Scapular DyskinesisNCT05811520
Comparison of Scapular Stabilization and Thoracic Extension Exercises in Patients With Scapular Dyskinesis
A study testing Scapular stabilization exercises with conventional therapy and Thoracic extension exercises with conventional therapy in people with Scapular Dyskinesis, run by Riphah International University at 1 site in Pakistan.
Trial summary
Scapular dyskinesis is defined as a visible alteration in scapular movement and position during rest or while performing dynamic motions causing a breakage in kinetic chain. Kinematic studies in subjects with scapular dysfunction showed decrease posterior tilt of scapula, increased scapular upward rotation and changes… Read more about this study
- Who is it for?
- Ages 25 to 40 years
- Conditions the study is for
- Scapular Dyskinesis
- What is being tested?
- Scapular stabilization exercises with conventional therapy and Thoracic extension exercises with conventional therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 1 sitePakistan
- Study dates
- 1 Apr 2023to 10 Jul 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 25 to 40 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- > 1.5 cm difference on lateral scapular slide test
- Ability to perform shoulder abduction at neutral position
- Presence of any type of scapular dyskinesis
- Asymmetrical scapular position at rest or winging seen during inspection of scapula
- Patients volunteered to participate in the study and signed informed consent
Who cannot join
- Patients with Structural scoliosis
- Patients with secondary conditions (Neoplasm, Neurological or vascular disorders)
- Patient undergone surgical treatment of shoulder or upper limb
- Patient with disc prolapse, spinal stenosis and fibromyalgia
- Infectious or inflammatory arthritis of spine
- Severe bone conditions (osteoporosis)
- Psychosocial disturbances
Trial locations and contacts
1 site in 1 country.
About this study
Scapular dyskinesis is defined as a visible alteration in scapular movement and position during rest or while performing dynamic motions causing a breakage in kinetic chain. Kinematic studies in subjects with scapular dysfunction showed decrease posterior tilt of scapula, increased scapular upward rotation and changes in glenohumeral to scapulothoracic ratios. Scapular dyskinesis can be categorized into 3 types according to standard classification. Type I is the posterior displacement of infero-medial angle due to excessive anterior tilt in sagittal plane, type II is the displacement of entire medial angle from posterior thorax caused by excessive internal rotation and dysrhythmic movement of scapula excessive elevation of superior border during scapular elevation is distinguished as type III . Almost 90% of office workers presenting with scapular and neck complains present with scapular dyskinesis . Shoulder dysfunction occur in up to 68% of individuals presenting with scapular dyskinesis
Read the detailed description
Specific treatment of scapular dyskinesis include moist heat packs, soft tissue mobilization, strength and flexibility exercises of scapular muscles along with postural re-education. Acknowledging the role of scapula in upper extremity functions, integration of scapular stabilization exercises is shown to be more efficient than strengthening and stretching exercises for enhancing shoulder proprioception, optimizing muscle strength and decreasing dyskinesis. Scapular stabilization exercises defined as exercises aimed at gaining stability and strength of scapular muscles and increasing neuromuscular control to maintain the proper position of the scapula.
These exercises increase fiber strength, mass, capillaries volume thus increasing the blood flow of muscle.
