Neck PainNCT06049316
Scapular Stabilization vs Functional Exercises on Chronic Neck Pain
A study testing Scapular stabilization exercises and Scapular functional exercises in people with Neck Pain, run by Riphah International University at 1 site in Pakistan.
Trial summary
This project is a Randomized clinical trial, will be conducted to check the comparative effects of scapular stabilization versus scapular functional exercises in patients with chronic neck pain. Read more about this study
- Who is it for?
- Ages 18 to 35 years
- Conditions the study is for
- Neck Pain
- What is being tested?
- Scapular stabilization exercises and Scapular functional exercises
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 42 participants
- Where
- 1 sitePakistan
- Study dates
- 25 Sep 2023to 15 Jan 2024
- 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 18 to 35 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patients of both genders.(18-35 years of age)
- Patients having chronic neck pain(>3 months duration)
- Patient with restricted ROM of cervical.
- VAS≥4(16)
- NDI ≥10
Who cannot join
- History of Head, Neck, cervical spine and shoulder injury.
- History of cervical radiculopathy
- History of malignancy, scoliosis, torticollis
- Diagnosed cases of disc prolapse, stenosis, herniation, spondylolisthesis, osteoporosis, and those with current use of any medication or physical therapy treatment were excluded.
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Amina Physical Therapy and Rehab Centre, Lahore, Pakistan
Lahore, Punjab Province, 54000
About this study
Official title: Comparative Effects of Scapular Stabilization Versus Scapular Functional Exercises on Chronic Neck Pain.
This project is a Randomized clinical trial, will be conducted to check the comparative effects of scapular stabilization versus scapular functional exercises in patients with chronic neck pain. Study duration will be of 8 months, convenient sampling will be done, subject following eligibility criteria from Amina Physical therapy and rehab Centre Lahore, will be randomly allocated in two groups, baseline assessment will be done, Group A participants will be given baseline treatment along with scapular stabilization exercises, Group B participants will be given baseline treatment along with scapular functional exercises. Assessment will be done in 4th week and 8th week via, Visual analogue scale for neck pain, Function of neck will be assessed by Neck disability index and inclinometer measurements of cervical ranges,3 sessions per week will be given, data will be analyzed by using SPSS version 21.
Read the detailed description
In recent years musculoskeletal related problems are the leading cause of discomfort in people worldwide. Chronic neck pain is among the most commonly reported problems to physicians. Even before reporting to clinics there is long history of using over the counter pain killers. For the duration of rehabilitation in patients who are suffering from chronic neck pain, exercising has been considered one of the maximum proof-based modalities. Rehabilitation exercises that aim to return functionality of the scapular muscles are deemed necessary to render a successful result on chronic neck pain. In previous researches no one explains the specific treatment protocol in scapular exercises. The current study has compared the effects of scapular stabilization exercises and scapular functional exercises protocol and also compare which is more effective for chronic neck pain.
- Conditions
- Neck Pain
- Being tested
- Scapular stabilization exercises, Scapular functional exercises
- Keywords
- Neck pain, Scapular exercises, Range of motion, Disability
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Scapular stabilization exercisesOther
In Scapular stabilization exercise, following treatment protocol will involve.
- In supine position, for the relaxation of body, patient will take a deep breath.
- In sitting position, patient will sit on the chair, placed both feet on the floor while bending knee at 90 degree. After this patient will raise his hand overhead with 90 degree flexion and elbow extension and also perform scapular retraction. (10 sec hold, 10 reps, 20 sec break).
- In quadrupled position with 120 degree flexion and shoulder abduction patient will lifted his hands. (10 sec hold, 10 reps, 20 sec break) TYI exercises will be administered
- T shape: Place both arms horizontal with thumbs up. (10 times, 5 sec hold, 3 sets)
- Y-shape: In prone lying place arms in 45 degree. (10 times, 5 sec hold, 3 sets)
- I-shape: In prone position patients will place his both arms overhead. (10 times, 5 sec hold, 3 sets).
These above exercises will perform 3 times a week for eight weeks.
Scapular functional exercisesOther
In Scapular functional exercises, following treatment protocol will involve
- Press-up (in a chair).
- Push-up plus, Grade 1, in oblique position exercise will be performed with the support of a table. After progression perform this in horizontal plane.
- Lateral pull down
- Horizontal pull apart
- Prone flexion: in prone position on plinth. Both arms placed overhead, and then raise arms towards ceiling.
- Prone rows: in prone position, with elbow straight, slowly raise arms towards ceiling while bending the elbows.
