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England's captain Ben Stokes is said to be "worn out" but still "fit and ready" to deliver overs, per assistant coach Jeetan Patel, despite he abstained from bowling on the third day of a pivotal 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 venue.

The dynamic player had previously battled for more than five hours at the wicket across two days to compile 83 runs in England's initial batting effort.

A Grueling Innings

Throughout his marathon 198-ball stay, the veteran cricketer was hit on the helmet by Mitchell Starc and suffered bouts of cramp. He also required time off the field on the previous day after hitting his head on the turf while attempting a stop.

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

"From what I understand, he's pretty fit to bowl. I think he's just really exhausted and he's taken a lot out of himself to reach this point in the game."

Past Fitness Concerns

Considering his chequered injury history – Stokes has not played a full part in any of England's previous four series – any suggestion the Durham man might be carrying a problem draws significant attention.

Always keen to be in the thick of the action, Stokes' decision not to bowl on Friday was puzzling given it was England's last chance to stay in the Ashes series.

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

"My understanding is he goes at 100%," said 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 approximately 240 in their second innings and had faint chances at 53-2 and 149-4, only for the home team to accelerate 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 risk, so he didn't bowl."

Past Instances and Current Strain

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

He subsequently missed the fifth Test at The Oval with a shoulder injury.

Stokes has a history of pushing his body past breaking point, and it was suggested to Patel that the captain felt he might have endangered himself if he exerted himself any further in Adelaide.

On the Brink of Defeat

England stand on the edge of yet another defeat in Australia, once again probably facing defeat inside the first three Tests of the series.

If the visitors' defeat is sealed on Saturday's fourth day, it would mean the outcome 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 Formidable Challenge

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 ongoing.

"I still believe there's an opportunity for us," stated Patel. "It will be difficult, we're going to need something extraordinary. I think it's about time we witnessed something special from us."

"After three matches, we've landed some blows but absorbed many. It's about time, now we're with our backs to the wall, to fight back fiercely."