Scapular DyskinesisNCT07148466
Scapular and Upper Limb Proprioceptive Neuromuscular Facilitation Techniques in Stroke With Scapular Dyskinesia.
A study testing Scapular PNF and Conventional treatment in people with Scapular Dyskinesis, run by Riphah International University at 2 sites in Pakistan.
Trial summary
This study aims to fill this gap by investigating the effects of scapular and upper limb proprioceptive neuromuscular facilitation techniques on shoulder pain, upper limb function \& gait in stroke with scapular dyskinesia. Read more about this study
- Who is it for?
- Ages 40 to 65 years
- Conditions the study is for
- Scapular Dyskinesis
- What is being tested?
- Scapular PNF and Conventional treatment
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 2 sitesPakistan
- Study dates
- 19 Aug 2025to 21 Feb 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 40 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- • Sub-acute
- MCA
- Age bracket 40-65 years.
- Gender Male or Female.
- Gait baseline score (DGI less than 19)
- Patients with spasticity between grades (+1 and 1) on the Modified Ashworth Scale (MAS).
Who cannot join
- • Inability to communicate/understand instructions.
- Stroke with other neurological conditions.
- Patient with any other psychological and medical condition.
Trial locations and contacts
2 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan2 sites, 2 recruiting
- Recruiting
HBS Hospital islamabad
Islamabad, Punjab Province, 44000
AQSA Fayyaz, MSNMPT, 03408959305, aqsasatti@814gmail.com
- Recruiting
National institute of rehablitation medicine islamabad
Islamabad, Punjab Province, 44000
AQSA fayyaz, MSNMPT, 03408959305, aqsasatti@814gmail.com
About this study
Official title: Effects of Scapular and Upper Limb Proprioceptive Neuromuscular Facilitation Techniques on Shoulder Pain, Upper Limb Function & Gait in Stroke With Scapular Dyskinesia.
This study aims to fill this gap by investigating the effects of scapular and upper limb proprioceptive neuromuscular facilitation techniques on shoulder pain, upper limb function \& gait in stroke with scapular dyskinesia. This study is a randomized control trial that includes 44 patients which were randomly divided into two groups each containing 22 participants. Experimental group will receive scapular PNF coupled with upper limb PNF and conventional physiotherapy treatment and Control group will receive only Conventional treatment.
Read the detailed description
Stroke is one of the major causes of disability, cognitive decline, and mortality worldwide. This condition is recognized as the second leading cause of disability and the third leading cause of death. Scapular dyskinesia (SD) refers to the abnormal movement and function of scapula .Changes in scapular kinematics can result from altered scapular recruitment patterns , muscles performance issues and flexibility deficits in the surrounding soft tissues which may restrict normal scapular movements during daily activities.
Physical therapy is crucial for rehabilitating scapular disorders. The goal of therapeutic intervention is to restore the normal position, movement, and strength of the scapula. Specific exercises are designed to target the scapular stabilizing muscles. Proprioceptive Neuromuscular Facilitation (PNF) is a neurological technique used in therapeutic exercise that integrates functionally based diagonal movement patterns with neuromuscular facilitation techniques. This approach aims to elicit motor responses and enhance neuromuscular control and performance. This study aims to fill this gap by investigating the effects of scapular and upper limb proprioceptive neuromuscular facilitation techniques on shoulder pain, upper limb function \& gait in stroke with scapular dyskinesia.
- Conditions
- Scapular Dyskinesis
- Being tested
- Scapular PNF, Conventional treatment
- Keywords
- scapular PNF coupled with upper limb PNF
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Scapular PNFOther
scapular PNF coupled with upper limb PNF and conventional physiotherapy treatment . It was a 6 week's intervention in which patients got treatment protocol for 30 mints 5 times a week.
Conventional treatmentOther
Conventional treatment. It includes closed kinematic chain exercises of upper limb, upper and lower extremity range of motion exercises, stretching and strengthening exercises for upper limb, trunk and lower limb, balance \& coordination, manual dexterity exercises (e.g., grasp release), and teaching of ADLs.. It was a 6 week's intervention in which patients got treatment protocol for 30 mints 5 times a week.
| Study group | Role | What they receive |
|---|---|---|
| GROUP 1 | Experimental | scapular PNF coupled with upper limb PNF and conventional physiotherapy treatment. Receives: Other: Scapular PNF |
| GROUP 2 | Active comparator | Conventional treatment Receives: Other: Conventional treatment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Fugl-Meyer Assessment of Upper Extremity (FMA-UE)
After a stroke, the FMA-UE is frequently used to evaluate and track recovery in hemiplegic patients.. It is a specific tool for quantifying upper limb impairment and rehabilitation outcomes in stroke patients with hemiparesis. Using a 3-point ordinal scale, the assessment rates the patient's ability to complete each task: 0 denotes incapacity to execute, 1 denotes partial completion, and 2 denotes full performance. All item scores, which range from 0 to 126, are added up to determine the final score.
