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England's captain Ben Stokes is reportedly "exhausted" 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 deployed a quintet of alternative bowlers as Australia moved to 271-4 in their follow-on, building a commanding lead of 356 runs at the Adelaide Oval.

The versatile all-rounder had earlier battled for more than five hours at the crease over two days to score 83 runs in England's first innings.

A Demanding Knock

During his extended 198-ball stay, the veteran cricketer was hit on the helmet by a fast bowler and experienced bouts of cramp. He also required time off the field on Friday after hitting his head on the ground while trying to field the ball.

"He could be a little fatigued 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 expended a great deal out of himself to reach this point in the match."

Injury History Scrutiny

Considering his chequered injury history – Stokes has not been fully available in any of England's previous four series – any indication the star all-rounder might be carrying a problem attracts significant attention.

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

At trailing 2-0 and needing to win in Adelaide to keep their hopes of winning back the Ashes alive, England had given up a first-innings lead of 85 runs.

"All I know 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 contest by dismissing Australia for approximately 240 in their second innings and had slim hopes at certain scorelines, only for the home team to pull away through Travis Head's unbeaten 142.

Although England bowled 66 overs, Stokes chose not to bowl.

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

"I don't actually know. We all know he never performs at 80%. Maybe he thought he was a risk, so he didn't bowl."

Precedent and Pressure

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

He afterwards 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 are on the verge of another loss in Australia, once again likely to be beaten inside the first three Tests of the series.

If the visitors' defeat is completed 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 two and four days respectively.

Not since 1921, when Australia needed only eight days of play 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 extend this match into a fifth day, England will also have to achieve the highest successful chase at the Adelaide Oval to keep the series alive.

"I remain convinced 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 saw something special from us."

"Three games in, 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."