Shoulder Impingement SyndromeNCT07577791
Prone Row Exercise Versus Lateral Pull Down Exercise In Shoulder Impingement Syndrome With Scapular Dyskinesia
A study testing Group A will perform the prone row exercise and selected physical therapy treatment and Group B will receive selected physical therapy treatment and Lateral pull down exercise. in people with Shoulder Impingement Syndrome and Scapular Dyskinesis, run by Cairo University at 1 site in Egypt.
Trial summary
The purpose of this study is to compare the prone row exercise, and the lateral pull down exercise, in individuals diagnosed with shoulder impingement syndrome and scapular dyskinesia regarding latissimus dorsi strength, middle trapezius strength, lower trapezius strength, rhomboids strength, Visual analog scale… Read more about this study
- Who is it for?
- Ages 40 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Shoulder Impingement Syndrome, Scapular Dyskinesis
- What is being tested?
- Group A will perform the prone row exercise and selected physical therapy treatment and Group B will receive selected physical therapy treatment and Lateral pull down exercise.
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 54 participants
- Where
- 1 siteEgypt
- Study dates
- 29 Aug 2026to 30 Sep 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
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- -Fifty-four male and female.
- Individuals diagnosed with SIS and aged between 40-65 years with right-hand dominance (Andrea et al., 2024).
- Participants experiencing shoulder pain persisting for a minimum duration of 3 months (Lucas et al., 2022).
- Subjects with a primary complaint of shoulder impingement and scapular dyskinesia according to Neer's classification specifically in stages I and II are referred by an orthopedist (El Melhat et al., 2025).
- Body mass index (BMI) is ≥ 25 kg/m² (Maryam et al., 2023).
- Individuals with a positive Lateral Scapular Slide Test (LSST), defined as a side-to-side scapular difference of 1.5 cm or more in any of the three arm positions, indicating scapular asymmetry associated with dyskinesis (Kibler, 2003; Odom, 2001).
- All participants must have the cognitive ability to understand instructions and provide informed consent, consistent with standards highlighted in recent informed consent meta-analyses (Tam et al., 2015).
Who cannot join
- History of shoulder surgery, dislocation, or fracture (Crawshaw et al., 2010).
- History of neurological disorders (Crawshaw et al., 2010).
- Participants will be excluded if they had cervical spine pain or any signs of cervical radiculopathy (Magee, 2014).
- Individuals with chronic low back pain will be also excluded (Mohamed et al., 2022).
- Pregnant women will be excluded from participation in this study.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Egypt1 site
Faculty of Physical Therapy, Cairo University
Cairo
EBTESSAM FAWZY GOMAA, ASS. Professor, 0201004818240, ibtisam.fawzy@pt.cu.edu.eg
About this study
The purpose of this study is to compare the prone row exercise, and the lateral pull down exercise, in individuals diagnosed with shoulder impingement syndrome and scapular dyskinesia regarding latissimus dorsi strength, middle trapezius strength, lower trapezius strength, rhomboids strength, Visual analog scale score, Shoulder pain and disability index score and scapular stability test values.
Read the detailed description
Shoulder impingement syndrome (SIS) is a common musculoskeletal disorder, accounting for approximately 44-65% of all shoulder pain complaints. Normal scapular stability includes the ability to keep the scapula's normal position while the arms are at your sides and throughout all upper-limb movements . The upper, middle, and lower trapezius muscles couple with the serratus anterior and rhomboid muscles to form "force couples," which are thought to be important for appropriate scapular orientation.
Scapular dyskinesis occurs when the scapular stabilizing muscles (upper, middle, and lower trapezius, serratus anterior, and latissimus dorsi) are unable to preserve typical scapular movement, and is considered potentially harmful when it results in increased anterior tilting, downward rotation, and protraction, all of which reorient the acromion to reduce the subacromial space width.
Bilateral prone rowing has demonstrated clear clinical benefits for patients with subacromial impingement syndrome. In a four week, supervised program where 16 individuals with stage II SIS performed low rowing three times per week, The Lateral Pull down exercise is widely recognized for its activation of the latissimus dorsi, but it also significantly recruits scapular stabilizers such as the lower trapezius and rhomboids, especially when performed with proper scapular depression and retraction. This makes it an effective exercise for improving scapular muscle strength and control in both healthy individuals and those undergoing shoulder rehabilitation .
