ahead

If a first goal is to prolong the game into a fifth 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 will be difficult, we're going to need something extraordinary. I think it's about time we witnessed something special from us."

"Three games in, we've landed some blows but absorbed many. It's time, now we're backed into a corner, to throw some haymakers."