Scapular DyskinesisNCT05916807
Effects of Stabilization Exercises and Posture Training on Breast Feeding Females Suffering From Scapular Dyskinesia
A study testing Stabilization Exercises and Posture Training in people with Scapular Dyskinesis, run by Riphah International University at 1 site in Pakistan.
Trial summary
A randomized clinical trial study will be conducted through a non-probability convenience sampling technique. Study will be conducted at Jinnah Hospital, Lahore. Sample size will be collected through open epi tool. The total sample size of 52 is calculated. Read more about this study
- Who is it for?
- Ages 25 to 40 years, women only
- Conditions the study is for
- Scapular Dyskinesis
- What is being tested?
- Stabilization Exercises and Posture Training
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 52 participants
- Where
- 1 sitePakistan
- Study dates
- 5 Dec 2022to 15 Aug 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
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- Positive Scapular Dyskinesis Test
- Age 25-40 Years
- Breast feeding females from last 6 months
- Primigravida females
Who cannot join
- Cesarean section females
- Neck or shoulder pain due to any other comorbidity e.g. Previous history of trauma or fracture
- Any spinal deformity like scoliosis or kyphosis
- Disc prolapse facet joint stenosis
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Comparative Effects Of Stabilization Exercises And Posture Training On Pain Function And Range Of Motion In Breast Feeding Females Suffering From Scapular Dyskinesia
A randomized clinical trial study will be conducted through a non-probability convenience sampling technique. Study will be conducted at Jinnah Hospital, Lahore. Sample size will be collected through open epi tool. The total sample size of 52 is calculated. Two treatment groups will be taken for conducting the research. Group A with twenty-six (26) patients will be treated with stabilization exercises and Group B with twenty-six (26) patients whom will be treated with posture training. Difference between pre-treatment and post-treatment readings will be calculated using Paired sample t-test for parametric data. For nonparametric data Wilcoxon signed rank test will be used. This is a non-parametric test that compares paired groups. Generalized physiotherapy rehabilitation protocol will be implemented in Group A for scapular stabilization by demonstrating scapular retraction (Shoulder Blade Squeezes), External Rotation, Shoulder Diagonals, Horizontal Rows, Shoulder Extension, Angel Wings, Active: Push with a plus, Physio ball Scapular Exercises, Platform Walks. In Group B, postural training different nursing positions will be guided as crossover hold, laid-back position, on the pillow position, cradle, football hold, side-lying position. The intervention will be provided in twelve sessions over a 4-week intervention period (three sessions per week) each session of 30 to 50 minutes accompanied by an individual daily at-home exercise program. The participants were advised not to use other forms of treatment during the trial (pharmacologic or non-pharmacologic treatment). NPRS will be used to measure the pain intensity and functional limitation will be assessed using the UEFI, goniometer to check the range limitation. Total study duration will be ten months after the approval of synopsis. Data will be analysed by using SPSS 26.
Read the detailed description
Scapular dyskinesis is a change or deviation in the normal resting or active position of the scapula during shoulder movement due to the repetitive use of the shoulder, most people's scapula moves abnormally. Scapular winging is a clinical observation in which any part of the scapular departs excessively from the thorax soon after movement begins causing hinderance in performing movements like Elevation/depression, Protraction/retraction, Internal/external rotation, Superior/inferior rotation, Anterior/posterior tilt. Scapular dyskinesia can be caused by one of three factors, Shoulder-related, Neck-related, Posture-related.
The significance of this study is to lessen the musculoskeletal disorders causing scapular dyskinesia through provision of the stabilization, stretching exercises and posture training, improving function and range of motion in breast feeding females.
- Conditions
- Scapular Dyskinesis
- Being tested
- Stabilization Exercises, Posture Training
- Keywords
- Breast feeding, Pain, Range of motion, Scapular dyskinesis
- Medical subject headings
- Breast Feeding, Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Stabilization ExercisesOther
It consists of 26 patients who will receive stabilization exercises which will be divided in three components in lying posture, sitting, standing, rolling and kneeling positions to treat posterior, inferior muscles of scapula for 35-45 min for 3 days a week for 4 weeks.