Fifty-four male and female patients, with age between 40-65 years (mean age of 52.5 ± 6.25 years) (Yilmaz et al., 2023), will be recruited through direct referrals from orthopedic doctors. They will be asked to sign the informed consent form.
The study will employ a two experimental group protocol. Each group will follow a distinct exercise intervention. Group A will perform the prone row exercise, while Group B will engage in the lateral pull-down exercise. Both groups will also receive selected physical therapy treatment, which includes stretches to pectoralis minor, Posterior soft tissue. Codman's exercise, scapular sets and Wall slides and Postural exercises like thoracic extensions, Chin tuck and Scapular retraction exercises . The intervention period will last for 6 weeks, with sessions conducted three times per week under physiotherapist supervision.
Outcome measures:
- Isometric muscle strength testing of latissimus dorsi, middle trapezius, lower trapezius and rhomboids muscles using handheld dynamometer
- Function using SPADI
- Pain using VAS
- Lateral scapular slide test using Kinovea The results of this study will help determine the most effective exercise approach for improving clinical outcomes in patients with shoulder impingement syndrome and scapular dyskinesia and may provide evidence to guide physical therapy practice.
- Conditions
- Shoulder Impingement Syndrome, Scapular Dyskinesis
- Being tested
- Group A will perform the prone row exercise and selected physical therapy treatment, Group B will receive selected physical therapy treatment and Lateral pull down exercise.
- Keywords
- shoulder impingement syndrome, scapular dyskinesia
- Medical subject headings
- Shoulder Impingement Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Group A will perform the prone row exercise and selected physical therapy treatmentProcedure or surgery
prone row exercise: freely off the side and the head in a neutral position, supported if needed. The starting position involves 90-degree shoulder flexion with full elbow extension (0-degree elbow flexion), transitioning into 0-degree shoulder flexion with 90-degree elbow flexion. From this position, a bilateral vertical pulling movement is performed, involving scapular retraction and shoulder extension against resistance. The motion ends with the elbow flexed at 90 degrees, the shoulder extended, and the scapula fully retracted towards the spine, with control throughout the movement.
selected physical therapy treatment, which includes stretches to pectoralis minor, Posterior soft tissue. Codman's exercise, scapular sets and Wall slides and Postural exercises like thoracic extensions, Chin tuck and Scapular retraction exercises
Group B will receive selected physical therapy treatment and Lateral pull down exercise.Procedure or surgery
The patient is seated on the pulldown machine with an upright trunk and feet flat on the floor, maintaining a stable posture. The starting position includes gripping the straight bar with a wide overhand (pronated) grip, marked to ensure a between-hands distance equal to 1.6 times the biacromial distance which is the horizontal distance between the most lateral points of the right and left acromion processes (shoulder tip). From this position, the participant performs a downward pulling movement, bringing the bar down in front of the face toward the upper chest near the clavicle in a smooth and controlled manner.
selected physical therapy treatment, which includes stretches to pectoralis minor, Posterior soft tissue. Codman's exercise, scapular sets and Wall slides and Postural exercises like thoracic extensions, Chin tuck and Scapular retraction exercises
| Study group | Role | What they receive |
|---|---|---|
| Group A: Prone Row exercise and selected physical therapy program group | Experimental | Prone rowing and selected physical therapy treatment, which includes stretches to pectoralis minor, Posterior soft tissue. Codman's exercise, scapular sets and Wall slides and Postural exercises like thoracic extensions, Chin tuck and Scapular retraction exercises (Dabholkar \& Yardi 2015). Receives: Procedure: Group A will perform the prone row exercise and selected physical therapy treatment |
| Group B:the Lateral Pull Down exercise and selected physical therapy program received by Group A | Experimental | Lateral Pull Down exercise and selected physical therapy treatment, which includes stretches to pectoralis minor, Posterior soft tissue. Codman's exercise, scapular sets and Wall slides and Postural exercises like thoracic extensions, Chin tuck and Scapular retraction exercises Receives: Procedure: Group B will receive selected physical therapy treatment and Lateral pull down exercise. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Lateral scapular slide test
Lateral Scapular Slide Test (LSST), defined as a side-to-side scapular difference of 1.5 cm or more in any of the three arm positions, indicating scapular asymmetry associated with dyskinesis (Odom, 2001; Kibler, 1998).