Mobility of Thoracic spine is an important factor to consider while treating scapular dyskinesis as reduced thoracic mobility can result in dramatic reduction of shoulder range of motion
. So a rehabilitation protocol based on the scapula dynamic stability to restore the position, direction and movement pattern of scapula by stabilizing and retraining the scapular muscles is a possible intervention strategy for improving recovery and preventing shoulder dysfunction. Numerous exercises had been proposed for rehabilitation of dyskinesis, but it lack consensus on which exercise is effective in each type of dyskinesia. As different types of scapular dyskinesia have different manifestations of muscle imbalance
- Conditions
- Scapular Dyskinesis
- Being tested
- Scapular stabilization exercises with conventional therapy, Thoracic extension exercises with conventional therapy
- Keywords
- scapular stabilization, thoracic extension, scapular rhythm
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Scapular stabilization exercises with conventional therapyOther
The patient will sit on the knees in 90° flexion position, and a Swiss ball will be placed between the chest and stomach. From the side, the earlobe, acromion of scapula, and pelvis should made a straight line. Four general exercises will be included with 2 sets of 15 repetitions, holding for 10 sec
Thoracic extension exercises with conventional therapyOther
Thoracic extension exercises consist of three exercise protocols
| Study group | Role | What they receive |
|---|---|---|
| Scapular stabilization exercises with conventional therapy | Experimental | The patient will sit on the knees in 90° flexion position, and a Swiss ball will be placed between the chest and stomach. From the side, the earlobe, acromion of scapula, and pelvis should made a straight line. Four general exercises will be included with 2 sets of 15 repetitions, holding for 10 sec. Receives: Other: Scapular stabilization exercises with conventional therapy |
| Thoracic extension exercises with conventional therapy | Experimental | Thoracic extension exercises consist of three exercise types Receives: Other: Thoracic extension exercises with conventional therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
inclinometer
Used to measure the scapular posterior tilt (type I dyskinesis), external rotation (type II dyskinesis) and upward rotation (type III dyskinesis) at different humeral abduction and flexion angles. The starting position was the elbow extension and wrist neutral position in the standing pose. Inclinometer is brought into contact with the scapula spine and scapular movements were measured at different angles.
Measured: four weeks
vernier calliper
Used to evaluate the scapular index (indicator of position of scapula in static pose). The Scapular Index value is calculated using the following equation:
Scapular Index = [(distance from the sternal notch to the coracoid process/distance from the posterolateral angle of the acromion to the third spinous process of the thoracic spine) × 100]
Measured: four weeks
goniometer
Universal goniometer for range of motion measurement of shoulder joint.
Measured: four weeks
Disability of the Arm, Shoulder, and Hand Outcome Questionnaire
The Disability of the Arm, Shoulder, and Hand Outcome Questionnaire evaluation tool consists of total of 30 items, scored on a five-point scale (no difficulty, slightly difficult, moderately difficult, very difficult, or not at all).
Measured: four weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Apr 2023
- Study start1 Apr 2023
- Primary completion10 Jul 2023
- Study completion10 Jul 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Scapular DyskinesisStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 50 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- maria Khalid, MSOMPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05811520
- Sponsor's protocol ID
- REC/MS-PT/01486 Maryam Qaiser
- Status last verified
- Jul 2023
- First submitted
- 31 Mar 2023
- Last updated
- 19 Jul 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Jul 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Scapular Stabilization and Thoracic Extension Exercises in Patients With Scapular Dyskinesis
- ClinicalTrials.gov ID
- NCT05811520
- Acronym / sponsor ID
- REC/MS-PT/01486 Maryam Qaiser
- Conditions
- Scapular Dyskinesis
- Keywords
- scapular stabilization, thoracic extension, scapular rhythm
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 50 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 1 Apr 2023 (actual)
- Primary completion
- 10 Jul 2023 (actual)
- Study completion
- 10 Jul 2023 (actual)
- First posted
- 13 Apr 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Scapular dyskinesis is defined as a visible alteration in scapular movement and position during rest or while performing dynamic motions causing a breakage in kinetic chain. Kinematic studies in subjects with scapular dysfunction showed decrease posterior tilt of scapula, increased scapular upward rotation and changes in glenohumeral to scapulothoracic ratios. Scapular dyskinesis can be categorized into 3 types according to standard classification. Type I is the posterior displacement of infero-medial angle due to excessive anterior tilt in sagittal plane, type II is the displacement of entire medial angle from posterior thorax caused by excessive internal rotation and dysrhythmic movement of scapula excessive elevation of superior border during scapular elevation is distinguished as type III . Almost 90% of office workers presenting with scapular and neck complains present with scapular dyskinesis . Shoulder dysfunction occur in up to 68% of individuals presenting with scapular dyskinesis
Detailed description
Specific treatment of scapular dyskinesis include moist heat packs, soft tissue mobilization, strength and flexibility exercises of scapular muscles along with postural re-education. Acknowledging the role of scapula in upper extremity functions, integration of scapular stabilization exercises is shown to be more efficient than strengthening and stretching exercises for enhancing shoulder proprioception, optimizing muscle strength and decreasing dyskinesis. Scapular stabilization exercises defined as exercises aimed at gaining stability and strength of scapular muscles and increasing neuromuscular control to maintain the proper position of the scapula.
