Neck PainNCT07083570
Scapular Repositioning for Neck Pain and Scapular Dysfunction
A study testing Active scapular repositioning and Passive scapular repositioning in people with Neck Pain and Scapular Dyskinesis, run by University of Phayao at 1 site in Thailand.
Trial summary
This randomized controlled trial is designed to evaluate the effects of scapular repositioning in individuals with neck pain and scapular dysfunction. The main questions it aims to answer are: 1. Read more about this study
- Who is it for?
- Ages 18 to 59 years
- Conditions the study is for
- Neck Pain, Scapular Dyskinesis
- What is being tested?
- Active scapular repositioning and Passive scapular repositioning
- Type of treatment
- Surgery or procedure, Lifestyle or therapy programme
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 78 participants
- Where
- 1 siteThailand
- Study dates
- 10 Aug 2025to 19 Dec 2025
- 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 59 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Chronic idiopathic neck pain for ≥3 months
- An average pain intensity over the past week ≥3 mm on a Visual Analogue Scale (VAS)
- A current score of at least 10/100 on the Neck Disability Index-Thai version
- Having altered scapular alignment ipsilateral to the more painful side of neck pain
Who cannot join
- History of neck injury or surgery
- History of shoulder girdle pain, fracture, surgery or dislocation
- History of neurological conditions (e.g. stroke, Parkinson's disease, brachial plexus injury)
- History of marked spinal abnormalities (e.g. kyphosis, scoliosis) and other musculoskeletal conditions that could affect the scapular movement (e.g. myofascial pain syndrome, fibromyalgia, inflammatory joint disease, and/or autoimmune diseases)
- Have participated in any specific training of the neck or shoulder girdle muscles in the last 6 months
Trial locations and contacts
1 site in 1 country.
Thailand1 site
School of Allied Health Sciences, University of Phayao
Phayao, Changwat Phayao, 56000
About this study
Official title: Effects of Scapular Repositioning on Pain, Range of Motion, Proprioception, and Pressure Pain Threshold in Patients With Neck Pain and Scapular Dysfunction
This randomized controlled trial is designed to evaluate the effects of scapular repositioning in individuals with neck pain and scapular dysfunction. The main questions it aims to answer are:
- Does scapular repositioning reduce neck pain, increase range of motion, and improve joint position sense and pressure pain threshold?
- Which type of scapular repositioning technique is more effective?
Read more
Participants will be randomly assigned to one of three groups:
- Active scapular repositioning: The examiner will first passively position the scapula in a neutral position on the posterior chest wall. The participant will then be instructed to actively maintain that position for 10 seconds. This procedure will be repeated for 10 repetitions, with a 10-second rest interval between each repetition.
- Passive scapular repositioning: The examiner will passively position and hold the scapula in a neutral position for 10 seconds. This procedure will be repeated for 10 repetitions, with a 10-second rest interval between each repetition.
- Sham scapular repositioning (control): The examiner will perform gentle shoulder movements that do not alter scapular positioning. Each movement will be held for 10 seconds, repeated 10 times, with a 10-second rest interval between repetitions.
All participants will undergo pre- and post-intervention assessments (immediately after the intervention and at 30 minutes post-intervention). The primary outcomes include neck pain intensity, cervical range of motion, cervical and shoulder proprioception, and pressure pain threshold. All outcomes will be compared between groups and across time points (pre- and post-intervention).
- Conditions
- Neck Pain, Scapular Dyskinesis
- Being tested
- Active scapular repositioning, Passive scapular repositioning, Sham scapular repositioning
- Keywords
- Neck pain, Scapular dysfunction, Scapular repositioning, Exercise, Intervention
- Medical subject headings
- Neck Pain, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Active scapular repositioningBehavioural
The examiner will first passively position the participant's scapula in a neutral position on the posterior chest wall. The participant will then be instructed to actively maintain that position.
Passive scapular repositioningProcedure or surgery
The examiner will passively position and hold the participant's scapula in a neutral position.