Measured: (pre-intervention) and after 6 weeks (post-intervention)
Isometric muscle strength testing of latissimus dorsi, middle trapezius, lower trapezius and rhomboids muscles using Handheld dynamometer (HHD)
Lafayette HHD revealed mostly good to excellent reliability (coefficients ≥ 0.70) for all LL muscles measurements. Also, it has good validity for most measures of isometric LL strength and power in healthy population. Lafayette HHD is a reliable instrument to measure the foot and ankle strength of young and older adults, for both intra-rater (ICC (3,1) = 0.78-0.94) and interrater (ICC (3,1) = 0.77-0.88) comparisons. (Celik et al., 2012).
Measured: (pre-intervention) and after 6 weeks (post-intervention)
Pain using the Visual Analogue Scale (VAS)
The Visual Analogue Scale (VAS) will be used to measure pain. The VAS is a straight line, with one end representing 0 (no pain) and the other end representing 10 (worst pain possible). The number 0 indicates no problem, and 10 represents the worst possible condition (Huskisson, 1974).
Measured: (pre-intervention) and after 6 weeks (post-intervention)
Function using SPADI
Shoulder pain and disability index (SPADI) is demonstrated to be a validated and reliable measure of shoulder pain and disability (Roach et al., 1991).
The translated version of SPADI in the Arabic language showed excellent internal consistency and test-retest reliability and construct validity based on substantial correlations of Arabic SPADI with Quick DASH, NRS, and active shoulder ROM. SPADI is recommended for the evaluation of patients with shoulder dysfunction (Alsanawi et al.,2015)
Measured: (pre-intervention) and after 6 weeks (post-intervention)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 May 2026
- Study start29 Aug 2026 (estimated)
- Primary completion19 Sep 2026 (estimated)
- Study completion30 Sep 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (17)Papers the sponsor has linked to this study.
- Other trials for Shoulder Impingement SyndromeStudies of the same condition, open and under way.
- More trials run by Cairo 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
- The study will employ a two experimental group protocol. Participants will be randomly allocated into two groups using the lottery method. Folded papers labeled with group codes will be placed in a container and picked at random by an independent person. This simple randomization ensures equal allocation probability and minimizes selection bias.
- Masking
- None (open label)
- Enrolment
- 54 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Mennatallah Maher, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07577791
- Sponsor's protocol ID
- P.T.REC/012/006445
- Status last verified
- May 2026
- First submitted
- 5 May 2026
- Last updated
- 13 May 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: sensitive patient data.
Publications
Yilmaz Gokmen G, Akcay B, Kecelioglu S, Ozen MS, Yuce H. Physical and well-being effect of scapular kinesio taping combined with conventional physiotherapy in shoulder impingement syndrome: A randomized controlled study. J Back Musculoskelet Rehabil. 2023;36(6):1375-1383. doi: 10.3233/BMR-220396.
PubMed 37694348Ronai, P. (2017). The barbell row exercise. ACSM's Health & Fitness Journal, 21(2), 25-28.
Roach KE, Budiman-Mak E, Songsiridej N, Lertratanakul Y. Development of a shoulder pain and disability index. Arthritis Care Res. 1991 Dec;4(4):143-9.
PubMed 11188601Obikili, E. N. (2006). Biacromial and Biiliac Diameters in a Young Adult Southeastern Nigerian Population. Journal of Experimental and Clinical Anatomy, 5(1), 22-25.
Odom CJ, Taylor AB, Hurd CE, Denegar CR. Measurement of scapular asymetry and assessment of shoulder dysfunction using the Lateral Scapular Slide Test: a reliability and validity study. Phys Ther. 2001 Feb;81(2):799-809. doi: 10.1093/ptj/81.2.799.
PubMed 11235656Noguchi M, Chopp JN, Borgs SP, Dickerson CR. Scapular orientation following repetitive prone rowing: implications for potential subacromial impingement mechanisms. J Electromyogr Kinesiol. 2013 Dec;23(6):1356-61. doi: 10.1016/j.jelekin.2013.08.007. Epub 2013 Aug 31.
