Role of Modified Robbery Exercises on Scapular Dyskinesis in Frozen Shoulder

Role of Modified Robbery Exercises on Scapular Dyskinesis in Patients With Frozen Shoulder

The study aims to find out the role of the modified robbery exercises in the management of scapular dyskinesia in patients with frozen shoulders. This single-blind randomized clinical study will be conducted at approved study center in Lahore Pakistan in line with the ethical principles stated in Declaration of Helsinki. Pain, muscle Activation, ROM, scapular dyskinesia, muscle strength, functional limitation and participants' wellbeing will be recorded at baseline, after week three, and after week six in both intervention and control groups.

Study Overview

• Status: Active, not recruiting
• Conditions: Frozen Shoulder
• Intervention / Treatment: Other: Modified Robbery Exercises; Other: Conventional Physiotherapy Treatment

Detailed Description

Scapular Dyskinesia is regarded as the altered scapular kinematics, presenting with increased scapular upward rotation and eminence of the medial border in patients with shoulder injuries. Patients with frozen shoulder present with a certain degree of scapular dyskinesia. The objective of the study is to find out the role of the modified robbery exercises in the management of scapular dyskinesia in patients with frozen shoulders. This single-blind randomized clinical study will be conducted at approved study center in Lahore Pakistan. The study will abide by the ethical principles in line with the Declaration of Helsinki. Baseline data of the participants of pain, muscle Activation, ROM, scapular dyskinesia, muscle strength, functional limitation and participants' wellbeing will be recorded. Group A will receive the modified robbery exercises three days a week for six weeks, group B will receive the conventional physical therapy protocol three days a week for six weeks. Outcomes will be assessed at baseline, after week three, and after week six.

Data will be recorded using questionnaires, proforma and the other listed outcome measurement tools. on the base of normality of the data appropriate parametric test or non-parametric test will be applied for intra and inter group comparison.

• Study Type: Interventional
• Enrollment (Estimated): 63
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab Province
    • Lahore, Punjab Province, Pakistan, 54810
      • School of Allied Health Sciences, CMH Lahore Medical College & Institute of Dentistry

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Patients of both genders
• Patients of age 35 to 55 years
• Modified Lateral Scapular Slide Test score > 1.4 cm
• Pain on VAS ≥4 out of 10.
• Pain in the shoulder for at least 3 months
• Diagnosed unilateral frozen shoulder
• Limited Scapular upward rotation, Capsular pattern (more limited external rotation than abduction),
• Scapular dispositioning and visible Inferior medial border prominence.

Exclusion Criteria:

• Patients with frozen shoulders having less than 90 degrees of flexion and abduction.
• Participants with cervical radicular pain
• Pregnant females
• Presence of red flags to the treatment
• History of recent trauma to the spine or the shoulder complex.
• History of recent shoulder surgery
• Any neurological deficit i.e winged scapula
• Other pathologies like cervical myelopathy and prolapsed cervical disc.
• Known cases of neurological, radiculopathy, and inflammatory diseases.
• Having spinal deformities such as scoliosis or kyphosis.
• Vestibular or respiratory disorder, Auditory or cognitive impairment
• Taking medication that may affect the balance and coordination.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Modified Robbery Exercises Group; the participants will receive prescribed set of Modified Robbery exercises	Other: Modified Robbery Exercises; Prescribed set of Modified Robbery exercises will be applied
Active Comparator: Conventional Physiotherapy treatment; the participants will receive conventional physiotherapy treatment for Frozen shoulder.	Other: Conventional Physiotherapy Treatment; Conventional Physiotherapy Treatment for Frozen Shoulder

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain intensity	Pain intensity will be measured using Visual Analogue Scale.	baseline, at week 3 and at week 6
Scapular Dyskinesia	Score of Modified Lateral Scapular Slide Test using Vernier caliper	baseline, at week 3 and at week 6
Range of scapular and shoulder Motion	Range of Motion of selected movements will be measured on Goniometer	baseline, at week 3 and at week 6
Muscle Strength	Muscle Strength of selected muscles will be measured by manual muscle testing	baseline, at week 3 and at week 6
Muscle activation	Muscle activation of selected muscles will be measured by Electromyography Biofeedback	baseline, at week 3 and at week 6

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
shoulder functions	shoulder functions will be assessed using Shoulder pain and disability Index (SPADI-U)	baseline, at week 3 and at week 6
Well-being	Well-being of the participants will be assessed using the WHO 5 Wellbeing Index	baseline, at week 3 and at week 6

Collaborators and Investigators

• Sponsor: CMH Lahore Medical College and Institute of Dentistry
• Collaborators: University of Lahore
• Investigators: Principal Investigator: Wajida Perveen, School of Allied Health Sciences, CMH Lahore Medical College & IOD (NUMS Rawalpindi)

Study record dates

Study Major Dates

• Study Start (Actual): February 26, 2025
• Primary Completion (Actual): January 25, 2026
• Study Completion (Estimated): August 25, 2026

Study Registration Dates

• First Submitted: February 20, 2025
• First Submitted That Met QC Criteria: February 20, 2025
• First Posted (Actual): February 25, 2025

Study Record Updates

• Last Update Posted (Actual): February 10, 2026
• Last Update Submitted That Met QC Criteria: February 7, 2026
• Last Verified: February 1, 2026

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Joint Diseases; Bursitis
• Other Study ID Numbers: 109/ERC/CMH/LMC

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