The Effect of Scapulothoracic Mobilization on Cervical Pain and Range of Motion in Patients With Neck Pain and Scapular Dyskinesia
1 other identifier
interventional
34
1 country
1
Brief Summary
Background: Dyskinesia has been referred to as a major manifestation of affected muscle performance and neuromuscular control of the scapular stabilizers. Alterations around the scapula with muscular imbalances could facilitate or emphasize dysfunction in its surrounding structures through compressive and shear stresses created by abnormal pull through attachments. No studies have investigated the effect of scapular mobilization with movement on neck mobility and pain. Objective: To quantify the effects of utilizing a scapular mobilization with movement on cervical pain and range of motion as compared to conventional treatment under the presence of scapular dyskinesia. Design: an experimental case-control study. Setting: Dammam Medical Complex. Methods: thirty-four patients with chronic non-specific neck pain. Participants will be allocated to one of two groups: experimental group where treatment will involve conventional and manual interventions or the control group where treatment will consist of the conventional approach only. The manual intervention will consist of a sustained corrective scapular glide during neck movement in all directions. Measurements will include: Visual Analog Scale, pressure pain threshold, neck range of motion, scapular rotation measure and Neck Disability Index. Statistical analysis: all will be done using SPSS version 22.0 for Mac. Means and standard deviations will be given as descriptive statistics. Paired t-test will be used to study the effects of scapulothoracic mobilization and exercises on neck range of motion and pain intensity. Independent t-test will be used to compare the effects of the two interventions on pain intensity Key words: Pressure pain threshold; Scapula; Intervention, Manual therapy, mobilization.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2016
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2016
CompletedFirst Submitted
Initial submission to the registry
January 24, 2017
CompletedFirst Posted
Study publicly available on registry
February 8, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2017
CompletedFebruary 8, 2017
February 1, 2017
1 year
January 24, 2017
February 7, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Neck pain ( centimeters on visual analog scale)
up to 12 months
Secondary Outcomes (4)
Scapular rotatory range of motion (degrees)
up to 12 months
neck disability index (percentage)
up to 12 months
neck range of motion (degrees)
up to 12 months
pressure pain threshold (k pascal)
up to 12 months
Study Arms (2)
experimental group
EXPERIMENTALwhere treatment will involve conventional and Manual therapy (Mobilization with movement)+ tape (postural correction of scapular anterior tilt) 1. The Manual therapy (Mobilization with movement)intervention was of grade III mobilizations with movement performed in sitting for 6-10 repetitions for 3 sets 2. tape (postural correction of scapular anterior tilt) 3. A program of 12 neck and scapular exercises.
control group
ACTIVE COMPARATORtreatment will consist of the conventional approach+ tape (postural correction of scapular anterior tilt) 1. tape (postural correction of scapular anterior tilt) 2. A program of 12 neck and scapular exercises.
Interventions
grade III mobilizations with movement, performed in sitting for 6-10 repetitions for 3 sets
A program of 12 neck and scapular exercises.
elastic tape used to correct the anterior tilt of the scapula
Eligibility Criteria
You may qualify if:
- Age of 25- 50 years.
- A history of neck pain lasting 3 months or more prior to study start.
- A score of greater than or equal to 5/50 on the Neck Disability Index (NDI)(Vernon 2008, Vernon 2008)
- Presence of scapular dyskinesia.
You may not qualify if:
- Previous cervical spine or shoulder surgery
- Cervical radiculopathy (compressed cervical nerve root on its way out of the spine, mainly could be manifested by pain, weakness, and sensory deficits (Corey and Comeau 2014)
- Presence of a severe systemic disease (as fibromyalgia, Chronic fatigue syndrome, Diabetes mellitus, Hypertension, Grave's disease, Systemic lupus erythematous, Rheumatoid arthritis, Sickle cell disease) or any other widespread musculoskeletal pain syndromes.
- Participation in an exercise program for the neck or scapular muscles in the 6 months preceding the study.
- Consumption of stimulants (caffeine and nicotine) or analgesic drugs for at least 8 hours before the study.
- Manual therapy contraindications (e.g., inflammatory joint disease, spinal cord pathology, infections, severe osteoporosis, cancer).
- Whiplash injury/fracture.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Dammam Medical Complex
Dammam, Eastern Province, 31433, Saudi Arabia
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Master Student
Study Record Dates
First Submitted
January 24, 2017
First Posted
February 8, 2017
Study Start
April 1, 2016
Primary Completion
April 1, 2017
Study Completion
June 1, 2017
Last Updated
February 8, 2017
Record last verified: 2017-02