Scapula Retraction Exercises in Subacromial Pain Syndrome

Investigating the Effect of Scapula Retraction Exercises on Acromiohumeral Distance Values and Symptoms (Pain and Disability) in Patients With SPS

Scapula retraction exercises are often recommended as a part of the exercise programs. The primary aim of this study is to investigate the initial effect of the scapula retraction exercises on acromiohumeral distance (AHD) at varying shoulder abduction angles and to compare asymptomatic subjects. The secondary aim of this study is to investigate the effect of scapula retraction exercises on AHD values and symptoms (pain and disability) in patients with SPS.

Study Overview

• Status: Completed
• Conditions: Rotator Cuff Impingement Syndrome
• Intervention / Treatment: Other: Exercise Intervention

Detailed Description

Subacmial pain syndrome (SPS) is a common cause of shoulder pain and dysfunction in the general population. Exercise interventions is thought as a primary choice in clinical settings. Scapula retraction exercises are commonly recommended as a part of the exercise programs. Applying scapula retraction exercises at varying shoulder abduction angles could restore balance between the scapulothoracic muscles. Since the scapulothoracic muscles dynamically control subacromial space, scapula retraction exercises could further help to maintain AHD during arm elevation.

The primary aim of this study is to investigate the initial effect of the scapula retraction exercises on acromiohumeral distance (AHD) at varying shoulder abduction angles and to compare asymptomatic subjects. The secondary aim of this study is to investigate the effect of scapula retraction exercises on AHD values and symptoms (pain and disability) in patients with SPS.

• Study Type: Interventional
• Enrollment (Actual): 42
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Ankara, Turkey, 06100
    • Hacettepe University, Faculty of Physical Therapy and Rehabilitation

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 45 years (Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

Inclusion Criteria:

• aged between 18-45
• painful arc of movement during flexion or abduction;
• positive Neer or Kennedy-Hawkins impingement signs
• pain on resisted lateral rotation, abduction or empty can test.

Exclusion Criteria:

• previous shoulder surgery;
• shoulder pain reproduced by neck movement;
• clinical signs of full-thickness RC tears; or
• adhesive capsulitis.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: Triple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention Group; exercise program consists of progressive scapula retraction exercises will be applied three times a week total 24 sessions. Home exercise program will also advised two times a day.	Other: Exercise Intervention; Scapula retraction exercises at varying shoulder abduction angles will be applied
No Intervention: Control Group; Control group will not perform scapula retraction exercises. AHD values of the control group will be compared to intervention groups both retracted and non-retracted conditions.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Acromiohumeral Distance (AHD) measurement	Acromiohumeral Distance will be recorded at 0°, 30°, 45°, 60° and 90° of shoulder abduction, and while they are doing scapular retraction with resistive elastic band at each shoulder position. All assessment will be recorded at baseline and at the end of the eight week rehabilitation sessions	Acromiohumeral distance values will be recorded at baseline and 8-week follow-up

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
pain severity	pain severity will be assessed by using 100 millimeters Visual Analogue Scale at rest, at night and during activity. All patients were asked to mark their pain level that corresponds to their pain intensity on the line between "0=no pain" and "100=the worst pain imaginable".	pain severity will be recorded at baseline and 8-week follow-up
disability status	disability status will be assessed by using Shoulder Pain and Disability Index (SPADİ). All assessment will be recorded at baseline and at the end of the eight week treatment sessions. The questionnaire is scored on a 100-point scale, where 0 represents "no disabilities" and 100 represents "extreme disabilities"	PADI Score will be recorded at baseline and 8-week follow-up

Collaborators and Investigators

• Sponsor: Hacettepe University

Study record dates

Study Major Dates

• Study Start (Actual): July 30, 2021
• Primary Completion (Actual): October 30, 2022
• Study Completion (Actual): June 17, 2023

Study Registration Dates

• First Submitted: June 29, 2021
• First Submitted That Met QC Criteria: July 8, 2021
• First Posted (Actual): July 9, 2021

Study Record Updates

• Last Update Posted (Actual): February 13, 2024
• Last Update Submitted That Met QC Criteria: February 10, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Keywords: functional status; shoulder pain; acromiohumeral distance; pain severity
• Additional Relevant MeSH Terms: Pathologic Processes; Wounds and Injuries; Disease; Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Syndrome; Shoulder Impingement Syndrome
• Other Study ID Numbers: GO18/55

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No