These exercises increase fiber strength, mass, capillaries volume thus increasing the blood flow of muscle.
Mobility of Thoracic spine is an important factor to consider while treating scapular dyskinesis as reduced thoracic mobility can result in dramatic reduction of shoulder range of motion
. So a rehabilitation protocol based on the scapula dynamic stability to restore the position, direction and movement pattern of scapula by stabilizing and retraining the scapular muscles is a possible intervention strategy for improving recovery and preventing shoulder dysfunction. Numerous exercises had been proposed for rehabilitation of dyskinesis, but it lack consensus on which exercise is effective in each type of dyskinesia. As different types of scapular dyskinesia have different manifestations of muscle imbalance
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Scapular stabilization exercises with conventional therapy | Experimental | Other: Scapular stabilization exercises with conventional therapyThe patient will sit on the knees in 90° flexion position, and a Swiss ball will be placed between the chest and stomach. From the side, the earlobe, acromion of scapula, and pelvis should made a straight line. Four general exercises will be included with 2 sets of 15 repetitions, holding for 10 sec. |
| Thoracic extension exercises with conventional therapy | Experimental | Other: Thoracic extension exercises with conventional therapyThoracic extension exercises consist of three exercise types |
Who may qualify
- Ages
- 25 to 40 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- > 1.5 cm difference on lateral scapular slide test
- Ability to perform shoulder abduction at neutral position
- Presence of any type of scapular dyskinesis
- Asymmetrical scapular position at rest or winging seen during inspection of scapula
- Patients volunteered to participate in the study and signed informed consent
Key exclusion criteria (7 listed)
- Patients with Structural scoliosis
- Patients with secondary conditions (Neoplasm, Neurological or vascular disorders)
- Patient undergone surgical treatment of shoulder or upper limb
- Patient with disc prolapse, spinal stenosis and fibromyalgia
- Infectious or inflammatory arthritis of spine
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Scapular stabilization exercises with conventional therapyThe patient will sit on the knees in 90° flexion position, and a Swiss ball will be placed between the chest and stomach. From the side, the earlobe, acromion of scapula, and pelvis should made a straight line. Four general exercises will be included with 2 sets of 15 repetitions, holding for 10 sec | Other | Scapular stabilization exercises with conventional therapy |
| Thoracic extension exercises with conventional therapyThoracic extension exercises consist of three exercise protocols | Other | Thoracic extension exercises with conventional therapy |
Primary outcome
inclinometer
Time frame: four weeks
Used to measure the scapular posterior tilt (type I dyskinesis), external rotation (type II dyskinesis) and upward rotation (type III dyskinesis) at different humeral abduction and flexion angles. The starting position was the elbow extension and wrist neutral position in the standing pose. Inclinometer is brought into contact with the scapula spine and scapular movements were measured at different angles.
vernier calliper
Time frame: four weeks
Used to evaluate the scapular index (indicator of position of scapula in static pose). The Scapular Index value is calculated using the following equation: Scapular Index = [(distance from the sternal notch to the coracoid process/distance from the posterolateral angle of the acromion to the third spinous process of the thoracic spine) × 100]
goniometer
Time frame: four weeks
Universal goniometer for range of motion measurement of shoulder joint.
Disability of the Arm, Shoulder, and Hand Outcome Questionnaire
Time frame: four weeks
The Disability of the Arm, Shoulder, and Hand Outcome Questionnaire evaluation tool consists of total of 30 items, scored on a five-point scale (no difficulty, slightly difficult, moderately difficult, very difficult, or not at all).
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Jul 2023.
- Individual participant dataSharing planned: No
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Routine Rehabilitation Versus Shock Wave Therapy for Scapular Dyskinesis
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Effects of Motor Control Retraining and Scapular Stabilization Exercises in Females With Scapular Dyskinesia.
Scapular Dyskinesis
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
maria Khalid, MSOMPT principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Scapular stabilization exercises with conventional therapy and Thoracic extension exercises with conventional therapy in people with Scapular Dyskinesis, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
inclinometer (time frame: four weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Jul 2023.