Posture TrainingOther
It consists of 26 patients who will receive postural training and breast-feeding patterns for the mother and child for 35-45 min in 3 days a week for 4 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Stabilization Exercises | Experimental | Twenty-six (26) patients will be treated with stabilization exercises in breast feeding females suffering from scapular dyskinesia. Receives: Other: Stabilization Exercises |
| Posture Training | Experimental | Twenty-six (26) patients will be treated with posture training of breast-feeding females suffering from scapular dyskinesia. Receives: Other: Posture Training |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numeric Pain Rating scale
The Numeric Pain Rating Scale (NPRS) (an outcome measure) that is a one dimensional measure of pain intensity in adults, including those with chronic pain due to rheumatic diseases. Validity 0.86 to 0.95
Measured: 4th week
UPPER EXTREMITY FUNCTIONAL INDEX
The Upper Extremity Functional Index is a patient reported outcome measure used to assess the functional impairment in individuals with musculoskeletal upper limb dysfunction.
Measured: 4th week
RANGE OF MOTION
A goniometer is an instrument that measures the available range of motion at a joint. The art and science of measuring the joint ranges in each plane of the joint are called goniometry.
Measured: 4th Week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Jun 2023
- Study start5 Dec 2022
- Primary completion25 Jul 2023
- Study completion15 Aug 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- 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
- Single blind
- Who is masked
- Participant
- Enrolment
- 52 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Adeela Arif, MS, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05916807
- Sponsor's protocol ID
- Ashley Nudrat
- Status last verified
- Dec 2023
- First submitted
- 14 Jun 2023
- Last updated
- 29 Dec 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Panagiotopoulos AC, Crowther IM. Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate. SICOT J. 2019;5:29. doi: 10.1051/sicotj/2019029. Epub 2019 Aug 20.
PubMed 31430250de Carvalho SC, Castro ADAE, Rodrigues JC, Cerqueira WS, Santos DDCB, Rosemberg LA. Snapping scapula syndrome: pictorial essay. Radiol Bras. 2019 Jul-Aug;52(4):262-267. doi: 10.1590/0100-3984.2017.0226.
PubMed 31435089Ezeukwu OA, Ojukwu CP, Okemuo AJ, Anih CF, Ikele IT, Chukwu SC. Biomechanical analysis of the three recommended breastfeeding positions. Work. 2020;66(1):183-191. doi: 10.3233/WOR-203162.
PubMed 32417825
Study at a glance
From the registry record, last updated by the sponsor on 29 Dec 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects Of Stabilization Exercises And Posture Training On Pain Function And Range Of Motion In Breast Feeding Females Suffering From Scapular Dyskinesia
- ClinicalTrials.gov ID
- NCT05916807
- Acronym / sponsor ID
- Ashley Nudrat
- Conditions
- Scapular Dyskinesis
- Keywords
- Breast feeding, Pain, Range of motion, Scapular dyskinesis
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 52 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 5 Dec 2022 (actual)
- Primary completion
- 25 Jul 2023 (actual)
- Study completion
- 15 Aug 2023 (actual)
- First posted
- 23 Jun 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.
A randomized clinical trial study will be conducted through a non-probability convenience sampling technique. Study will be conducted at Jinnah Hospital, Lahore. Sample size will be collected through open epi tool. The total sample size of 52 is calculated. Two treatment groups will be taken for conducting the research. Group A with twenty-six (26) patients will be treated with stabilization exercises and Group B with twenty-six (26) patients whom will be treated with posture training. Difference between pre-treatment and post-treatment readings will be calculated using Paired sample t-test for parametric data. For nonparametric data Wilcoxon signed rank test will be used. This is a non-parametric test that compares paired groups. Generalized physiotherapy rehabilitation protocol will be implemented in Group A for scapular stabilization by demonstrating scapular retraction (Shoulder Blade Squeezes), External Rotation, Shoulder Diagonals, Horizontal Rows, Shoulder Extension, Angel Wings, Active: Push with a plus, Physio ball Scapular Exercises, Platform Walks. In Group B, postural training different nursing positions will be guided as crossover hold, laid-back position, on the pillow position, cradle, football hold, side-lying position. The intervention will be provided in twelve sessions over a 4-week intervention period (three sessions per week) each session of 30 to 50 minutes accompanied by an individual daily at-home exercise program. The participants were advised not to use other forms of treatment during the trial (pharmacologic or non-pharmacologic treatment). NPRS will be used to measure the pain intensity and functional limitation will be assessed using the UEFI, goniometer to check the range limitation. Total study duration will be ten months after the approval of synopsis. Data will be analysed by using SPSS 26.
