Global Postural Reeducation and Segmental Exercises in Patients With Scapular Dyskinesis and Cervicalgia

Effectiveness of Global Postural Reeducation and Segmental Exercises on Function, Pain, and Quality of Life of Patients With Scapular Dyskinesis and Cervicalgia: A Randomized Clinical Study

The purpose of this study is to assess the effectiveness of global postural reeducation relative to segmental exercises in the treatment of scapular dyskinesis with cervicalgia.

Study Overview

• Status: Completed
• Conditions: Scapular Dyskinesis; Cervicalgia
• Intervention / Treatment: Other: Global Postural Reeducation Group; Other: Segmental Exercises Group

Detailed Description

Purpose: To assess the effectiveness of global postural reeducation relative to segmental exercises in the treatment of scapular dyskinesis with cervicalgia.

Methods: Participants with scapular dyskinesis and cervicalgia (n = 30) aged 18 to 65 years were randomly assigned to one of two groups: Global Postural Reeducation and Segmental Exercises(stretching and strengthening). Upper extremity was assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Function of the neck was estimated using the Neck Disability Index (NDI). Pain severity was measured using a Visual Analogical Scale. Health-related quality of life (HRQoL) was assessed using the Short Form (SF)-12. Assessments were conducted at baseline and after 10 weekly sessions (60 minutes each). Significance level was established at 5%.

• Study Type: Interventional
• Enrollment: 30
• Phase: Phase 1

Contacts and Locations

Study Locations

• Brazil
  • SP
    • Sao Paulo, SP, Brazil, 01221-010
      • Irmandade Da Santa Casa de Misericordia de Sao Paulo

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Scapular Dyskinesis as per the SICK Scapula Rating Scale
• Chronic Cervicalgia (pain for at least three months)

Exclusion Criteria:

• Cervical Stenosis
• Myelopathy
• Prolapsed Inter-Vertebral Disk (as confirmed by magnetic resonance imaging),
• Winged Scapula due to lesions of the long thoracic nerve or spinal accessory nerve, (as documented by electromyography)

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Global Postural Reeducation Group; Global Postural Reeducation	Other: Global Postural Reeducation Group; Sessions happened once a week for 10 weeks, lasting 60 minutes each and consisted in manual therapy maneuvers and global postural reeducation treatment.; Other Names: Global Postural Reeducation; Stretching Exercises
Active Comparator: Segmental Exercises Group; Segmental Exercises	Other: Segmental Exercises Group; Sessions happened once a week for 10 weeks, lasting 60 minutes each and consisted in segmental exercises (stretching and strengthening) treatment.; Other Names: Segmental Exercises; Stretching and Strengthening Exercises

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Function of the upper extremity	The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was used to measure function of the upper extremity, where 0 corresponded to "no disability" and 100 corresponded to "most severe disability".	10 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain severity	The Visual Analogical Scale (VAS) was used to measure pain, where the left extremity corresponded to"no pain" and the right extremity, corresponded to"maximum pain".	10 weeks
Health-related quality of life (HRQoL)	The HRQoL was assessed using the Short Form (SF)-12, the abbreviated version of the SF-36, whose score ranges from 0 to 100, and higher scores reflect better quality of life.	10 weeks
Function of the neck	The Neck Disability Index (NDI) was used to measure fuction of the neck, whose score ranges from 0 to 50: disability (0-5); mild disability (5-14); moderate disability (15-24); severe disability (25-34) and totally disabled (35-50).	10 weeks

Collaborators and Investigators

• Sponsor: Irmandade da Santa Casa de Misericordia de Sao Paulo

Study record dates

Study Major Dates

• Study Start: July 1, 2010
• Primary Completion (Actual): January 1, 2011
• Study Completion: February 1, 2011

Study Registration Dates

• First Submitted: March 26, 2012
• First Submitted That Met QC Criteria: March 29, 2012
• First Posted (Estimate): April 2, 2012

Study Record Updates

• Last Update Posted (Estimate): April 2, 2012
• Last Update Submitted That Met QC Criteria: March 29, 2012
• Last Verified: March 1, 2012

More Information

Terms related to this study

• Keywords: Posture; Physical Therapy Modalities; Neck pain; Muscle Stretching Exercises; Dyskinesias
• Additional Relevant MeSH Terms: Central Nervous System Diseases; Nervous System Diseases; Pain; Neurologic Manifestations; Movement Disorders; Neck Pain; Dyskinesias
• Other Study ID Numbers: 192/10