PubMed 24055533McClure PW, Bialker J, Neff N, Williams G, Karduna A. Shoulder function and 3-dimensional kinematics in people with shoulder impingement syndrome before and after a 6-week exercise program. Phys Ther. 2004 Sep;84(9):832-48.
PubMed 15330696Lehman GJ, Buchan DD, Lundy A, Myers N, Nalborczyk A. Variations in muscle activation levels during traditional latissimus dorsi weight training exercises: An experimental study. Dyn Med. 2004 Jun 30;3(1):4. doi: 10.1186/1476-5918-3-4.
PubMed 15228624Kibler WB. The role of the scapula in athletic shoulder function. Am J Sports Med. 1998 Mar-Apr;26(2):325-37. doi: 10.1177/03635465980260022801.
PubMed 9548131Huskisson EC. Measurement of pain. Lancet. 1974 Nov 9;2(7889):1127-31. doi: 10.1016/s0140-6736(74)90884-8. No abstract available.
PubMed 4139420Helgadottir H, Kristjansson E, Einarsson E, Karduna A, Jonsson H Jr. Altered activity of the serratus anterior during unilateral arm elevation in patients with cervical disorders. J Electromyogr Kinesiol. 2011 Dec;21(6):947-53. doi: 10.1016/j.jelekin.2011.07.007. Epub 2011 Sep 1.
PubMed 21889362Fischer J, Burger C, Seguel JM, Rodoplu C, Paternoster FK, Tilp M, Konrad A. Impact of different ranges of motion in the prone barbell row on muscle excitation. J Electromyogr Kinesiol. 2025 Aug;83:103025. doi: 10.1016/j.jelekin.2025.103025. Epub 2025 Jun 9.
PubMed 40513198Dabholkar Ajit, S., & Yardi Sujata, S. (2015). Effects of scapular muscle strengthening on shoulder function and disability in shoulder impingement syndrome (SIS)-A randomized controlled trial
Cools, A. M., Dewitte, V., Lanszweert, F., Notebaert, D., Roets, A., Soetens, B., & Witvrouw, E. (2007). Scapular muscle rehabilitation exercises in overhead athletes with impingement symptoms: Effect of a 6-week training program on scapular muscle recruitment and functional outcome. British Journal of Sports Medicine, 41(11), 818-824
Celik D, Dirican A, Baltaci G. Intrarater reliability of assessing strength of the shoulder and scapular muscles. J Sport Rehabil. 2012 Feb 29;21(1):1-5. doi: 10.1123/jsr.2012.TR3. Print 2012 Feb 1.
PubMed 22495260
Study at a glance
From the registry record, last updated by the sponsor on 13 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prone Row Exercise Versus Lateral Pull Down Exercise In Shoulder Impingement Syndrome With Scapular Dyskinesia
- ClinicalTrials.gov ID
- NCT07577791
- Acronym / sponsor ID
- P.T.REC/012/006445
- Conditions
- Shoulder Impingement Syndrome, Scapular Dyskinesis
- Keywords
- shoulder impingement syndrome, scapular dyskinesia
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 54 participants (estimated)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- 29 Aug 2026 (estimated)
- Primary completion
- 19 Sep 2026 (estimated)
- Study completion
- 30 Sep 2026 (estimated)
- First posted
- 11 May 2026 (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.
The purpose of this study is to compare the prone row exercise, and the lateral pull down exercise, in individuals diagnosed with shoulder impingement syndrome and scapular dyskinesia regarding latissimus dorsi strength, middle trapezius strength, lower trapezius strength, rhomboids strength, Visual analog scale score, Shoulder pain and disability index score and scapular stability test values.
Detailed description
Shoulder impingement syndrome (SIS) is a common musculoskeletal disorder, accounting for approximately 44-65% of all shoulder pain complaints. Normal scapular stability includes the ability to keep the scapula's normal position while the arms are at your sides and throughout all upper-limb movements . The upper, middle, and lower trapezius muscles couple with the serratus anterior and rhomboid muscles to form "force couples," which are thought to be important for appropriate scapular orientation.
Scapular dyskinesis occurs when the scapular stabilizing muscles (upper, middle, and lower trapezius, serratus anterior, and latissimus dorsi) are unable to preserve typical scapular movement, and is considered potentially harmful when it results in increased anterior tilting, downward rotation, and protraction, all of which reorient the acromion to reduce the subacromial space width.
