3D Shoulder Kinematics During Throwing-related Movement Patterns Tasks in Upper Extremity Low-to-moderate/Moderate-to-high Loading Conditions

NCT02852785 | Unknown

• 1 other identifier: FADEUP_PhDPT_NunoMorais_std#3
• Study Type: observational
• Target: 150
• Locations: 1 country
• Sites: 3

Brief Summary

The main purpose of this study is to characterize and compare the 3D shoulder kinematics bilaterally while performing functional movement patterns tests that hypothetically replicate the 5 main phases of the throwing cycle. The tests are based on diagonal D2 for flexion (early and late cocking of the arm) and D2 for extension (acceleration, deceleration and follow-through of the arm) of the upper extremity of proprioceptive neuromuscular facilitation techniques.

Conditions

Shoulder Pain

Outcome Measures

Primary Outcomes (3)

• Side-to-side differences in 3-dimensional scapular angular displacement (in degrees)

  The angular position and displacement of the scapula in the 3 planes of \[lateral/medial (upward/downward) rotation, protraction/retraction (internal/external rotation), anterior/posterior tilting\] at 4 key events of the simulated throwing motion during the two loading conditions (1, initiation of humeral motion; 2, maximum humeral horizontal abduction relative to the trunk; 3, maximum humeral external rotation; 4, maximum humeral internal rotation)

  Through study completion, an average of 1 year

• Side-to-side differences in 3-dimensional humerus angular displacement (in degrees)

  The angular position and displacement of the humerus in the 3 planes of (plane of elevation, elevation/depression, axial rotation) at 4 key events of the simulated throwing motion during the two loading conditions (1, initiation of humeral motion; 2, maximum humeral horizontal abduction relative to the trunk; 3, maximum humeral external rotation; 4, maximum humeral internal rotation)

  Through study completion, an average of 1 year

• Side-to-side differences in 3-dimensional thoracic angular displacement (in degrees)

  The angular position and displacement of the thorax in the 3 planes of \[flexion/extension, lateral rotation (inclination), axial rotation\] at 4 key events of the simulated throwing motion during the two loading conditions (1, initiation of humeral motion; 2, maximum humeral horizontal abduction relative to the trunk; 3, maximum humeral external rotation; 4, maximum humeral internal rotation)

  Through study completion, an average of 1 year

Secondary Outcomes (2)

• Borg's Rate of Perceived Exertion scale

  Through study completion, an average of 1 year

• Visual Numeric Rating Scale score (0-10)

  Through study completion, an average of 1 year

Study Arms (5)

Asymptomatic volleyball attackers

Asymptomatic volleyball attackers involved in competitive events ≥ 2 years and no signs of postural and movement impairments of the upper body quadrant

Behavioral: PNF D2 for flexion; low-to-moderate loading condition; Behavioral: PNF D2 for flexion; moderate-to-high loading condition; Behavioral: PNF D2 for extension; low-to-moderate loading condition; Behavioral: PNF D2 for extension; moderate-to-high loading condition

Asymptomatic bilateral overhead athletes

Asymptomatic swimmers involved in competitive events ≥ 2 years and no signs of postural and movement impairments of the upper body quadrant

Behavioral: PNF D2 for flexion; low-to-moderate loading condition; Behavioral: PNF D2 for flexion; moderate-to-high loading condition; Behavioral: PNF D2 for extension; low-to-moderate loading condition; Behavioral: PNF D2 for extension; moderate-to-high loading condition

Asymptomatic non-athletes

Asymptomatic persons not regularly involved in sports activities or occupational overhead tasks (e.g. construction workers),

Behavioral: PNF D2 for flexion; low-to-moderate loading condition; Behavioral: PNF D2 for flexion; moderate-to-high loading condition; Behavioral: PNF D2 for extension; low-to-moderate loading condition; Behavioral: PNF D2 for extension; moderate-to-high loading condition

Asympt. athletes / scapula dyskinesis

Asymptomatic volleyball attackers involved in competitive events ≥ 2 years and with clinical evidence of scapula dyskinesis

Behavioral: PNF D2 for flexion; low-to-moderate loading condition; Behavioral: PNF D2 for flexion; moderate-to-high loading condition; Behavioral: PNF D2 for extension; low-to-moderate loading condition; Behavioral: PNF D2 for extension; moderate-to-high loading condition

Symptom. athletes / scapula dyskinesis

Volleyball attackers involved in competitive events ≥ 2 years and with clinical evidence of scapula dyskinesis and complaints of shoulder pain and disability

Behavioral: PNF D2 for flexion; low-to-moderate loading condition; Behavioral: PNF D2 for flexion; moderate-to-high loading condition; Behavioral: PNF D2 for extension; low-to-moderate loading condition; Behavioral: PNF D2 for extension; moderate-to-high loading condition

Interventions

PNF D2 for flexion; low-to-moderate loading condition BEHAVIORAL

Exposure to upper extremity PNF D2 for flexion during low-to-moderate loading condition

Asympt. athletes / scapula dyskinesis; Asymptomatic bilateral overhead athletes; Asymptomatic non-athletes; Asymptomatic volleyball attackers; Symptom. athletes / scapula dyskinesis

PNF D2 for flexion; moderate-to-high loading condition BEHAVIORAL

Exposure to upper extremity PNF D2 for flexion during moderate-to-high loading condition

Asympt. athletes / scapula dyskinesis; Asymptomatic bilateral overhead athletes; Asymptomatic non-athletes; Asymptomatic volleyball attackers; Symptom. athletes / scapula dyskinesis

PNF D2 for extension; low-to-moderate loading condition BEHAVIORAL

Exposure to upper extremity PNF D2 for extension during low-to-moderate loading condition

Asympt. athletes / scapula dyskinesis; Asymptomatic bilateral overhead athletes; Asymptomatic non-athletes; Asymptomatic volleyball attackers; Symptom. athletes / scapula dyskinesis

PNF D2 for extension; moderate-to-high loading condition BEHAVIORAL

Exposure to upper extremity PNF D2 for extension during moderate-to-high loading condition

Asympt. athletes / scapula dyskinesis; Asymptomatic bilateral overhead athletes; Asymptomatic non-athletes; Asymptomatic volleyball attackers; Symptom. athletes / scapula dyskinesis

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Athletes from sports organizations involved in competitive events with pain and disability in the shoulder region

You may qualify if:

• subjects who can perform at least 150 degrees of arm elevation

You may not qualify if:

• subjects rating pain ≥8/10
• score 5 on any of the items of the Disabilities of Arm, Shoulder and Hand (DASH)
• pain elicited by provocation maneuvers of the neighboring regions (e.g., cervical spine).

Sponsors & Collaborators

• Universidade do Porto: lead
• University of Lisbon: collaborator
• Instituto Politécnico de Leiria: collaborator

Study Sites (3)

Faculdade de Motricidade Humana, Universidade de Lisboa

Oeiras, Cruz-Quebrada, 1499-002, Portugal

Location

Escola Superior de Saúde, Instituto Politécnico de Leiria

Leiria, 2411-901, Portugal

Location

Faculdade de Desporto, Universidade do Porto

Porto, 4200-450, Portugal

Location

MeSH Terms

Conditions

Shoulder Pain

Condition Hierarchy (Ancestors)

Arthralgia; Joint Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD student

Study Record Dates

• First Submitted: July 25, 2016
• First Posted: August 2, 2016
• Study Start: July 24, 2018
• Primary Completion: April 1, 2021
• Study Completion: July 1, 2021
• Last Updated: January 6, 2021

Record last verified: 2021-01

Locations

PT (3)