Effect of Scapular Stabilization Exercises Versus Virtual Reality Exercises in Basketball Players With Scapular Dyskinesia (SD)

this study will be conducted to compare virtual reality and scapular stabilizing exercise among basketball player with scapular dyskinesia on scapular muscle performance, rounded shoulder, pain intensity , disability and hand grip strength

Study Overview

• Status: Not yet recruiting
• Conditions: Scapular Dyskinesis
• Intervention / Treatment: Other: scapular stabilization exercises; Other: regular routine exercises; Other: virtual reality exercises

Detailed Description

Scapular dyskinesia (SD) is an alteration in the normal position or motion of the scapula during coupled scapulohumeral movements. It is lack of control of static or dynamic positioning of the scapula relative to the thorax. It affects from 64% to 100% of patients with shoulder lesions. Scapular dyskinesia is a major etiological factor in overhead athletes' shoulder problems. Virtual Reality (VR) it allows individuals to interact and train with or within interesting and relatively realistic three-dimensional(3D) environments. VR and its simulated environments are well accepted in entertainment and computer game applications. However, what is not as well recognized is that VR offers the opportunity for intensive repetition of meaningful task-related activities necessary for effective rehabilitation. The scapular stabilization exercise in rehabilitation aims to Restore shoulder function; these exercises are a combination of scapular stabilization exercises, rotator cuff strengthening exercises, range of motion (ROM), proprioceptive neuromuscular facilitation (PNF), and stretching exercises. Physiotherapy is the mainstay management for several musculoskeletal disorders. sixty basketball athletes with dyskinesea will be assigned randomly to three equal groups; the first will receive Virtual reality exercise and routine exercise, and the second group will receive Stabilization exercise and routine exercise. and finally, the third group will receive routine exercise only for eight weeks

• Study Type: Interventional
• Enrollment (Estimated): 90
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• ninety basketball players of both genders.
• Subjects with age between 20 and 25 years old.
• Subjects with Body Mass Index (BMI) ranging from 18 to 25 kg/m².

Exclusion Criteria:

• An injury within the four weeks before testing.
• Upper extremity fractures.
• Bilateral repetitive strain injuries
• Osteoarthritis on hand

Study Plan

How is the study designed?

Design Details

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

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: scapular stabilization exercise; thirty patients with scapular dyskinesia will receive scapular stabilization exercise and regular routine three times a week for eight weeks	Other: scapular stabilization exercises; the patients will receive scapular stabilization exercises in the form of scapular orientation exercises,Forward/Backward Bear Crawls,Lateral Bear Crawls and assisted stretch for pectoralis minor; Other: regular routine exercises; the patients will receive routine exercises in the form of Sleeper Stretch: Posterior Capsular Stretch, Push up, Wall slides, Kettlebell High Pull,
Experimental: virtual reality exercise; thirty patients with scapular dyskinesia will receive virtual reality exercise and regular routine three times a week for eight weeks	Other: regular routine exercises; the patients will receive routine exercises in the form of Sleeper Stretch: Posterior Capsular Stretch, Push up, Wall slides, Kettlebell High Pull,; Other: virtual reality exercises; The exercises described were done in a consistent manner, emphasizing low intensity, and using lightweight dumbbells (range, 3 to 30 pounds). The weight of the dumbbell was individually selected by the subject for each exercise.; elevation of the arm in the sagittal plane (shoulder flexion; elevation of the arm in the scapular plane with humeral external rotation (shoulder scaption; elevation of the arm in the coronal plane (shoulder abduction); rowing; horizontal shoulder abduction; horizontal abduction with humeral external rotation; push-up with hands apart; push-up with a plus-normal push-up adding maximum shoulder and scapular protraction with elbows fully extended; dumbbell bench press; dumbbell military press; shoulder shrug; deceleration exercise-simulating the pitching followthrough; shoulder extension prone; shoulder internal rotation; shoulder external rotation; press-up
Active Comparator: Regular routine exercise; thirty patients with scapular dyskinesia will receive regular routine exercises three times a week for eight weeks	Other: regular routine exercises; the patients will receive routine exercises in the form of Sleeper Stretch: Posterior Capsular Stretch, Push up, Wall slides, Kettlebell High Pull,

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
agonist antagonist ratio	isokinetic Biodex 3 dynamometer will be used to assess agonist antagonist ratio	up to eight weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Hand grip strength	Jamar handheld dynamometer will be used to assess hand grip strength	up to eight weeks
rounded shoulder posture	Patient is supine with the arms at the sides, elbows extended, palms upward, knees bent and lower back flat on the table. The examiner stands at the head of the table and use tape measurements to measure the distance between the acromion of the shoulder joint and the table surface three times. The numbers were averaged and used for analysis. Increased distance signifies higher rounded shoulder posture severity	up to eight weeks
pain intensity level	Visual Analogue Scale (VAS) will be used to assess pain by Using a ruler, the score is determined by measuring the distance on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-10. A higher score indicates greater pain intensity.	up to eight weeks
The disabilities of the arm, shoulder and hand	The disabilities of the arm, shoulder and hand (DASH) questionnaire will be used to assess the disability in arm, shoulder and hand. The DASH consists mainly of a 30- item disability/symptom scale. The possible score ranges from 0 to 100 points. 0 points represent a complete, unrestricted function of the upper extremities, while 100 points represent the greatest possible functional impairment.	up to eight weeks
peak force	isokinetic Biodex 3 dynamometer will be used to assess peak force	up to eight weeks
total work	isokinetic Biodex 3 dynamometer will be used to assess total work	up to eight weeks
work fatigue	isokinetic Biodex 3 dynamometer will be used to assess work fatigue	up to eight weeks
average power	isokinetic Biodex 3 dynamometer will be used to assess average power	up to eight weeks

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (Estimated): March 5, 2024
• Primary Completion (Estimated): July 30, 2024
• Study Completion (Estimated): July 30, 2024

Study Registration Dates

• First Submitted: January 31, 2024
• First Submitted That Met QC Criteria: February 27, 2024
• First Posted (Estimated): March 5, 2024

Study Record Updates

• Last Update Posted (Estimated): March 5, 2024
• Last Update Submitted That Met QC Criteria: February 27, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Keywords: virtual reality; scapular stabilization; scapular dyskinesia
• Additional Relevant MeSH Terms: Central Nervous System Diseases; Nervous System Diseases; Neurologic Manifestations; Movement Disorders; Dyskinesias
• Other Study ID Numbers: P.T.REC/012/003131

Drug and device information, study documents

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