Sham scapular repositioningProcedure or surgery
The examiner will perform gentle shoulder girdle movements that do not alter scapular positioning.
| Study group | Role | What they receive |
|---|---|---|
| Active scapular repositioning | Experimental | Self-active scapular repositioning exercise Receives: Behavioral: Active scapular repositioning |
| Passive scapular repositioning | Experimental | Therapist-assisted scapular repositioning Receives: Procedure: Passive scapular repositioning |
| Sham scapular repositioning | Sham comparator | Sham scapular repositioning procedure Receives: Procedure: Sham scapular repositioning |
What is being measured
The primary outcome is the main question the study is designed to answer.
Neck pain intensity
Neck pain intensity measured by the Visual Analog Scale (VAS; 0-100 mm, where higher scores indicate worse pain).
Measured: Baseline, immediately after the intervention and at 30 minutes post-intervention
Cervical range of motion
Cervical range of motion measured using a goniometer in flexion, extension, left and right lateral flexion, and left and right rotation (measured in degrees).
Measured: Baseline, immediately after the intervention and at 30 minutes post-intervention
Cervical and shoulder proprioception
Cervical joint position error (JPE) measured using a laser pointer mounted on a headband at the center of the head during blindfolded active extension and left/right rotation.
Shoulder joint position error (JPE) measured using a laser pointer placed proximal to the lateral epicondyle during blindfolded active shoulder flexion and abduction.
An absolute error between starting and return positions will be recorded in millimeters and converted to degrees. Higher values indicate greater impairment.
Measured: Baseline, immediately after the intervention and at 30 minutes post-intervention
Pressure pain threshold at upper trapezius and levator scapulae muscles
Pressure pain threshold (PPT) measured by algometer; values recorded in Newtons (N), with lower scores indicating greater pain sensitivity (worse outcome).
Measured: Baseline, immediately after the intervention and at 30 minutes post-intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jul 2025
- Study start10 Aug 2025
- Primary completion19 Dec 2025
- Study completion19 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- 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
- Model description
- 1. Active scapular repositioning 2. Passive scapular repositioning 3. Sham scapular repositioning (control)
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 78 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Phayao
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Nipaporn Wannaprom, University of Phayao
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07083570
- Sponsor's protocol ID
- HREC-UP-HSST 1.2/073/68
- Status last verified
- May 2026
- First submitted
- 27 Jun 2025
- Last updated
- 27 May 2026
- 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 27 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Scapular Repositioning on Pain, Range of Motion, Proprioception, and Pressure Pain Threshold in Patients With Neck Pain and Scapular Dysfunction
- ClinicalTrials.gov ID
- NCT07083570
- Acronym / sponsor ID
- HREC-UP-HSST 1.2/073/68
- Conditions
- Neck Pain, Scapular Dyskinesis
- Keywords
- Neck pain, Scapular dysfunction, Scapular repositioning, Exercise, Intervention
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 78 participants (actual)
- Lead sponsor
- University of PhayaoUniversity, hospital or other
- Study start
- 10 Aug 2025 (actual)
- Primary completion
- 19 Dec 2025 (actual)
- Study completion
- 19 Dec 2025 (actual)
- First posted
- 24 Jul 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.
This randomized controlled trial is designed to evaluate the effects of scapular repositioning in individuals with neck pain and scapular dysfunction. The main questions it aims to answer are:
- Does scapular repositioning reduce neck pain, increase range of motion, and improve joint position sense and pressure pain threshold?
- Which type of scapular repositioning technique is more effective?
Participants will be randomly assigned to one of three groups:
- Active scapular repositioning: The examiner will first passively position the scapula in a neutral position on the posterior chest wall. The participant will then be instructed to actively maintain that position for 10 seconds. This procedure will be repeated for 10 repetitions, with a 10-second rest interval between each repetition.
- Passive scapular repositioning: The examiner will passively position and hold the scapula in a neutral position for 10 seconds. This procedure will be repeated for 10 repetitions, with a 10-second rest interval between each repetition.
- Sham scapular repositioning (control): The examiner will perform gentle shoulder movements that do not alter scapular positioning. Each movement will be held for 10 seconds, repeated 10 times, with a 10-second rest interval between repetitions.
