YWTL Exercises and Close Kinetic Chain Exercises in Children With Scapular Dyskinesis.

Официальное название

Comparison of YWTL Exercises and Closed Kinetic Chain Exercises on Shoulder Pain, Disability, Upper Limb Mobility and Posture in Children With Scapular Dyskinesis.

Обзор

Scapular dyskinesia is defined by abnormal movement or placement of the scapula, the shoulder blade, during arm movements. Physical treatment aimed at regaining appropriate scapular mechanics through strengthening exercises, postural correction, and functional movement training is typically part of management. A randomized clinical trial will be conducted. The study will be conducted at Unique school and on school going children in a total duration of 10 months. Sample size will be 22.There will be two study groups. A convenient sampling technique will be used. The sample which will have following characteristics will be included children with age group 9 to 12 years, positive scapular test, positive scapular assistance test, athletes who practice one hour three days a week. The sample with the following characteristics will be excluded. Any muscular or joint deformity, scoliosis, shoulder dislocation. The tools that will be included in the study are modified lateral scapular test, shoulder flexion test, shoulder and pain disability index, upper extremity functional use scale, posture and posture assessment scale, shoulder and scapular ranges.

Подробное описание

Scapular dyskinesia is defined by abnormal movement or placement of the scapula, the shoulder blade, during arm movements. Changes in scapular kinematics, such as tipping (forward or backward tilting), winging (medial border protrusion), or general prominence during shoulder movements, are usually involved. Physical treatment aimed at regaining appropriate scapular mechanics through strengthening exercises, postural correction, and functional movement training is typically part of management. From the shoulders to the hands, proper upper limb posture is essential for both biomechanical effectiveness and the avoidance of injuries when performing tasks. In addition to maximizing mobility for daily tasks, work, sports, and leisure activities, proper posture relieves tension on muscles and joints, assuring effective performance and lowering the chance of injury. A randomized clinical trial will be conducted. The study will be conducted at Unique School Wapda Town and The Punjab School in a total duration of 10 months. Sample size will be 22.

There will be two study groups. A convenient sampling technique will be used. The sample which will have following characteristics will be included children with age group 9 to 12 years, positive scapular test, positive scapular assistance test, normal shoulder ranges, normal scapular ranges, athletes who practice one hour three days a week. The sample with the following characteristics will be excluded. Any muscular or joint deformity, scoliosis, shoulder dislocation, previous surgery of shoulder and cervicobrachialgia. The tools that will be included in the study are modified lateral scapular test, scapular dyskinesis test, shoulder flexion test, scapular assistance test, shoulder and pain disability index, upper extremity functional use scale, posture and posture assessment scale, shoulder and scapular ranges. SPSS version 27 will be used for data analysis.

Вмешательства

• Другое YWTL EXERCISES
  YWTL exercises are shoulder and upper back exercises to improve posture, strengthen upper back. Each letter represents different arm position that copies shape of letter.
• Другое Closed kinetic chain exercises
  Closed kinetic chain exercises include corner stretch hold, sleeper stretch hold - lawn mover and robbery maneuver, Scapula clock exercises, wall wash. Low row exercise maneuver, Scapular stabilization of Black burn exercises, press up, push up.

Первичные конечные точки

• modified lateral scapular test [Срок оценки: pre reading(1st week) post reading (6th week)]
• scapular dyskinesis test [Срок оценки: pre reading(1st week) post reading (6th week)]
• shoulder flexion test [Срок оценки: pre reading(1st week) post reading (6th week)]
• scapular assistance test [Срок оценки: pre reading(1st week) post reading (6th week)]
• shoulder and pain disability index [Срок оценки: pre reading(1st week) post reading (6th week)]
• upper extremity functional use scale [Срок оценки: pre reading(1st week) post reading (6th week)]
• posture and posture assessment scale [Срок оценки: pre reading(1st week) , post reading (6th week)]
• shoulder ranges [Срок оценки: pre reading(1st week) , post reading (6th week)]
• scapular ranges [Срок оценки: pre reading(1st week), post reading (6th week)]

Критерии участия

Критерии включения

Children with an age group of 9 to 12 years.

• Both genders.
• Engage in overhead sports.
• Minimum play time is 1 hour 3 times in a week.
• Positive Modified lateral scapular test
• Positive scapular dyskinesis shoulder flexion test
• Positive scapular assistance test
• Shoulder and pain disabilty index (score 1 to 20 )
• Upper extremity functional use scale (score 60 to 80).

Критерии исключения

Any muscular or joint deformity.

• Scoliosis.
• Shoulder dislocation
• Post fracture.
• Neurological deficits
• Cervicobrachialgia

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Другое

Центры проведения

Пакистан · 1 центр

• Mishal Farwa — Lahore

Публикации

• Teixeira DC, Alves L, Gutierres M. The role of scapular dyskinesis on rotator cuff tears: a narrative review of the current knowledge. EFORT Open Rev. 2021 Oct 19;6(10):932-940. doi: 10.1302/2058-5241.6.210043. eCollection 2021 Oct. PMID 34760292
• Hogan C, Corbett JA, Ashton S, Perraton L, Frame R, Dakic J. Scapular Dyskinesis Is Not an Isolated Risk Factor for Shoulder Injury in Athletes: A Systematic Review and Meta-analysis. Am J Sports Med. 2021 Aug;49(10):2843-2853. doi: 10.1177/0363546520968508. Epub 2020 Nov 19. PMID 33211975
• Otoshi K, Kikuchi S, Kato K, Sato R, Igari T, Kaga T, Konno S. The prevalence of scapular malalignment in elementally school aged baseball player and its association to shoulder disorder. J Orthop Sci. 2018 Nov;23(6):942-947. doi: 10.1016/j.jos.2018.07.006. Epub 2018 Aug 4. PMID 30087015
• 4. Mahale A, Bisen R, Kalra K. Prevalence of Scapular Dyskinesia in Elite Badminton Players in Pune. International Journal of Health Sciences and Research. 2020;10(11):127-34.
• Joseph R, Alenabi T, Lulic T, Dickerson CR. Activation of Supraspinatus and Infraspinatus Partitions and Periscapular Musculature During Rehabilitative Elastic Resistance Exercises. Am J Phys Med Rehabil. 2019 May;98(5):407-415. doi: 10.1097/PHM.0000000000001116. PMID 30550457
• Gianakos AL, Abdelmoneim A, Kerkhoffs G, Mulcahey MK. Rehabilitation and Return to Sport of Female Athletes. Arthrosc Sports Med Rehabil. 2022 Jan 28;4(1):e247-e253. doi: 10.1016/j.asmr.2021.09.040. eCollection 2022 Jan. PMID 35141558

Идентификаторы

NCT: NCT06943131 · REC/RCR&AHS/24/0728

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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