Scapular DyskinesisNCT06944756
Effects of Global Postural Reeducation Versus Scapular Stabilization Exercises
A study testing Global Postural Reeducation and Scapular Stabilization Exercises in people with Scapular Dyskinesis, run by Riphah International University at 1 site in Pakistan.
Trial summary
Shoulder pain is an experience that most of the people can expect to deal in their lives due to over-exertion or postural asymmetries, which may or may not have it interfering with the normal activities of their daily living. Read more about this study
- Who is it for?
- Ages 20 to 55 years
- Conditions the study is for
- Scapular Dyskinesis
- What is being tested?
- Global Postural Reeducation and Scapular Stabilization Exercises
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 sitePakistan
- Study dates
- 6 Apr 2019to 10 Oct 2019
- 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 20 to 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patients of both genders.
- SD of type I with scapular malposition, inferior medial border prominence, coracoid pain and malposition, and dyskinesia of scapular movement (SICK) Scapula Rating Scale, in association to shoulder pain (pain for at least 3 months).
- Pain intensity ranges from 2-9 on scale of shoulder in last month.
Who cannot join
- Additional cervical or shoulder pathology (cervical stenosis, myelopathy, prolapsed intervertebral disk )
- Pre-diagnosed winged scapula due to lesions of the long thoracic nerve or spinal accessory nerve.
- Patients with shoulder instability
- Medical red flag history (tumor, metabolic diseases, rheumatoid arthritis, osteoporosis or Infection)
- Any Neurological disorder that affects shoulder
- History of Severe trauma or any fracture of shoulder girdle
Show all 9Show fewer
- Hypertension (Systolic BP[160, diastolic BP[100])
- Cardiovascular diseases (e.g., chest pain during physical exercise, heart failure, myocardial infarction)
- Postoperative conditions in the neck and affected shoulder region Pregnancy
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of Global Postural Reeducation Compared to Scapular Stabilization Exercises on Pain, Flexibility, and Function of Patients With Shoulder Pain Associated With Scapular Dyskinesia
Shoulder pain is an experience that most of the people can expect to deal in their lives due to over-exertion or postural asymmetries, which may or may not have it interfering with the normal activities of their daily living. Shoulder pain associated with scapular dyskinesia can be associated with restricted joint range of motion and loss of muscle strength, and is among the most common conditions treated by physical therapists. The patho-mechanisms of shoulder pain are only scarcely known but it is associated with both psychosocial and physical factors. Although there is some evidence of pain reduction, improving range of motion and function occurring following global posture reeducation, scapular stabilizing exercise, it is not known how the training influences the muscle activities of persons shoulder pain associated scapular dyskinesia.
Read the detailed description
The objective of this study will be to compare the effects of Global Postural Reeducation and Scapular Stabilization Exercises on pain, range of motion, and activity restriction in patient with shoulder Pain. Data will be collected from Hajra complex and Riphah Rehabilitation center Lahore. A sample of 30 patients will be included and divided into two group. One group will receive Global Postural Reeducation and other group will receive Scapular Stabilization Exercises. All subjects will receive a total of ten treatment sessions twice a week over the period of 5 weeks lasting for 40 minutes. Outcome will be measured with Goniometer, NPRS, DASH/PSS. The data will be analyse using SPSS v 25. The normality of the data will be assessed by Shapiro-Wilks test of normality and uniformity, based on which parametric or non-parametric test will be applied to determine within the group and across the group difference in two groups. Independent sample T test / Mann Whitney U test will be applied to determine any significant difference across the two groups. Repeated Measure ANOVA / Friedman ANOVA will be used to determine any significant difference with in each treatment group. A difference with p value less than 0.05 will be considered as significant.
- Conditions
- Scapular Dyskinesis
- Being tested
- Global Postural Reeducation, Scapular Stabilization Exercises
- Keywords
- Scapular Dyskinesia, Shoulder Pain, Global Posture Reeducation
- Medical subject headings
- Shoulder Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Global Postural ReeducationOther
Two stretching postures were maintained for 10 minutes each.
- In order to stretch the posterior muscle chain(the supine posture with hip flexion, which stretches the posterior muscle chain) the patient lay in the supine position with the occipital, lumbar, and sacral spine stabilized, with the lower limbs at 90° hip flexion, and performed gradual knee extensions, and dorsiflexion of the ankle.