All participants will undergo pre- and post-intervention assessments (immediately after the intervention and at 30 minutes post-intervention). The primary outcomes include neck pain intensity, cervical range of motion, cervical and shoulder proprioception, and pressure pain threshold. All outcomes will be compared between groups and across time points (pre- and post-intervention).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 3
- Model description
- 1. Active scapular repositioning 2. Passive scapular repositioning 3. Sham scapular repositioning (control)
| Arm | Type | Receives |
|---|---|---|
| Active scapular repositioning | Experimental | Behavioral: Active scapular repositioningSelf-active scapular repositioning exercise |
| Passive scapular repositioning | Experimental | Procedure: Passive scapular repositioningTherapist-assisted scapular repositioning |
| Sham scapular repositioning | Sham comparator | Procedure: Sham scapular repositioningSham scapular repositioning procedure |
Who may qualify
- Ages
- 18 to 59 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Chronic idiopathic neck pain for ≥3 months
- An average pain intensity over the past week ≥3 mm on a Visual Analogue Scale (VAS)
- A current score of at least 10/100 on the Neck Disability Index-Thai version
- Having altered scapular alignment ipsilateral to the more painful side of neck pain
Key exclusion criteria (5 listed)
- History of neck injury or surgery
- History of shoulder girdle pain, fracture, surgery or dislocation
- History of neurological conditions (e.g. stroke, Parkinson's disease, brachial plexus injury)
- History of marked spinal abnormalities (e.g. kyphosis, scoliosis) and other musculoskeletal conditions that could affect the scapular movement (e.g. myofascial pain syndrome, fibromyalgia, inflammatory joint disease, and/or autoimmune diseases)
- Have participated in any specific training of the neck or shoulder girdle muscles in the last 6 months
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 |
|---|---|---|
| Active scapular repositioningThe examiner will first passively position the participant's scapula in a neutral position on the posterior chest wall. The participant will then be instructed to actively maintain that position. | Behavioural | Active scapular repositioning |
| Passive scapular repositioningThe examiner will passively position and hold the participant's scapula in a neutral position. | Procedure or surgery | Passive scapular repositioning |
| Sham scapular repositioningThe examiner will perform gentle shoulder girdle movements that do not alter scapular positioning. | Procedure or surgery | Sham scapular repositioning |
Primary outcome
Neck pain intensity
Time frame: Baseline, immediately after the intervention and at 30 minutes post-intervention
Neck pain intensity measured by the Visual Analog Scale (VAS; 0-100 mm, where higher scores indicate worse pain).
Cervical range of motion
Time frame: Baseline, immediately after the intervention and at 30 minutes post-intervention
Cervical range of motion measured using a goniometer in flexion, extension, left and right lateral flexion, and left and right rotation (measured in degrees).
Cervical and shoulder proprioception
Time frame: Baseline, immediately after the intervention and at 30 minutes post-intervention
Cervical joint position error (JPE) measured using a laser pointer mounted on a headband at the center of the head during blindfolded active extension and left/right rotation. Shoulder joint position error (JPE) measured using a laser pointer placed proximal to the lateral epicondyle during blindfolded active shoulder flexion and abduction. An absolute error between starting and return positions will be recorded in millimeters and converted to degrees. Higher values indicate greater impairment.
Pressure pain threshold at upper trapezius and levator scapulae muscles
Time frame: Baseline, immediately after the intervention and at 30 minutes post-intervention
Pressure pain threshold (PPT) measured by algometer; values recorded in Newtons (N), with lower scores indicating greater pain sensitivity (worse outcome).
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 27 May 2026.
- 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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Active scapular repositioning and Passive scapular repositioning in people with Neck Pain and Scapular Dyskinesis, run by University of Phayao at 1 site in Thailand.
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 5 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 27 May 2026. 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 Thailand. 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. Some participants in this study may receive a placebo. 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?
Neck pain intensity (time frame: Baseline, immediately after the intervention and at 30 minutes post-intervention). 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 27 May 2026.