Scapular Movement Training Versus General Exercises for Individuals With Shoulder Pain

NCT03528499 | Completed

• 1 other identifier: 86974318.7.0000.5504
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

Interventions focused on the scapula have been frequently used to treat shoulder pain. However, most studies do not assess the contribution of scapular movement alteration for the symptoms. Objectives: To compare the effects of two interventions for shoulder pain: Scapular Movement Training and General Exercises.

Conditions

Shoulder Pain; Musculoskeletal Disease; Joint Disease; Shoulder Injury

Keywords

Scapula; Physical Therapy; Movement; Rehabilitation

Outcome Measures

Primary Outcomes (1)

• Change in Three-Dimensional Scapular Kinematics from baseline to 8 weeks.

  3-D Scapular kinematics (upward/downward rotation; internal/external rotation; anterior/posterior tilt) will be measured by an electromagnetic tracking system (in degrees).

  Pre (baseline) and post Treatment (8 weeks)

Secondary Outcomes (6)

• Change in Muscle activity from baseline to 8 weeks.

  Pre (baseline) and post Treatment (8 weeks)

• Change in Pain from baseline to follow-up.

  Pre (baseline), 4 weeks, post Treatment (8 weeks), and follow-up (4 weeks after treatment )

• Change in Function from baseline to follow-up.

  Pre (baseline), 4 weeks, post Treatment (8 weeks), and follow-up (4 weeks after treatment )

• Change in Fear-Avoidance Beliefs from baseline to follow-up.

  Pre (baseline), 4 weeks, post Treatment (8 weeks), and follow-up (4 weeks after treatment )

• Change in Overall improvement of Symptoms from baseline to follow-up.

  Pre (baseline), 4 weeks, post Treatment (8 weeks), and follow-up (4 weeks after treatment )

Study Arms (2)

Scapular Movement Training

EXPERIMENTAL

Orientation and scapular exercises, performed twice a week, for 8 weeks.

Other: Scapular Movement Training

General Exercises

ACTIVE COMPARATOR

Scapulothoracic muscle stretching and strengthening exercises, performed twice a week, for 8 weeks.

Other: General Exercises

Interventions

Scapular Movement Training OTHER

Orientation about the proper scapular position and movement and training to modify the scapular movement pattern.

Also known as: Orientation and training

Scapular Movement Training

General Exercises OTHER

Strengthening and stretching exercises.

Also known as: Exercises

General Exercises

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Shoulder pain intensity ≥ 3 points on Numerical Rating Scale;
• Shoulder pain lasting ≥ 3 months;
• Scapular dyskinesis;
• Positive Scapular Assistance Test;
• Arm elevation ≥ 150°;

You may not qualify if:

• Body Mass index \> 28Kg/m
• History of humerus, clavicle and scapula fracture and/or surgery;
• History of rotator cuff surgery or tears, shoulder dislocation, and instability;
• Frozen Shoulder;
• Neurological or systemic disease which may alter the muscle strength and sensibility;
• Positive Upper Limb Tension Test and/or Spurling's test
• Pregnancy;
• Physical therapy within 6 months;
• Corticosteroid injection within 3 months
• Transpore tape allergy;

Sponsors & Collaborators

• Universidade Federal de Sao Carlos: lead

Study Sites (1)

Universidade Federal de São Carlos

São Carlos, São Paulo, 13565-905, Brazil

Location

Related Publications (2)

• Kamonseki DH, Haik MN, Ribeiro LP, Almeida RF, Camargo PR. Scapular movement training is not superior to standardized exercises in the treatment of individuals with chronic shoulder pain and scapular dyskinesis: randomized controlled trial. Disabil Rehabil. 2023 Sep;45(18):2925-2935. doi: 10.1080/09638288.2022.2114552. Epub 2022 Aug 24.

  PMID: 36000960 DERIVED

• Kamonseki DH, Haik MN, Camargo PR. Scapular movement training versus standardized exercises for individuals with chronic shoulder pain: protocol for a randomized controlled trial. Braz J Phys Ther. 2021 Mar-Apr;25(2):221-229. doi: 10.1016/j.bjpt.2020.08.001. Epub 2020 Aug 18.

  PMID: 32855073 DERIVED

MeSH Terms

Conditions

Shoulder Pain; Musculoskeletal Diseases; Joint Diseases; Shoulder Injuries

Interventions

Exercise

Condition Hierarchy (Ancestors)

Arthralgia; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Paula Camargo, PhD

  Universidade Federal de Sao Carlos

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Ms, PT

Study Record Dates

• First Submitted: April 23, 2018
• First Posted: May 17, 2018
• Study Start: August 21, 2018
• Primary Completion: November 1, 2020
• Study Completion: November 1, 2020
• Last Updated: November 9, 2020

Record last verified: 2020-11

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)