Effectiveness of Scapular Exercises Compared To Conventional Treatment in Shoulder Pain

Official title

Effectiveness of Scapular Exercises Compared To Conventional Treatment in People With Shoulder Pain: A Randomized Controlled Study

Overview

The contribution of the scapula to shoulder joint movement is great. The contribution of the scapula bone is more prominent, especially in overhead activities. Therefore, the position and movement of the scapula are generally examined in people with shoulder disease. Scapula-focused exercises are used in patients with shoulder problems. However, some studies focused on the effectiveness of scapula-focused exercises on shoulder problems. Thes studies fundings are controversial. Scapular dyskinesis has not been evaluated in these studies. No study has set the condition of having scapular dyskinesis as an inclusion criterion. Scapular-focused exercises are expected to have a greater effect especially on patients with scapular dyskinesis. Therefore, the aim of this study is to examine the effectiveness of scapula-focused exercises on patients with shoulder pain and obvious scapular dyskinesis.

Interventions

• Other Scapular Exercise
  Scapular exercise includes scapular clock exercise (3 sets of 10 repetitions), rowing exercise (3 sets of 10 repetitions), resisted external rotation (3 sets of 10 repetitions), resisted punching exercise (3 sets of 10 repetitions). The rowing, external rotation and punching exercises will do with theraband. When participants complete the elastic band exercises easily and do not report any muscle fatigue, they will move on to the next level of difficulty. The color order of the bands is yellow,
• Other Control (Standard treatment)
  Conventional Treatment includes TENS (100 Hz) with hotpack (20 minutes), Stretching exercises (posterior capsule and pectoral muscle), resisted flexion and abduction exercises. The rowing, external rotation and punching exercises will do with theraband. When participants complete the elastic band exercises easily and do not report any muscle fatigue, they will move on to the next level of difficulty. The color order of the bands is yellow, red, green and blue. The exercises will begin with the

Primary outcome measures

• shoulder pain and disability index (SPADI) [Time frame: Baseline and at 6 week]

Secondary outcome measures (1)

• Global Rate of Change [Time frame: Baseline and at 6 week]

Eligibility criteria

Inclusion criteria

• Having shoulder pain for at least 1 month
• Having obvious scapular dyskinesia
• Having a shoulder ROM (range of motion) at least 120º
• Being 18 years of age or older

Exclusion criteria

• Having received any shoulder treatment in the last 6 months
• Having an acromioclavicular joint problem
• Having a diagnosis of frozen shoulder
• Having a fracture in the shoulder area
• Having a major rotator cuff muscle tear
• Having a diagnosis of calcific rotator cuff tendinopathy
• Having a neurological or rheumatological disease

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation

Randomized

Model

Parallel assignment

Masking

Single blind

Primary purpose

Treatment

Study locations

Turkey (Türkiye) · 1 center

• Universtiy of Health Sciences - Gülhane Faculty of Physiotherapy and Rehabilitation — Ankara

Publications

• Bury J, West M, Chamorro-Moriana G, Littlewood C. Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis. Man Ther. 2016 Sep;25:35-42. doi: 10.1016/j.math.2016.05.337. Epub 2016 Jun 4. PMID 27422595

Identifiers

NCT: NCT06890000 · 09/972

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