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The team skipper Ben Stokes is reportedly "exhausted" but still "physically able" to deliver overs, according to assistant coach Jeetan Patel, even though 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 commanding lead of 356 runs at the Adelaide Oval.

The versatile all-rounder had previously spent over five hours at the crease over two days to compile 83 runs in England's initial batting effort.

A Demanding Knock

Throughout his extended 198-ball innings, the 34-year-old was struck on the head by Mitchell Starc and suffered muscle cramps. He also needed a period off the field on Friday after hitting his head on the ground while attempting a stop.

"He could be a little fatigued and just require some time to himself right now," stated Patel.

"From what I understand, he's pretty fit to bowl. I think he's just pretty knackered and he's expended a great deal out of himself to reach this point in the match."

Injury History Scrutiny

Considering his complicated injury history – Stokes has not played a full part in any of England's previous four series – any indication the star all-rounder might be nursing an issue draws significant attention.

Eager 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 remain alive in the Ashes series.

At trailing 2-0 and needing to win in Adelaide to keep their hopes of regaining the urn intact, 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 likely where he's at."

The tourists could have remained in the match by bowling out Australia for around 240 in their second innings and had slim hopes at 53-2 and 149-4, only for the hosts to accelerate away through Travis Head's unbeaten 142.

Even though England delivered 66 overs, Stokes chose not to bowl.

"He didn't bowl but that's perhaps a separate conversation with him," noted 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 risk, so he didn't bowl."

Past Instances and Current Strain

The most recent occasion Stokes curtailed his own bowling was on the last day of the tied 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 driving himself to its absolute limit, and it was put to Patel that the captain felt he might have risked injury if he pushed himself any further in Adelaide.

Facing Imminent Loss

England stand on the edge of another loss in Australia, once again likely to be beaten inside the first three Tests of the series.

If the tourists' loss is completed on day four, it would mean the destination of the Ashes has been determined in just ten 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 winner of an Ashes series been determined so swiftly.

A Daunting Task Ahead

If a primary objective 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 still believe there's an opportunity for us," said Patel. "It will be difficult, we're going to need something extraordinary. I think it's about time we witnessed something magical from us."

"Three games in, we've landed some blows but taken a lot. It's about time, now we're with our backs to the wall, to fight back fiercely."