Comparative Effects of Conscious Abdominal Contraction and Closed Kinetic Chain Exercises

October 24, 2023 updated by: Sehat Medical Complex

Comparative Effects of Conscious Abdominal Contraction and Closed Kinetic Chain Exercises on the Activation of Periscapular Muscles in Badminton Players With Subacromial Pain Syndrome

Subacromial pain syndrome is a general term used to describe pain which originates from the shoulder and can spread towards the neck or down the arm. It's the most common reason for shoulder pain. The aim of study will be to compare the effects of conscious abdominal contraction and closed kinetic chain exercises on the activation of peri-scapular muscles in badminton players with sub-acromial pain syndrome.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

A Randomized Clinical Trial will be conducted at Sir Syed Sports Complex Sargodha, through convenience sampling technique on 52 patients which will be allocated using random sampling through computerized generated number into Group A and Group B. Group A will be treated with closed kinetic chain exercises. Group B was treated with abdominal contraction exercises for periscapular activation. These exercises will be done in 3 sets with 10 repetitions. There will be 3 sessions per week. Baseline measurement will be taken on 1st day of evaluation and post treatment will be taken on 4th week. Data will be analyzed during SPSS software version 25. After assessing normality of data by Shapiro-Wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Study Type

Interventional

Enrollment (Estimated)

30

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

  • Pakistan
      • Sargodha, Pakistan, 40100
        • Recruiting
        • Sir Syed Sports Complex
        • Contact:
        • Principal Investigator:
          • Muhammad Yawar Azeem Khan

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Male Badminton players
  • Age 20 to 40 years
  • Unilateral shoulder pain
  • Pain with overhead activities
  • Positive Hawkins Kennedy test
  • Positive painful arc(60-120 degrees)
  • Positive Neer impingement test
  • Positive external rotation test
  • Numeric pain Rating Scale NPRS value(3-7)

Exclusion Criteria:

  • Adhesive capsulitis
  • Know shoulder instability
  • Neck pain
  • Radiating pain from shoulder to hand
  • Receiving any intervention for shoulder injury.
  • Previous history of 6 month shoulder trauma.
  • Previous history of shoulder surgery.
  • Taking any critical care medicine

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Group A
Group A will be treated with closed kinetic chain exercises
Other: Closed kinetic chain exercises

Group A will be treated with closed kinetic chain exercises. Group A: Group A will be treated with closed kinetic chain exercises. Closed kinetic chain exercises enhance the proprioception by coordinating the mechanical receptors as well as the strength of the external shoulder rotator muscles, reduce the pain and improve the shoulder.

Closed kinetic chain exercises include:

  • Push up
  • Scapular push up
  • Scapular dip
  • Crab walk

Common Treatment:

Cryotherapy 10 minutes 2 times per day. Ultrasonography 1Mhz frequency, 0.4 watt/cm for 10 minutes. Transcutaneous electrical stimulation (TENS) 10 minutes, modulation mode, frequency 280, wavelength 80.

Cross arm stretching 5 times 30 sec hold. Shoulder isometric exercises 10 repetitions 3 sets for 3 times per week.
Experimental: Group B
Group B was treated with abdominal contraction exercises for periscapular activation
Other: Abdominal contraction exercises

Group B was treated with abdominal contraction exercises for periscapular activation that includes: Wall slide, knee pushup, external rotation kneeling, Full can and External rotation with elevation and isometric low row.

Common Treatment:

Cryotherapy 10 minutes 2 times per day. Ultrasonography 1Mhz frequency, 0.4 watt/cm for 10 minutes. Transcutaneous electrical stimulation (TENS) 10 minutes, modulation mode, frequency 280,wavelength 80.

Cross arm stretching 5 times 30 sec hold. Shoulder isometric exercises 10 repetitions 3 sets for 3 times per week.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
NPRS
Time Frame: upto 4-week

Patient level of pain will be assessed using this scale. In a Numerical Rating Scale (NRS), this scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain" patients are asked to circle the number between 0 and 10, that fits best to their pain intensity.

NRS scores ≤ 5 correspond to mild, scores of 6-7 to moderate and scores ≥8 to severe pain in terms of pain-related interference with functioning.

Zero usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible. The NPRS is a widely used subjective pain measure that has good test-retest reliability (r=. 79-. 96) and validity of NPRS range from 0.86 to 0.95.
upto 4-week
SPADI
Time Frame: upto 4-week

The Shoulder Pain and Disability Index (SPADI) consists of 13 items that have two main domains; in which subscale of 5-item that measures the pain and subscale of 8- item measures disability. The reliability of SPADI ranged from 0.90 to 0.94 and the validity ranged from 0.87 to 0.89.

The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use. The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder.
upto 4-week
Universal Goniometer
Time Frame: upto 4-week

A goniometer will be used in the study to measure shoulder flexion, internal rotation and external rotation.

Goniometer is an instrument that measures the available range of motion at a joint. To .measure the range of motion physical therapists most commonly use a goniometer. Therapist can use a goniometer to assess what the range of motion is at the initial assessment. The validity of UG (r=0.84 to 0.93) and high intra-rater reliability of goniometer on repeated measures of shoulder range of motions (ICC=0.98-0.99).
upto 4-week
Dynamometer
Time Frame: upto 4-week
A dynamometer will be used in study to measure the strength of serratus anterior muscle, latissimus dorsi muscle, upper and lower trapezius muscles It is is a device that can measure force. The hand-held dynamometer is a small device that fits in the examiner's hand and is placed at precise locations on a subject's limb in an effort to assess the force generated by various muscles or groups of muscles. Inter-tester and intra-tester reliability of digital dynamometer were excellent for all movements (ICC ≥ 0.855) and validity is > 0.913.
upto 4-week

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sehat Medical Complex

Investigators

  • Principal Investigator: Dr. Imran Ghafoor, Riphah International University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 23, 2023

Primary Completion (Estimated)

November 23, 2023

Study Completion (Estimated)

December 10, 2023

Study Registration Dates

First Submitted

October 24, 2023

First Submitted That Met QC Criteria

October 24, 2023

First Posted (Actual)

October 30, 2023

Study Record Updates

Last Update Posted (Actual)

October 30, 2023

Last Update Submitted That Met QC Criteria

October 24, 2023

Last Verified

October 1, 2023

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/RCRS &AHS/23/0460

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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