Bilateral prone rowing has demonstrated clear clinical benefits for patients with subacromial impingement syndrome. In a four week, supervised program where 16 individuals with stage II SIS performed low rowing three times per week, The Lateral Pull down exercise is widely recognized for its activation of the latissimus dorsi, but it also significantly recruits scapular stabilizers such as the lower trapezius and rhomboids, especially when performed with proper scapular depression and retraction. This makes it an effective exercise for improving scapular muscle strength and control in both healthy individuals and those undergoing shoulder rehabilitation .
Fifty-four male and female patients, with age between 40-65 years (mean age of 52.5 ± 6.25 years) (Yilmaz et al., 2023), will be recruited through direct referrals from orthopedic doctors. They will be asked to sign the informed consent form.
The study will employ a two experimental group protocol. Each group will follow a distinct exercise intervention. Group A will perform the prone row exercise, while Group B will engage in the lateral pull-down exercise. Both groups will also receive selected physical therapy treatment, which includes stretches to pectoralis minor, Posterior soft tissue. Codman's exercise, scapular sets and Wall slides and Postural exercises like thoracic extensions, Chin tuck and Scapular retraction exercises . The intervention period will last for 6 weeks, with sessions conducted three times per week under physiotherapist supervision.
Outcome measures:
- Isometric muscle strength testing of latissimus dorsi, middle trapezius, lower trapezius and rhomboids muscles using handheld dynamometer
- Function using SPADI
- Pain using VAS
- Lateral scapular slide test using Kinovea The results of this study will help determine the most effective exercise approach for improving clinical outcomes in patients with shoulder impingement syndrome and scapular dyskinesia and may provide evidence to guide physical therapy practice.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- The study will employ a two experimental group protocol. Participants will be randomly allocated into two groups using the lottery method. Folded papers labeled with group codes will be placed in a container and picked at random by an independent person. This simple randomization ensures equal allocation probability and minimizes selection bias.
| Arm | Type | Receives |
|---|---|---|
| Group A: Prone Row exercise and selected physical therapy program group | Experimental | Procedure: Group A will perform the prone row exercise and selected physical therapy treatmentProne rowing and selected physical therapy treatment, which includes stretches to pectoralis minor, Posterior soft tissue. Codman's exercise, scapular sets and Wall slides and Postural exercises like thoracic extensions, Chin tuck and Scapular retraction exercises (Dabholkar \& Yardi 2015). |
| Group B:the Lateral Pull Down exercise and selected physical therapy program received by Group A | Experimental | Procedure: Group B will receive selected physical therapy treatment and Lateral pull down exercise.Lateral Pull Down exercise and selected physical therapy treatment, which includes stretches to pectoralis minor, Posterior soft tissue. Codman's exercise, scapular sets and Wall slides and Postural exercises like thoracic extensions, Chin tuck and Scapular retraction exercises |
Who may qualify
- Ages
- 40 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- -Fifty-four male and female.
- Individuals diagnosed with SIS and aged between 40-65 years with right-hand dominance (Andrea et al., 2024).
- Participants experiencing shoulder pain persisting for a minimum duration of 3 months (Lucas et al., 2022).
- Subjects with a primary complaint of shoulder impingement and scapular dyskinesia according to Neer's classification specifically in stages I and II are referred by an orthopedist (El Melhat et al., 2025).
- Body mass index (BMI) is ≥ 25 kg/m² (Maryam et al., 2023).
Key exclusion criteria (5 listed)
- History of shoulder surgery, dislocation, or fracture (Crawshaw et al., 2010).
- History of neurological disorders (Crawshaw et al., 2010).
- Participants will be excluded if they had cervical spine pain or any signs of cervical radiculopathy (Magee, 2014).
- Individuals with chronic low back pain will be also excluded (Mohamed et al., 2022).
- Pregnant women will be excluded from participation in this study.
