- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05811520
Comparison of Scapular Stabilization and Thoracic Extension Exercises in Patients With Scapular Dyskinesis
Study Overview
Status
Conditions
Detailed Description
Specific treatment of scapular dyskinesis include moist heat packs, soft tissue mobilization, strength and flexibility exercises of scapular muscles along with postural re-education. Acknowledging the role of scapula in upper extremity functions, integration of scapular stabilization exercises is shown to be more efficient than strengthening and stretching exercises for enhancing shoulder proprioception, optimizing muscle strength and decreasing dyskinesis. Scapular stabilization exercises defined as exercises aimed at gaining stability and strength of scapular muscles and increasing neuromuscular control to maintain the proper position of the scapula.
These exercises increase fiber strength, mass, capillaries volume thus increasing the blood flow of muscle.
Mobility of Thoracic spine is an important factor to consider while treating scapular dyskinesis as reduced thoracic mobility can result in dramatic reduction of shoulder range of motion
. So a rehabilitation protocol based on the scapula dynamic stability to restore the position, direction and movement pattern of scapula by stabilizing and retraining the scapular muscles is a possible intervention strategy for improving recovery and preventing shoulder dysfunction. Numerous exercises had been proposed for rehabilitation of dyskinesis, but it lack consensus on which exercise is effective in each type of dyskinesia. As different types of scapular dyskinesia have different manifestations of muscle imbalance
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Punjab
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Rawalpindi, Punjab, Pakistan, 46000
- Railway General Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- > 1.5 cm difference on lateral scapular slide test
- Ability to perform shoulder abduction at neutral position
- Presence of any type of scapular dyskinesis
- Asymmetrical scapular position at rest or winging seen during inspection of scapula
- Patients volunteered to participate in the study and signed informed consent
Exclusion Criteria:
- Patients with Structural scoliosis
- Patients with secondary conditions (Neoplasm, Neurological or vascular disorders)
- Patient undergone surgical treatment of shoulder or upper limb
- Patient with disc prolapse, spinal stenosis and fibromyalgia
- Infectious or inflammatory arthritis of spine
- Severe bone conditions (osteoporosis)
- Psychosocial disturbances
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Scapular stabilization exercises with conventional therapy
The patient will sit on the knees in 90° flexion position, and a Swiss ball will be placed between the chest and stomach.
From the side, the earlobe, acromion of scapula, and pelvis should made a straight line.
Four general exercises will be included with 2 sets of 15 repetitions, holding for 10 sec.
|
The patient will sit on the knees in 90° flexion position, and a Swiss ball will be placed between the chest and stomach.
From the side, the earlobe, acromion of scapula, and pelvis should made a straight line.
Four general exercises will be included with 2 sets of 15 repetitions, holding for 10 sec
|
Experimental: Thoracic extension exercises with conventional therapy
Thoracic extension exercises consist of three exercise types
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Thoracic extension exercises consist of three exercise protocols
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
inclinometer
Time Frame: four weeks
|
Used to measure the scapular posterior tilt (type I dyskinesis), external rotation (type II dyskinesis) and upward rotation (type III dyskinesis) at different humeral abduction and flexion angles.
The starting position was the elbow extension and wrist neutral position in the standing pose.
Inclinometer is brought into contact with the scapula spine and scapular movements were measured at different angles.
|
four weeks
|
vernier calliper
Time Frame: four weeks
|
Used to evaluate the scapular index (indicator of position of scapula in static pose). The Scapular Index value is calculated using the following equation: Scapular Index = [(distance from the sternal notch to the coracoid process/distance from the posterolateral angle of the acromion to the third spinous process of the thoracic spine) × 100] |
four weeks
|
goniometer
Time Frame: four weeks
|
Universal goniometer for range of motion measurement of shoulder joint.
|
four weeks
|
Disability of the Arm, Shoulder, and Hand Outcome Questionnaire
Time Frame: four weeks
|
The Disability of the Arm, Shoulder, and Hand Outcome Questionnaire evaluation tool consists of total of 30 items, scored on a five-point scale (no difficulty, slightly difficult, moderately difficult, very difficult, or not at all).
|
four weeks
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: maria Khalid, MSOMPT, Riphah International University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- REC/MS-PT/01486 Maryam Qaiser
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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