Progressive Scapular-Focused Exercises for Neck Pain Related to Scapular Dysfunction
Effects of a Progressive Scapular-Focused Exercise Program in People With Neck Pain Related to Scapular Dysfunction
Neck pain is often associated with scapular dysfunction. However, this relationship is not present in all cases. Previous studies on scapular-focused exercises have reported inconsistent findings, possibly due to limitations in identifying individuals with scapular-related neck pain and in the specificity and progression of exercise programs. This trial aims to investigate the effects of a Progressive Scapular-Focused Exercise Program (PSEP), compared with routine physical therapy, on neck pain intensity, neck disability, scapular muscle strength, scapular position, cervical range of motion, upper limb disability, and global perceived benefit in individuals with neck pain related to scapular dysfunction.
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Beräknad)
Fas
- Inte tillämpbar
Kontakter och platser
Studiekontakt
- Namn: Nipaporn Wannaprom
- Telefonnummer: +66 (0) 54 466 697
- E-post: nipaporn.wa@up.ac.th
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- nonspecific neck pain for at least 3 months
- an average neck pain intensity over the past week ≥ 30 mm on a 100 mm visual analog scale (VAS)
- a score of neck pain and disability ≥ 10/ 100 on the Neck Disability Index-Thai version
- scapular dysfunction on the more painful side of neck pain
- scapular dysfunction related to neck pain, based on improvements in cervical rotation range of motion and/or neck pain intensity following scapular repositioning test
Exclusion Criteria:
- a history of head, neck and shoulder injury, trauma, fracture, or surgery
- any neurological or musculoskeletal conditions that may affect upper extremity function or study outcomes
- current shoulder or arm pain
- receiving physiotherapy treatment for their neck conditions in the past 12 months
- receiving specific exercises for the neck, shoulder, or scapular muscles in the last 6 months
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Dubbel
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: Progressive Scapular-Focused Exercise Program
Intervention group |
The program includes axioscapular muscle stretching, axioscapular muscle control exercises, strengthening and endurance training of the axioscapular muscles, and postural correction during sitting, standing, walking, and upper-limb movements (approximately 45 minutes per session). Participants will attend 12 individual treatment sessions (2 visits per week for 6 weeks). |
|
Aktiv komparator: Routine Physical Therapy Treatment
Control |
The treatment includes routine physical therapy (e.g., modalities, range of motion and/or gentle stretching exercise) (approximately 45 minutes per session). The participants will attend 12 individual treatment sessions (2 visits per week for 6 weeks). |
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Neck pain intensity
Tidsram: At baseline, immediately post-intervention, and at 3-month follow-up.
|
The average intensity of neck pain will be assessed using a 0-10 cm visual analogue scale (VAS), where 0 indicates no pain and 10 indicates the worst imaginable pain. |
At baseline, immediately post-intervention, and at 3-month follow-up.
|
|
Neck disability
Tidsram: At baseline, immediately post-intervention, and at 3-month follow-up.
|
The Neck Disability Index (NDI) will be used to assess the impact of neck pain on daily activities and self-reported disability. The questionnaire consists of 10 items, with a total score ranging from 0 to 50. Higher scores indicate greater neck-related disability. |
At baseline, immediately post-intervention, and at 3-month follow-up.
|
|
Scapular muscle strength
Tidsram: At baseline, immediately post-intervention, and at 3-month follow-up.
|
Scapular muscle strength (lower trapezius and serratus anterior) will be assessed using a handheld dynamometer. |
At baseline, immediately post-intervention, and at 3-month follow-up.
|
|
Scapular position
Tidsram: At baseline, immediately post-intervention, and at 3-month follow-up.
|
Scapular position will be assessed using the Lateral Scapular Slide Test. |
At baseline, immediately post-intervention, and at 3-month follow-up.
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Cervical range of motion
Tidsram: At baseline, immediately post-intervention, and at 3-month follow-up.
|
Cervical range of motion will be measured in degrees during flexion, extension, left and right lateral flexion, and left and right rotation. |
At baseline, immediately post-intervention, and at 3-month follow-up.
|
|
Upper limb disability
Tidsram: At baseline, immediately post-intervention, and at 3-month follow-up.
|
Upper limb disability will be assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. The questionnaire consists of 30 items assessing symptoms and functional limitations of the arm, shoulder, and hand. Scores range from 0 to 100, with higher scores indicating greater disability. |
At baseline, immediately post-intervention, and at 3-month follow-up.
|
|
Global perceived benefit of treatment
Tidsram: At baseline, immediately post-intervention, and at 3-month follow-up.
|
Global perceived benefit of treatment will be assessed using a 7-point Likert scale, ranging from 1 (very dissatisfied) to 7 (very satisfied). |
At baseline, immediately post-intervention, and at 3-month follow-up.
|
Samarbetspartners och utredare
Sponsor
Studieavstämningsdatum
Studera stora datum
Studiestart (Beräknad)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- HREC-UP-HSST 1.2/157/69
- 2394/2568 (Annat bidrag/finansieringsnummer: University of Phayao and Thailand Science Research and Innovation Fund (Fundamental Fund 2026))
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