These all above exercises will perform by holding dumbbells in hands (20RM at first week, 10RM at last week) with 3 sets, 3 times a week for eight weeks.
| Study group | Role | What they receive |
|---|---|---|
| Scapular stabilization exercises | Experimental | Scapular stabilization exercises Receives: Other: Scapular stabilization exercises |
| Scapular functional exercises | Active comparator | Scapular functional exercises Receives: Other: Scapular functional exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
VAS
This VAS will be used in this study to measure Pain. Patients will be instructed to assess the severity of neck pain experienced last week on a 0-10 cm horizontal line (0 = painless and 10 = worst pain imaginable).
Measured: 8th Week
NDI
NDI will be used to measure function of neck. Neck disability index is the first tool to measure the self-reported disability in patients with neck pain. Total score of NDI is 50 and ranges are defined on the level of disability.
Measured: 8th Week
Inclinometer
Cervical spine range of motion will be assessed by inclinometer. It consists of a circular, fluid-filled disk with a bubble that indicates the number of degrees on the scale of protractor. Bubble inclinometer showed good intrarater and interrater reliability with intraclass Correlation Coefficient
Measured: 8th Week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Sep 2023
- Study start25 Sep 2023
- Primary completion10 Jan 2024
- Study completion15 Jan 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Neck PainStudies of the same condition, open and under way.
- 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
- Outcomes assessor
- Enrolment
- 42 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Syed Shakil ur Rehman, Principal investigator, Riphah International University, Lahore, PakistanNoor Ul Huda, Principal investigator, Riphah International University, Lahore, Pakistan
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06049316
- Sponsor's protocol ID
- REC/RCR&AHS/23/0135NoorUlHuda
- Status last verified
- Jan 2024
- First submitted
- 15 Sep 2023
- Last updated
- 30 Jan 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Abichandani D, Ting JTY, Cancino EE, Althobaiti S, Falla D. Measures of neck muscle strength and their measurement properties in adults with chronic neck pain-a systematic review. Syst Rev. 2023 Jan 16;12(1):6. doi: 10.1186/s13643-022-02162-5.
PubMed 36642710Fatima A, Veqar Z, Zaidi S, Tanwar T. Effects of scapular stabilization and upper limb proprioception as an adjunct to cervical stabilization in chronic neck pain patients: A randomized controlled trial. J Bodyw Mov Ther. 2022 Jan;29:291-301. doi: 10.1016/j.jbmt.2021.10.016. Epub 2021 Nov 1.
PubMed 35248285Seo YG, Park WH, Lee CS, Kang KC, Min KB, Lee SM, Yoo JC. Is Scapular Stabilization Exercise Effective for Managing Nonspecific Chronic Neck Pain?: A Systematic Review. Asian Spine J. 2020 Feb;14(1):122-129. doi: 10.31616/asj.2019.0055. Epub 2019 Nov 1.
PubMed 31668049Raju AS, Apparao P, Swamy G, Chaturvadi P, Mounika RG. A comparative study on deep cervical flexors training and neck stabilization exercises in subjects with chronic neck pain. Indian Journal of Physiotherapy & Occupational Therapy. 2019;13(2):1.
Celenay ST, Akbayrak T, Kaya DO. A Comparison of the Effects of Stabilization Exercises Plus Manual Therapy to Those of Stabilization Exercises Alone in Patients With Nonspecific Mechanical Neck Pain: A Randomized Clinical Trial. J Orthop Sports Phys Ther. 2016 Feb;46(2):44-55. doi: 10.2519/jospt.2016.5979. Epub 2016 Jan 11.
PubMed 26755405MAWAD ANW, MOHAMED H, YARA S. Scapular stabilization exercise versus neck stabilization exercise in females with chronic mechanical neck pain. The Medical Journal of Cairo University. 2021;89(December):2729-34.
Kang JI, Choi HH, Jeong DK, Choi H, Moon YJ, Park JS. Effect of scapular stabilization exercise on neck alignment and muscle activity in patients with forward head posture. J Phys Ther Sci. 2018 Jun;30(6):804-808. doi: 10.1589/jpts.30.804. Epub 2018 Jun 12.
PubMed 29950768Attia AMM, Aboelnour NH, Sherif RA, Saafaan KI. Effect of Manual Pressure Release and Scapular Stabilization Exercises on Myofascial Pain Syndrome Following Neck Dissection Surgery. The Egyptian Journal of Hospital Medicine. 2022;89(1):4668-75.
Demir O, Atıcı E, Torlak MS. Therapeutic and stabilization exercises after manual therapy in patients with non-specific chronic neck pain: A randomised clinical trial. International Journal of Osteopathic Medicine. 2023;47:100639.