Measured: 6 weeks
Dynamic gait index (DGI)
A participant's ability to maintain walking balance while adjusting to different task demands and dynamic situations is evaluated by the Dynamic Gait Index (DGI). It is especially helpful for people who have balance and vestibular problems, as well as those who are at risk of falling. Every item has a rating between 0 and 3, where 0 denotes significant impairment and 3 denotes normal performance. 24 is the maximum possible score. A total score of less than 19 out of 24 indicates that older adults are more likely to fall, whereas a score of more than 22 indicates safe walking.
Measured: 6 weeks
Visual Analogue Scale
Hayes and Patterson employed the visual analog scale (VAS), a pain rating tool, for the first time in 1921. A single handwritten mark is placed at one point along a 10-cm line that represents a continuum between the two ends of the scale, with "no pain" at the left end (0 cm) and the "worst pain" at the right end (10 cm). Self-identified evaluations of symptoms are used to calculate scores. The patient's discomfort is calculated by measuring the distance in centimeters between the patient's marks and the scale's beginning point (left end). The figures can be used to gauge a patient's pain progression or to compare pain across people with comparable diseases. 0 No pain, 1-3 slight pain, 4-6 moderate pain, and 7-10 excruciating pain.
Measured: 6 weeks
10-Meter Walk Test (10MWT)
The test calculates walking speed over a brief distance in meters per second. To the closest tenth of a second, the total time spent walking six meters (m) is recorded. Then, 6 meters is divided by the whole time (in seconds) to convert this distance to m/s. The following categories apply to walking speeds: Family Ambulatory <0.40 m/s; Community Ambulator ≥0.80 m/s; Limited Community Ambulator 0.40 to <0.80 m/s
Measured: 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Aug 2025
- Study start19 Aug 2025
- Primary completion20 Jan 2026 (estimated)
- Study completion21 Feb 2026 (estimated)
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
- 44 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Mahat zafar, MSNMPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07148466
- Sponsor's protocol ID
- Aqsa Fayyaz
- Status last verified
- Aug 2025
- First submitted
- 24 Aug 2025
- Last updated
- 29 Aug 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 29 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Scapular and Upper Limb Proprioceptive Neuromuscular Facilitation Techniques on Shoulder Pain, Upper Limb Function & Gait in Stroke With Scapular Dyskinesia.
- ClinicalTrials.gov ID
- NCT07148466
- Acronym / sponsor ID
- Aqsa Fayyaz
- Conditions
- Scapular Dyskinesis
- Keywords
- scapular PNF coupled with upper limb PNF
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 44 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 19 Aug 2025 (actual)
- Primary completion
- 20 Jan 2026 (estimated)
- Study completion
- 21 Feb 2026 (estimated)
- First posted
- 29 Aug 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 study aims to fill this gap by investigating the effects of scapular and upper limb proprioceptive neuromuscular facilitation techniques on shoulder pain, upper limb function \& gait in stroke with scapular dyskinesia. This study is a randomized control trial that includes 44 patients which were randomly divided into two groups each containing 22 participants. Experimental group will receive scapular PNF coupled with upper limb PNF and conventional physiotherapy treatment and Control group will receive only Conventional treatment.
Detailed description
Stroke is one of the major causes of disability, cognitive decline, and mortality worldwide. This condition is recognized as the second leading cause of disability and the third leading cause of death. Scapular dyskinesia (SD) refers to the abnormal movement and function of scapula .Changes in scapular kinematics can result from altered scapular recruitment patterns , muscles performance issues and flexibility deficits in the surrounding soft tissues which may restrict normal scapular movements during daily activities.
