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The team skipper Ben Stokes is reportedly "worn out" but still "physically able" to deliver overs, according to team coach Jeetan Patel, even though he abstained from bowling on the third day of a pivotal Ashes Test.

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

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

A Grueling Innings

During his marathon 198-ball stay, the 34-year-old was hit on the helmet by a fast bowler and suffered muscle cramps. He also needed a period off the field on the previous day after banging his head on the ground while attempting a stop.

"He could be a little fatigued 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 taken a lot out of himself to get through this point in the match."

Past Fitness Concerns

Given his complicated injury past – 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 considerable scrutiny.

Eager to be in the thick of the action, Stokes' absence from the attack on Friday was puzzling given it was England's final opportunity to remain alive in the Ashes series.

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

"All I know is he operates 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 stayed within the contest by bowling out Australia for approximately 240 in their second innings and had slim hopes at certain scorelines, only for the hosts to pull away through Travis Head's unbeaten 142.

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

"He didn't bowl but that's probably a separate conversation with him," noted ex-New Zealand player Patel.

"I'm not entirely sure. We all know he doesn't do anything at 80%. Maybe he thought he was a risk, so he didn't bowl."

Precedent and Pressure

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

He afterwards missed the fifth Test at The Oval with a shoulder problem.

Stokes has a reputation of pushing his body to its absolute limit, 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 probably facing defeat inside the first three Tests of the series.

If the tourists' loss is sealed on Saturday's fourth day, it would mean the outcome of the Ashes has been determined in just ten days – the first and second Tests were over in short periods respectively.

Not since 1921, when Australia needed only eight days of play to win in England, has the winner of an Ashes series been decided this quickly.

A Daunting Task Ahead

If a primary objective is to extend this match into a fifth day, England will also have to achieve the greatest run-chase at the Adelaide Oval to keep the series alive.

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

"Three games in, we've thrown some but absorbed many. It's about time, now we're with our backs to the wall, to throw some haymakers."