Javdaneh N, Ambrozy T, Barati AH, Mozafaripour E, Rydzik L. Focus on the Scapular Region in the Rehabilitation of Chronic Neck Pain Is Effective in Improving the Symptoms: A Randomized Controlled Trial. J Clin Med. 2021 Aug 8;10(16):3495. doi: 10.3390/jcm10163495.
PubMed 34441791
Study at a glance
From the registry record, last updated by the sponsor on 30 Jan 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Scapular Stabilization Versus Scapular Functional Exercises on Chronic Neck Pain.
- ClinicalTrials.gov ID
- NCT06049316
- Acronym / sponsor ID
- REC/RCR&AHS/23/0135NoorUlHuda
- Conditions
- Neck Pain
- Keywords
- Neck pain, Scapular exercises, Range of motion, Disability
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 42 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 25 Sep 2023 (actual)
- Primary completion
- 10 Jan 2024 (actual)
- Study completion
- 15 Jan 2024 (actual)
- First posted
- 22 Sep 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.
This project is a Randomized clinical trial, will be conducted to check the comparative effects of scapular stabilization versus scapular functional exercises in patients with chronic neck pain. Study duration will be of 8 months, convenient sampling will be done, subject following eligibility criteria from Amina Physical therapy and rehab Centre Lahore, will be randomly allocated in two groups, baseline assessment will be done, Group A participants will be given baseline treatment along with scapular stabilization exercises, Group B participants will be given baseline treatment along with scapular functional exercises. Assessment will be done in 4th week and 8th week via, Visual analogue scale for neck pain, Function of neck will be assessed by Neck disability index and inclinometer measurements of cervical ranges,3 sessions per week will be given, data will be analyzed by using SPSS version 21.
Detailed description
In recent years musculoskeletal related problems are the leading cause of discomfort in people worldwide. Chronic neck pain is among the most commonly reported problems to physicians. Even before reporting to clinics there is long history of using over the counter pain killers. For the duration of rehabilitation in patients who are suffering from chronic neck pain, exercising has been considered one of the maximum proof-based modalities. Rehabilitation exercises that aim to return functionality of the scapular muscles are deemed necessary to render a successful result on chronic neck pain. In previous researches no one explains the specific treatment protocol in scapular exercises. The current study has compared the effects of scapular stabilization exercises and scapular functional exercises protocol and also compare which is more effective for chronic neck pain.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Scapular stabilization exercises | Experimental | Other: Scapular stabilization exercisesScapular stabilization exercises |
| Scapular functional exercises | Active comparator | Other: Scapular functional exercisesScapular functional exercises |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Patients of both genders.(18-35 years of age)
- Patients having chronic neck pain(>3 months duration)
- Patient with restricted ROM of cervical.
- VAS≥4(16)
- NDI ≥10
Key exclusion criteria (4 listed)
- History of Head, Neck, cervical spine and shoulder injury.
- History of cervical radiculopathy
- History of malignancy, scoliosis, torticollis
- Diagnosed cases of disc prolapse, stenosis, herniation, spondylolisthesis, osteoporosis, and those with current use of any medication or physical therapy treatment were excluded.
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 exercisesIn Scapular stabilization exercise, following treatment protocol will involve. * In supine position, for the relaxation of body, patient will take a deep breath. * In sitting position, patient will sit on the chair, placed both feet on the floor while bending knee at 90 degree. After this patient will raise his hand overhead with 90 degree flexion and elbow extension and also perform scapular retraction. (10 sec hold, 10 reps, 20 sec break). * In quadrupled position with 120 degree flexion and shoulder abduction patient will lifted his hands. (10 sec hold, 10 reps, 20 sec break) TYI exercises will be administered * T shape: Place both arms horizontal with thumbs up. (10 times, 5 sec hold, 3 sets) * Y-shape: In prone lying place arms in 45 degree. (10 times, 5 sec hold, 3 sets) * I-shape: In prone position patients will place his both arms overhead. (10 times, 5 sec hold, 3 sets). These above exercises will perform 3 times a week for eight weeks. | Other | Scapular stabilization exercises |
| Scapular functional exercisesIn Scapular functional exercises, following treatment protocol will involve * Press-up (in a chair). * Push-up plus, Grade 1, in oblique position exercise will be performed with the support of a table. After progression perform this in horizontal plane. * Lateral pull down * Horizontal pull apart * Prone flexion: in prone position on plinth. Both arms placed overhead, and then raise arms towards ceiling. * Prone rows: in prone position, with elbow straight, slowly raise arms towards ceiling while bending the elbows. These all above exercises will perform by holding dumbbells in hands (20RM at first week, 10RM at last week) with 3 sets, 3 times a week for eight weeks. | Other | Scapular functional exercises |
Primary outcome
VAS
Time frame: 8th Week
This VAS will be used in this study to measure Pain. Patients will be instructed to assess the severity of neck pain experienced last week on a 0-10 cm horizontal line (0 = painless and 10 = worst pain imaginable).