- In order to stretch the anterior muscle chain (the supine posture with leg extension, which progressively stretches the anterior muscle chain) the patient lay in the supine position with the upper limbs abducted at 30° and the forearms supine.. Hips were flexed, abducted, and laterally rotated, with the soles of the feet touching each other. Gradually, respecting the patient's limits, the lower limbs were extended as much as possible and adduction of the upper limbs.
Scapular Stabilization ExercisesOther
- Push up plus and 2) press up, were selected in reference to a study for scapular stabilization.
During the 5-week intervention training, sets of repetitions were increased progressively. In the first week participants performed 3 sets of each exercise (10 repetitions × 10-second duration each) and worked up to a maximum of 5 sets of 10 repetitions in the last weeks of the intervention.
| Study group | Role | What they receive |
|---|---|---|
| GROUP A: GPR | Experimental | Two stretching postures were maintained for 10 minutes each. Receives: Other: Global Postural Reeducation |
| GROUP B: SSE | Experimental | 1) Push up plus and 2) press up, were selected in reference to a study for scapular stabilization. Receives: Other: Scapular Stabilization Exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
Shoulder Flexion Range of Motion
Goniometer
Measured: Pre, 3rd week, 5th week
Shoulder Abduction ROM
Goniometer
Measured: Pre, 3rd week, 5th week measured using degree of movement (160 to 180)
Shoulder Pain
Numeric Pain Rating Scale
Measured: Pre, 3rd week, 5th week (Score measuring on on a scale of 0 to 10, 0 being no Pain and 10 being worst)
Shoulder Disability
Disability of arm shoulder and hand
Measured: Pre, 3rd week, 5th week (scoring 0-100, 0 being no disability and 100 being most sever disability)
Shoulder Function
Pennsylvania Shoulder scale
Measured: Pre, 3rd week, 5th week (scoring 0-100, 0 being poor shoulder function and 100 being most best shoulder fucntions)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Apr 2025
- Study start6 Apr 2019
- Primary completion6 Jul 2019
- Study completion10 Oct 2019
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
- Model description
- RCT
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Aiza Yousaf, DPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06944756
- Sponsor's protocol ID
- RCR&AHS/REC/MS-OMPT/S19/013
- Status last verified
- Apr 2025
- First submitted
- 7 Apr 2025
- Last updated
- 25 Apr 2025
- Results posted
- No
- Data monitoring committee
- No
- 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 25 Apr 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Global Postural Reeducation Compared to Scapular Stabilization Exercises on Pain, Flexibility, and Function of Patients With Shoulder Pain Associated With Scapular Dyskinesia
- ClinicalTrials.gov ID
- NCT06944756
- Acronym / sponsor ID
- RCR&AHS/REC/MS-OMPT/S19/013
- Conditions
- Scapular Dyskinesis
- Keywords
- Scapular Dyskinesia, Shoulder Pain, Global Posture Reeducation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 6 Apr 2019 (actual)
- Primary completion
- 6 Jul 2019 (actual)
- Study completion
- 10 Oct 2019 (actual)
- First posted
- 25 Apr 2025 (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.
Shoulder pain is an experience that most of the people can expect to deal in their lives due to over-exertion or postural asymmetries, which may or may not have it interfering with the normal activities of their daily living. Shoulder pain associated with scapular dyskinesia can be associated with restricted joint range of motion and loss of muscle strength, and is among the most common conditions treated by physical therapists. The patho-mechanisms of shoulder pain are only scarcely known but it is associated with both psychosocial and physical factors. Although there is some evidence of pain reduction, improving range of motion and function occurring following global posture reeducation, scapular stabilizing exercise, it is not known how the training influences the muscle activities of persons shoulder pain associated scapular dyskinesia.