Physical therapy is crucial for rehabilitating scapular disorders. The goal of therapeutic intervention is to restore the normal position, movement, and strength of the scapula. Specific exercises are designed to target the scapular stabilizing muscles. Proprioceptive Neuromuscular Facilitation (PNF) is a neurological technique used in therapeutic exercise that integrates functionally based diagonal movement patterns with neuromuscular facilitation techniques. This approach aims to elicit motor responses and enhance neuromuscular control and performance. This study aims to fill this gap by investigating the effects of scapular and upper limb proprioceptive neuromuscular facilitation techniques on shoulder pain, upper limb function \& gait in stroke with scapular dyskinesia.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| GROUP 1 | Experimental | Other: Scapular PNFscapular PNF coupled with upper limb PNF and conventional physiotherapy treatment. |
| GROUP 2 | Active comparator | Other: Conventional treatmentConventional treatment |
Who may qualify
- Ages
- 40 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- • Sub-acute
Key exclusion criteria (3 listed)
- • Inability to communicate/understand instructions.
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 PNFscapular PNF coupled with upper limb PNF and conventional physiotherapy treatment . It was a 6 week's intervention in which patients got treatment protocol for 30 mints 5 times a week. | Other | GROUP 1 |
| Conventional treatmentConventional treatment. It includes closed kinematic chain exercises of upper limb, upper and lower extremity range of motion exercises, stretching and strengthening exercises for upper limb, trunk and lower limb, balance \& coordination, manual dexterity exercises (e.g., grasp release), and teaching of ADLs.. It was a 6 week's intervention in which patients got treatment protocol for 30 mints 5 times a week. | Other | GROUP 2 |
Primary outcome
Fugl-Meyer Assessment of Upper Extremity (FMA-UE)
Time frame: 6 weeks
After a stroke, the FMA-UE is frequently used to evaluate and track recovery in hemiplegic patients.. It is a specific tool for quantifying upper limb impairment and rehabilitation outcomes in stroke patients with hemiparesis. Using a 3-point ordinal scale, the assessment rates the patient's ability to complete each task: 0 denotes incapacity to execute, 1 denotes partial completion, and 2 denotes full performance. All item scores, which range from 0 to 126, are added up to determine the final score.
Dynamic gait index (DGI)
Time frame: 6 weeks
A participant's ability to maintain walking balance while adjusting to different task demands and dynamic situations is evaluated by the Dynamic Gait Index (DGI). It is especially helpful for people who have balance and vestibular problems, as well as those who are at risk of falling. Every item has a rating between 0 and 3, where 0 denotes significant impairment and 3 denotes normal performance. 24 is the maximum possible score. A total score of less than 19 out of 24 indicates that older adults are more likely to fall, whereas a score of more than 22 indicates safe walking.
Visual Analogue Scale
Time frame: 6 weeks
Hayes and Patterson employed the visual analog scale (VAS), a pain rating tool, for the first time in 1921. A single handwritten mark is placed at one point along a 10-cm line that represents a continuum between the two ends of the scale, with "no pain" at the left end (0 cm) and the "worst pain" at the right end (10 cm). Self-identified evaluations of symptoms are used to calculate scores. The patient's discomfort is calculated by measuring the distance in centimeters between the patient's marks and the scale's beginning point (left end). The figures can be used to gauge a patient's pain progression or to compare pain across people with comparable diseases. 0 No pain, 1-3 slight pain, 4-6 moderate pain, and 7-10 excruciating pain.
10-Meter Walk Test (10MWT)
Time frame: 6 weeks
The test calculates walking speed over a brief distance in meters per second. To the closest tenth of a second, the total time spent walking six meters (m) is recorded. Then, 6 meters is divided by the whole time (in seconds) to convert this distance to m/s. The following categories apply to walking speeds: Family Ambulatory <0.40 m/s; Community Ambulator ≥0.80 m/s; Limited Community Ambulator 0.40 to <0.80 m/s
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Aug 2025.
- Individual participant dataSharing planned: No
Related trials for Scapular Dyskinesis
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Scapular Stabilization Versus Proprioceptive Neuromuscular Facilitation Technique in Scapular Dyskinesis
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Relation Between Swimming Stroke Types And Scapular Dyskinesia In Swimmers: A Cross - Sectional Study
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Routine Rehabilitation Versus Shock Wave Therapy for Scapular Dyskinesis
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Study of Early 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.
Mahat zafar, MSNMPT principal investigator
Riphah International University
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Scapular PNF and Conventional treatment in people with Scapular Dyskinesis, run by Riphah International University at 2 sites 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 6 inclusion and 3 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: looking for participants now, as of the sponsor's last update on 29 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Mahat zafar, MSNMPT (03326624087, mahat.zafar@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Fugl-Meyer Assessment of Upper Extremity (FMA-UE) (time frame: 6 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 29 Aug 2025.