NDI
Time frame: 8th Week
NDI will be used to measure function of neck. Neck disability index is the first tool to measure the self-reported disability in patients with neck pain. Total score of NDI is 50 and ranges are defined on the level of disability.
Inclinometer
Time frame: 8th Week
Cervical spine range of motion will be assessed by inclinometer. It consists of a circular, fluid-filled disk with a bubble that indicates the number of degrees on the scale of protractor. Bubble inclinometer showed good intrarater and interrater reliability with intraclass Correlation Coefficient
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 30 Jan 2024.
- Background: PubMed 36642710Abichandani D, Ting JTY, Cancino EE, Althobaiti S, Falla D. Measures of neck muscle strength and their measurement properties in adults with chronic neck pain-a systematic review. Syst Rev. 2023 Jan 16;12(1):6. doi: 10.1186/s13643-022-02162-5.
- Background: PubMed 35248285Fatima A, Veqar Z, Zaidi S, Tanwar T. Effects of scapular stabilization and upper limb proprioception as an adjunct to cervical stabilization in chronic neck pain patients: A randomized controlled trial. J Bodyw Mov Ther. 2022 Jan;29:291-301. doi: 10.1016/j.jbmt.2021.10.016. Epub 2021 Nov 1.
- Background: PubMed 31668049Seo YG, Park WH, Lee CS, Kang KC, Min KB, Lee SM, Yoo JC. Is Scapular Stabilization Exercise Effective for Managing Nonspecific Chronic Neck Pain?: A Systematic Review. Asian Spine J. 2020 Feb;14(1):122-129. doi: 10.31616/asj.2019.0055. Epub 2019 Nov 1.
- BackgroundRaju AS, Apparao P, Swamy G, Chaturvadi P, Mounika RG. A comparative study on deep cervical flexors training and neck stabilization exercises in subjects with chronic neck pain. Indian Journal of Physiotherapy & Occupational Therapy. 2019;13(2):1.
- Background: PubMed 26755405Celenay ST, Akbayrak T, Kaya DO. A Comparison of the Effects of Stabilization Exercises Plus Manual Therapy to Those of Stabilization Exercises Alone in Patients With Nonspecific Mechanical Neck Pain: A Randomized Clinical Trial. J Orthop Sports Phys Ther. 2016 Feb;46(2):44-55. doi: 10.2519/jospt.2016.5979. Epub 2016 Jan 11.
- BackgroundMAWAD ANW, MOHAMED H, YARA S. Scapular stabilization exercise versus neck stabilization exercise in females with chronic mechanical neck pain. The Medical Journal of Cairo University. 2021;89(December):2729-34.
- Background: PubMed 29950768Kang JI, Choi HH, Jeong DK, Choi H, Moon YJ, Park JS. Effect of scapular stabilization exercise on neck alignment and muscle activity in patients with forward head posture. J Phys Ther Sci. 2018 Jun;30(6):804-808. doi: 10.1589/jpts.30.804. Epub 2018 Jun 12.
- BackgroundAttia AMM, Aboelnour NH, Sherif RA, Saafaan KI. Effect of Manual Pressure Release and Scapular Stabilization Exercises on Myofascial Pain Syndrome Following Neck Dissection Surgery. The Egyptian Journal of Hospital Medicine. 2022;89(1):4668-75.
- BackgroundDemir O, Atıcı E, Torlak MS. Therapeutic and stabilization exercises after manual therapy in patients with non-specific chronic neck pain: A randomised clinical trial. International Journal of Osteopathic Medicine. 2023;47:100639.
- Background: PubMed 34441791Javdaneh N, Ambrozy T, Barati AH, Mozafaripour E, Rydzik L. Focus on the Scapular Region in the Rehabilitation of Chronic Neck Pain Is Effective in Improving the Symptoms: A Randomized Controlled Trial. J Clin Med. 2021 Aug 8;10(16):3495. doi: 10.3390/jcm10163495.
- 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.
Syed Shakil ur Rehman principal investigator
Riphah International University, Lahore, Pakistan
Noor Ul Huda principal investigator
Riphah International University, Lahore, Pakistan
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 and Scapular functional exercises in people with Neck Pain, 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 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 30 Jan 2024. 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?
VAS (time frame: 8th 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 NCT06049316, which also lists 10 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 30 Jan 2024.