- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07500571
The Correlation Between Neck Posture and Scapular Posture & the Effect Stabilization Exercises for the Scapula
The Effect of Scapular Balancing Exercise in Neck-scapular Dysfunction -Relationship Between Neck-scapular Posture & Axioscapular Muscles-
Recently, many office workers and young people have postural abnormalities, including forward head posture (FHP) and rounded shoulder posture (RSP). Most of these patients often complain of pain in the entire scapular area, including the trapezius muscle. Few studies examined the effectiveness of intervention exercises often used by clinicians to correct posture in these patients through training protocols.
To compare and analyze the changes in scapular position between normal people and patients with FHP and RSP and to evaluate the effect of exercise therapy for 3 months in these patients, including clinical results and changes in scapular position and cervical angle through objective data.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Hwaseong
-
Hwaseong-si, Hwaseong, South Korea, 18450
- Hallym University Dongtan Sacred Heart Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age between 20 and 40 years
- those with a C-shaped lordotic curve of the neck without scapular pain
- patients with Forward head posture and scapular pain
- Willing to participate and provide informed consent
Exclusion Criteria:
- Previous surgery on the affected shoulder or neck
- Disc space narrowing in the C-spine, or evidence of arthritis on plain x-rays of the neck and shoulders
- Frozen shoulders or suspected rotator cuff tears on ultrasound
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Factorial Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
No Intervention: Group A; Normal Group
|
|
|
Experimental: Group B; Self-exercise Group
Self-exercise only
|
Home-based self-directed exercise program without supervision
|
|
Experimental: Group C; Professional exercise rehabilitation therapy Group
|
10-week stretching and strengthening exercise program for a total of 20 sessions
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Scapular angle
Time Frame: Time Frame: Pre-excercise, 3 months after starting exercise
|
Assessed by 3D- CT scan (Degrees)
|
Time Frame: Pre-excercise, 3 months after starting exercise
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pain Level
Time Frame: Time Frame: Pre-excercise, 3 months after starting exercise
|
Measured by Visual Analog Scale (0-10 point, higher score indicates worse result)
|
Time Frame: Pre-excercise, 3 months after starting exercise
|
|
Functional Improvement of the Shoulder (ASES)
Time Frame: Time Frame: Pre-excercise, 3 months after starting exercise
|
Measured by American Shoulder and Elbow Surgeons Score (0-100 point, higher score indicates better function)
|
Time Frame: Pre-excercise, 3 months after starting exercise
|
|
Functional Improvement of the Shoulder (SPADI)
Time Frame: Time Frame: Pre-excercise, 3 months after starting exercise
|
Measured by Shoulder Pain and Disability Index (0-100 point, higher score indicates worse function)
|
Time Frame: Pre-excercise, 3 months after starting exercise
|
Collaborators and Investigators
Investigators
- Principal Investigator: JEUNGYEOL JEONG, Hallym University Dongtan Sacred Heart Hospita
Publications and helpful links
General Publications
- Cools AM, Dewitte V, Lanszweert F, Notebaert D, Roets A, Soetens B, Cagnie B, Witvrouw EE. Rehabilitation of scapular muscle balance: which exercises to prescribe? Am J Sports Med. 2007 Oct;35(10):1744-51. doi: 10.1177/0363546507303560. Epub 2007 Jul 2.
- Fathollahnejad K, Letafatkar A, Hadadnezhad M. The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study. BMC Musculoskelet Disord. 2019 Feb 18;20(1):86. doi: 10.1186/s12891-019-2438-y.
- Ertekin E, Gunaydin OE. Neck pain in rounded shoulder posture: Clinico-radiologic correlation by shear wave elastography. Int J Clin Pract. 2021 Aug;75(8):e14240. doi: 10.1111/ijcp.14240. Epub 2021 May 26.
- Cools AM, Declercq GA, Cambier DC, Mahieu NN, Witvrouw EE. Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms. Scand J Med Sci Sports. 2007 Feb;17(1):25-33. doi: 10.1111/j.1600-0838.2006.00570.x. Epub 2006 Jun 15.
- Borstad JD, Ludewig PM. The effect of long versus short pectoralis minor resting length on scapular kinematics in healthy individuals. J Orthop Sports Phys Ther. 2005 Apr;35(4):227-38. doi: 10.2519/jospt.2005.35.4.227.
- Borstad JD, Ludewig PM. Comparison of three stretches for the pectoralis minor muscle. J Shoulder Elbow Surg. 2006 May-Jun;15(3):324-30. doi: 10.1016/j.jse.2005.08.011.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Estimated)
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
Keywords
Other Study ID Numbers
- Jeong Scapula protocol
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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