Detailed description
The objective of this study will be to compare the effects of Global Postural Reeducation and Scapular Stabilization Exercises on pain, range of motion, and activity restriction in patient with shoulder Pain. Data will be collected from Hajra complex and Riphah Rehabilitation center Lahore. A sample of 30 patients will be included and divided into two group. One group will receive Global Postural Reeducation and other group will receive Scapular Stabilization Exercises. All subjects will receive a total of ten treatment sessions twice a week over the period of 5 weeks lasting for 40 minutes. Outcome will be measured with Goniometer, NPRS, DASH/PSS. The data will be analyse using SPSS v 25. The normality of the data will be assessed by Shapiro-Wilks test of normality and uniformity, based on which parametric or non-parametric test will be applied to determine within the group and across the group difference in two groups. Independent sample T test / Mann Whitney U test will be applied to determine any significant difference across the two groups. Repeated Measure ANOVA / Friedman ANOVA will be used to determine any significant difference with in each treatment group. A difference with p value less than 0.05 will be considered as significant.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
- Model description
- RCT
| Arm | Type | Receives |
|---|---|---|
| GROUP A: GPR | Experimental | Other: Global Postural ReeducationTwo stretching postures were maintained for 10 minutes each. |
| GROUP B: SSE | Experimental | Other: Scapular Stabilization Exercises1) Push up plus and 2) press up, were selected in reference to a study for scapular stabilization. |
Who may qualify
- Ages
- 20 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Patients of both genders.
- SD of type I with scapular malposition, inferior medial border prominence, coracoid pain and malposition, and dyskinesia of scapular movement (SICK) Scapula Rating Scale, in association to shoulder pain (pain for at least 3 months).
- Pain intensity ranges from 2-9 on scale of shoulder in last month.
Key exclusion criteria (9 listed)
- Additional cervical or shoulder pathology (cervical stenosis, myelopathy, prolapsed intervertebral disk )
- Pre-diagnosed winged scapula due to lesions of the long thoracic nerve or spinal accessory nerve.
- Patients with shoulder instability
- Medical red flag history (tumor, metabolic diseases, rheumatoid arthritis, osteoporosis or Infection)
- Any Neurological disorder that affects shoulder
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 |
|---|---|---|
| Global Postural ReeducationTwo stretching postures were maintained for 10 minutes each. * In order to stretch the posterior muscle chain(the supine posture with hip flexion, which stretches the posterior muscle chain) the patient lay in the supine position with the occipital, lumbar, and sacral spine stabilized, with the lower limbs at 90° hip flexion, and performed gradual knee extensions, and dorsiflexion of the ankle. * In order to stretch the anterior muscle chain (the supine posture with leg extension, which progressively stretches the anterior muscle chain) the patient lay in the supine position with the upper limbs abducted at 30° and the forearms supine.. Hips were flexed, abducted, and laterally rotated, with the soles of the feet touching each other. Gradually, respecting the patient's limits, the lower limbs were extended as much as possible and adduction of the upper limbs. | Other | GROUP A: GPR |
| Scapular Stabilization Exercises1) Push up plus and 2) press up, were selected in reference to a study for scapular stabilization. During the 5-week intervention training, sets of repetitions were increased progressively. In the first week participants performed 3 sets of each exercise (10 repetitions × 10-second duration each) and worked up to a maximum of 5 sets of 10 repetitions in the last weeks of the intervention. | Other | GROUP B: SSE |
Primary outcome
Shoulder Flexion Range of Motion
Time frame: Pre, 3rd week, 5th week
Goniometer
Shoulder Abduction ROM
Time frame: Pre, 3rd week, 5th week measured using degree of movement (160 to 180)
Goniometer
Shoulder Pain
Time frame: Pre, 3rd week, 5th week (Score measuring on on a scale of 0 to 10, 0 being no Pain and 10 being worst)
Numeric Pain Rating Scale
Shoulder Disability
Time frame: Pre, 3rd week, 5th week (scoring 0-100, 0 being no disability and 100 being most sever disability)
Disability of arm shoulder and hand
Shoulder Function
Time frame: Pre, 3rd week, 5th week (scoring 0-100, 0 being poor shoulder function and 100 being most best shoulder fucntions)
Pennsylvania Shoulder scale
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 25 Apr 2025.
- 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.
Aiza Yousaf, DPT 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 Global Postural Reeducation and Scapular Stabilization Exercises 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 3 inclusion and 9 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 25 Apr 2025. 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?
Shoulder Flexion Range of Motion (time frame: Pre, 3rd week, 5th week). The study lists 5 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 25 Apr 2025.