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 |
|---|---|---|
| Group A will perform the prone row exercise and selected physical therapy treatmentprone row exercise: freely off the side and the head in a neutral position, supported if needed. The starting position involves 90-degree shoulder flexion with full elbow extension (0-degree elbow flexion), transitioning into 0-degree shoulder flexion with 90-degree elbow flexion. From this position, a bilateral vertical pulling movement is performed, involving scapular retraction and shoulder extension against resistance. The motion ends with the elbow flexed at 90 degrees, the shoulder extended, and the scapula fully retracted towards the spine, with control throughout the movement. selected physical therapy treatment, which includes stretches to pectoralis minor, Posterior soft tissue. Codman's exercise, scapular sets and Wall slides and Postural exercises like thoracic extensions, Chin tuck and Scapular retraction exercises | Procedure or surgery | Group A: Prone Row exercise and selected physical therapy program group |
| Group B will receive selected physical therapy treatment and Lateral pull down exercise.The patient is seated on the pulldown machine with an upright trunk and feet flat on the floor, maintaining a stable posture. The starting position includes gripping the straight bar with a wide overhand (pronated) grip, marked to ensure a between-hands distance equal to 1.6 times the biacromial distance which is the horizontal distance between the most lateral points of the right and left acromion processes (shoulder tip). From this position, the participant performs a downward pulling movement, bringing the bar down in front of the face toward the upper chest near the clavicle in a smooth and controlled manner. selected physical therapy treatment, which includes stretches to pectoralis minor, Posterior soft tissue. Codman's exercise, scapular sets and Wall slides and Postural exercises like thoracic extensions, Chin tuck and Scapular retraction exercises | Procedure or surgery | Group B:the Lateral Pull Down exercise and selected physical therapy program received by Group A |
Primary outcome
Lateral scapular slide test
Time frame: (pre-intervention) and after 6 weeks (post-intervention)
Lateral Scapular Slide Test (LSST), defined as a side-to-side scapular difference of 1.5 cm or more in any of the three arm positions, indicating scapular asymmetry associated with dyskinesis (Odom, 2001; Kibler, 1998).
Isometric muscle strength testing of latissimus dorsi, middle trapezius, lower trapezius and rhomboids muscles using Handheld dynamometer (HHD)
Time frame: (pre-intervention) and after 6 weeks (post-intervention)
Lafayette HHD revealed mostly good to excellent reliability (coefficients ≥ 0.70) for all LL muscles measurements. Also, it has good validity for most measures of isometric LL strength and power in healthy population. Lafayette HHD is a reliable instrument to measure the foot and ankle strength of young and older adults, for both intra-rater (ICC (3,1) = 0.78-0.94) and interrater (ICC (3,1) = 0.77-0.88) comparisons. (Celik et al., 2012).
Pain using the Visual Analogue Scale (VAS)
Time frame: (pre-intervention) and after 6 weeks (post-intervention)
The Visual Analogue Scale (VAS) will be used to measure pain. The VAS is a straight line, with one end representing 0 (no pain) and the other end representing 10 (worst pain possible). The number 0 indicates no problem, and 10 represents the worst possible condition (Huskisson, 1974).
Function using SPADI
Time frame: (pre-intervention) and after 6 weeks (post-intervention)
Shoulder pain and disability index (SPADI) is demonstrated to be a validated and reliable measure of shoulder pain and disability (Roach et al., 1991). The translated version of SPADI in the Arabic language showed excellent internal consistency and test-retest reliability and construct validity based on substantial correlations of Arabic SPADI with Quick DASH, NRS, and active shoulder ROM. SPADI is recommended for the evaluation of patients with shoulder dysfunction (Alsanawi et al.,2015)
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 13 May 2026.
- Background: PubMed 37694348Yilmaz Gokmen G, Akcay B, Kecelioglu S, Ozen MS, Yuce H. Physical and well-being effect of scapular kinesio taping combined with conventional physiotherapy in shoulder impingement syndrome: A randomized controlled study. J Back Musculoskelet Rehabil. 2023;36(6):1375-1383. doi: 10.3233/BMR-220396.
- BackgroundRonai, P. (2017). The barbell row exercise. ACSM's Health & Fitness Journal, 21(2), 25-28.
- Background: PubMed 11188601Roach KE, Budiman-Mak E, Songsiridej N, Lertratanakul Y. Development of a shoulder pain and disability index. Arthritis Care Res. 1991 Dec;4(4):143-9.