Detailed description
Scapular dyskinesis is a change or deviation in the normal resting or active position of the scapula during shoulder movement due to the repetitive use of the shoulder, most people's scapula moves abnormally. Scapular winging is a clinical observation in which any part of the scapular departs excessively from the thorax soon after movement begins causing hinderance in performing movements like Elevation/depression, Protraction/retraction, Internal/external rotation, Superior/inferior rotation, Anterior/posterior tilt. Scapular dyskinesia can be caused by one of three factors, Shoulder-related, Neck-related, Posture-related.
The significance of this study is to lessen the musculoskeletal disorders causing scapular dyskinesia through provision of the stabilization, stretching exercises and posture training, improving function and range of motion in breast feeding females.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Stabilization Exercises | Experimental | Other: Stabilization ExercisesTwenty-six (26) patients will be treated with stabilization exercises in breast feeding females suffering from scapular dyskinesia. |
| Posture Training | Experimental | Other: Posture TrainingTwenty-six (26) patients will be treated with posture training of breast-feeding females suffering from scapular dyskinesia. |
Who may qualify
- Ages
- 25 to 40 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Positive Scapular Dyskinesis Test
- Age 25-40 Years
- Breast feeding females from last 6 months
- Primigravida females
Key exclusion criteria (4 listed)
- Cesarean section females
- Neck or shoulder pain due to any other comorbidity e.g. Previous history of trauma or fracture
- Any spinal deformity like scoliosis or kyphosis
- Disc prolapse facet joint stenosis
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 |
|---|---|---|
| Stabilization ExercisesIt consists of 26 patients who will receive stabilization exercises which will be divided in three components in lying posture, sitting, standing, rolling and kneeling positions to treat posterior, inferior muscles of scapula for 35-45 min for 3 days a week for 4 weeks. | Other | Stabilization Exercises |
| Posture TrainingIt consists of 26 patients who will receive postural training and breast-feeding patterns for the mother and child for 35-45 min in 3 days a week for 4 weeks. | Other | Posture Training |
Primary outcome
Numeric Pain Rating scale
Time frame: 4th week
The Numeric Pain Rating Scale (NPRS) (an outcome measure) that is a one dimensional measure of pain intensity in adults, including those with chronic pain due to rheumatic diseases. Validity 0.86 to 0.95
UPPER EXTREMITY FUNCTIONAL INDEX
Time frame: 4th week
The Upper Extremity Functional Index is a patient reported outcome measure used to assess the functional impairment in individuals with musculoskeletal upper limb dysfunction.
RANGE OF MOTION
Time frame: 4th Week
A goniometer is an instrument that measures the available range of motion at a joint. The art and science of measuring the joint ranges in each plane of the joint are called goniometry.
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 29 Dec 2023.
- Background: PubMed 31430250Panagiotopoulos AC, Crowther IM. Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate. SICOT J. 2019;5:29. doi: 10.1051/sicotj/2019029. Epub 2019 Aug 20.
- Background: PubMed 31435089de Carvalho SC, Castro ADAE, Rodrigues JC, Cerqueira WS, Santos DDCB, Rosemberg LA. Snapping scapula syndrome: pictorial essay. Radiol Bras. 2019 Jul-Aug;52(4):262-267. doi: 10.1590/0100-3984.2017.0226.
- Background: PubMed 32417825Ezeukwu OA, Ojukwu CP, Okemuo AJ, Anih CF, Ikele IT, Chukwu SC. Biomechanical analysis of the three recommended breastfeeding positions. Work. 2020;66(1):183-191. doi: 10.3233/WOR-203162.
- Individual participant dataSharing planned: No
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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.
Adeela Arif, MS 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 Stabilization Exercises and Posture Training 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 4 inclusion and 4 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 29 Dec 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?
Numeric Pain Rating scale (time frame: 4th week). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05916807, which also lists 3 linked publications.
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 29 Dec 2023.