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

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

A Demanding Knock

Throughout his marathon 198-ball innings, the 34-year-old was struck on the head by a fast bowler and experienced bouts of cramp. He also needed a period off the field on the previous day after banging his head on the turf while attempting a stop.

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

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

Past Fitness Concerns

Considering his chequered injury history – Stokes has not been fully available in any of England's last four series – any indication the Durham man might be nursing an issue attracts considerable scrutiny.

Eager to be in the heat of battle, Stokes' decision not to bowl on Friday was curious 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 aspirations of regaining the urn intact, England had given up a first-innings lead 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 dismissing Australia for approximately 240 in their second innings and had faint chances at certain scorelines, only for the home team to pull away through Travis Head's not out 142.

Even though 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 doesn't do anything at 80%. Maybe he thought he was a liability, so he didn't bowl."

Precedent and Pressure

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 driving himself 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 another loss in Australia, once again probably facing defeat inside the first three Tests of the series.

If the visitors' defeat is sealed on day four, it would mean the outcome of the Ashes has been decided in 10 days – the opening two matches 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 determined so swiftly.

A Formidable Challenge

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

"I still believe there's an chance for us," said Patel. "It won't be easy, we're going to need something magical. 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."