- BackgroundObikili, E. N. (2006). Biacromial and Biiliac Diameters in a Young Adult Southeastern Nigerian Population. Journal of Experimental and Clinical Anatomy, 5(1), 22-25.
- Background: PubMed 11235656Odom CJ, Taylor AB, Hurd CE, Denegar CR. Measurement of scapular asymetry and assessment of shoulder dysfunction using the Lateral Scapular Slide Test: a reliability and validity study. Phys Ther. 2001 Feb;81(2):799-809. doi: 10.1093/ptj/81.2.799.
- Background: PubMed 24055533Noguchi M, Chopp JN, Borgs SP, Dickerson CR. Scapular orientation following repetitive prone rowing: implications for potential subacromial impingement mechanisms. J Electromyogr Kinesiol. 2013 Dec;23(6):1356-61. doi: 10.1016/j.jelekin.2013.08.007. Epub 2013 Aug 31.
- Background: PubMed 15330696McClure PW, Bialker J, Neff N, Williams G, Karduna A. Shoulder function and 3-dimensional kinematics in people with shoulder impingement syndrome before and after a 6-week exercise program. Phys Ther. 2004 Sep;84(9):832-48.
- Background: PubMed 15228624Lehman GJ, Buchan DD, Lundy A, Myers N, Nalborczyk A. Variations in muscle activation levels during traditional latissimus dorsi weight training exercises: An experimental study. Dyn Med. 2004 Jun 30;3(1):4. doi: 10.1186/1476-5918-3-4.
- Background: PubMed 9548131Kibler WB. The role of the scapula in athletic shoulder function. Am J Sports Med. 1998 Mar-Apr;26(2):325-37. doi: 10.1177/03635465980260022801.
- Background: PubMed 4139420Huskisson EC. Measurement of pain. Lancet. 1974 Nov 9;2(7889):1127-31. doi: 10.1016/s0140-6736(74)90884-8. No abstract available.
- Background: PubMed 21889362Helgadottir H, Kristjansson E, Einarsson E, Karduna A, Jonsson H Jr. Altered activity of the serratus anterior during unilateral arm elevation in patients with cervical disorders. J Electromyogr Kinesiol. 2011 Dec;21(6):947-53. doi: 10.1016/j.jelekin.2011.07.007. Epub 2011 Sep 1.
- Background: PubMed 40513198Fischer J, Burger C, Seguel JM, Rodoplu C, Paternoster FK, Tilp M, Konrad A. Impact of different ranges of motion in the prone barbell row on muscle excitation. J Electromyogr Kinesiol. 2025 Aug;83:103025. doi: 10.1016/j.jelekin.2025.103025. Epub 2025 Jun 9.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: No. sensitive patient data.
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Pain Phenotype and Response to Corticosteroid Injection in Patients With Subacromial Pain Syndrome (SAPS)
Subacromial Pain Syndrome, Rotator Cuff Related Shoulder Pain
RecruitingObservational study
Nociplastic Pain in Patients Diagnosed With Subacromial Pain Syndrome (SAPS)
Subacromial Pain Syndrome, Rotator Cuff Related Shoulder Pain
Not yet recruiting
Effects of Different Kinesio Taping Methods in Subacromial Impingement Syndrome
Subacromial Impingement Syndrome
RecruitingObservational study
Acromial Morphology: Reliability of CT-based Assessment and Relationship With Age in a Series of 420 Patients
Shoulder Impingement Syndrome, Acromial Morphology
Active, not recruiting
Lyophilized Platelet-Rich Plasma Lysate vs Dextrose Prolotherapy for Partial Rotator Cuff Tears
Rotator Cuff Tear, Rotator Cuff Syndrome
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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Group A will perform the prone row exercise and selected physical therapy treatment and Group B will receive selected physical therapy treatment and Lateral pull down exercise. in people with Shoulder Impingement Syndrome and Scapular Dyskinesis, run by Cairo University at 1 site in Egypt.
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 7 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: opening soon, as of the sponsor's last update on 13 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 Egypt. 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 mennatallah maher, MSc (0201096430623, mennaallah.maher@cu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Lateral scapular slide test (time frame: (pre-intervention) and after 6 weeks (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?
On the ClinicalTrials.gov record for NCT07577791, which also lists 17 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 13 May 2026.