Comparison of Open Chain Kinetic Exercises and Forward Head Posture Correction in Type II Scapular Dyskinesia

NCT05044572 | Completed

• 1 other identifier: REC/0122 Sidra Ali
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of this study is to compare the effect of open chain kinetic exercises and forward head posture correction on scapular symmetry and glenohumeral disability in office workers with type II scapular dyskinesis.

Conditions

Dyskinesias

Keywords

Scapula

Outcome Measures

Primary Outcomes (4)

• SPADI questionnaire

  The Shoulder Pain and Disability Index (SPADI) was developed to measure current shoulder pain and disability in an outpatient setting. The SPADI contains 13 items that assess two domains; a 5-item subscale that measures pain and an 8-item subscale that measures disability.

  4 week

• Lateral Scapular Slide Test (LSST)

  Lateral Scapular Slide Test (LSST) will be used to evaluate the scapular dyskinesis. LSST asses scapular asymmetry under varying load positions. Measurements of scapular position are taken while scapular position with the arm abducted 0, 45, and 90 degrees in the coronal plane. Distance from the inferior angle of the scapula to the spinous process of the thoracic vertebra in the same horizontal plane was measured in all 3 position .If the distance is greater than 1.5 cm, it means LSST is positive

  4 weeks

• Forward head posture measurement using Image J software

  Forward head posture measurement will be assessed using a digitized , lateral view photograph(Sony 16.1 M pixels camera ) of the subject in his or her usual standing posture. The tragus of the subject's ear will be marked and a reflexive marker will be attached to the skin overlying C7 vertebrae. Once the photograph obtained we will use ImageJ software (20)to measure FHP quantified by the craniovertebral angle (The angle between the horizontal line passing through the C7 and a line extending from tragus of ear to C7). An angle less than 50-53 degrees may indicate FHP . Thereby, the smaller the CV angle, the greater the disability.

  4 weeks

• Universal Goniometer

  In Type 2 Scapula Dyskinesia, weakness of the serratus anterior results in reduction in both glenohumeral flexion and abduction .So these ranges will be measured before and after intervention in both groups with the help of goniometer.

  4 weeks

Study Arms (2)

Open chain kinetic exercises

EXPERIMENTAL

Other: Open chain kinetic exercises

Forward head posture correction exercises

EXPERIMENTAL

Other: Forward head posture correction exercises

Interventions

Open chain kinetic exercises OTHER

Group A will perform open chain kinetic exercises Before the intervention all the participants will perform 20 minutes of warm up and 10 minutes of cool down. The Open kinematic chain exercises(Three sets of each exercise while one set of each exercise will be performed at the setup and remaining two sets will be guided to the patient as a home plan)-:Blackburn exercises ( 20 repetitions ) , Dynamic hug( 10 repetitions), W exercise(10 repetitions), lunges with dumbbells-forward(10 repetitions with half kg dumbbell), upward and diagonal, and Pectoralis minor stretching(3 to 5 stretches)will be performed

Open chain kinetic exercises

Forward head posture correction exercises OTHER

PatienGroup B participants will perform forward head correction exercise(22) Chin tuck Patient will Stand with upper back against a wall, feet shoulder-width apart. • Face forward, tuck your chin down, and pull head back until it meets the wall. • t

Forward head posture correction exercises

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both male and female office workers
• In the age group of 20 to 40 years
• With at least one year work experience
• Individuals with Type II scapular dyskinesia (1-1.5 cm dif¬ference)
• Individuals with forward head posture

You may not qualify if:

• Any Congenital abnormality
• Neurological deficit
• Received physiotherapy treatment in past three months

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Sarwat Anwar Medical Complex Hospital

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (10)

• Lefevre-Colau MM, Nguyen C, Palazzo C, Srour F, Paris G, Vuillemin V, Poiraudeau S, Roby-Brami A, Roren A. Recent advances in kinematics of the shoulder complex in healthy people. Ann Phys Rehabil Med. 2018 Jan;61(1):56-59. doi: 10.1016/j.rehab.2017.09.001. Epub 2017 Sep 28. No abstract available.

  PMID: 28964876 BACKGROUND

• Lefevre-Colau MM, Nguyen C, Palazzo C, Srour F, Paris G, Vuillemin V, Poiraudeau S, Roby-Brami A, Roren A. Kinematic patterns in normal and degenerative shoulders. Part II: Review of 3-D scapular kinematic patterns in patients with shoulder pain, and clinical implications. Ann Phys Rehabil Med. 2018 Jan;61(1):46-53. doi: 10.1016/j.rehab.2017.09.002. Epub 2017 Oct 5.

  PMID: 28987866 BACKGROUND

• Kibler WB, Sciascia A. The role of the scapula in preventing and treating shoulder instability. Knee Surg Sports Traumatol Arthrosc. 2016 Feb;24(2):390-7. doi: 10.1007/s00167-015-3736-z. Epub 2015 Aug 1.

  PMID: 26231154 BACKGROUND

• Deng S, Chen K, Ma Y, Chen J, Huang M. The Influence of Test Positions on Clinical Assessment for Scapular Dyskinesis. PM R. 2017 Aug;9(8):761-766. doi: 10.1016/j.pmrj.2016.11.011. Epub 2016 Dec 1.

  PMID: 27916706 BACKGROUND

• Panagiotopoulos AC, Crowther IM. Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate. SICOT J. 2019;5:29. doi: 10.1051/sicotj/2019029. Epub 2019 Aug 20.

  PMID: 31430250 BACKGROUND

• Longo UG, Risi Ambrogioni L, Berton A, Candela V, Massaroni C, Carnevale A, Stelitano G, Schena E, Nazarian A, DeAngelis J, Denaro V. Erratum: Longo, U.G., et al. Scapular Dyskinesis: From Basic Science to Ultimate Treatment. International Journal of Environmental Research and Public Health 2020, 17(8), 2974. Int J Environ Res Public Health. 2020 May 27;17(11):3810. doi: 10.3390/ijerph17113810.

  PMID: 32471164 BACKGROUND

• Singla D, Veqar Z. Association Between Forward Head, Rounded Shoulders, and Increased Thoracic Kyphosis: A Review of the Literature. J Chiropr Med. 2017 Sep;16(3):220-229. doi: 10.1016/j.jcm.2017.03.004. Epub 2017 Sep 28.

  PMID: 29097952 BACKGROUND

• Ozdemir F, Toy S. Evaluation of scapular dyskinesis and ergonomic risk level in office workers. Int J Occup Saf Ergon. 2021 Dec;27(4):1193-1198. doi: 10.1080/10803548.2020.1757307. Epub 2020 Jun 22.

  PMID: 32306852 BACKGROUND

• Christensen SW, Hirata RP, Graven-Nielsen T. The effect of experimental neck pain on pressure pain sensitivity and axioscapular motor control. J Pain. 2015 Apr;16(4):367-79. doi: 10.1016/j.jpain.2015.01.008. Epub 2015 Jan 29.

  PMID: 25640292 BACKGROUND

• Castelein B, Cools A, Parlevliet T, Cagnie B. Are chronic neck pain, scapular dyskinesis and altered scapulothoracic muscle activity interrelated?: A case-control study with surface and fine-wire EMG. J Electromyogr Kinesiol. 2016 Dec;31:136-143. doi: 10.1016/j.jelekin.2016.10.008. Epub 2016 Oct 19.

  PMID: 27816845 BACKGROUND

MeSH Terms

Conditions

Dyskinesias

Condition Hierarchy (Ancestors)

Movement Disorders; Central Nervous System Diseases; Nervous System Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Saima Zahid, PhD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 13, 2021
• First Posted: September 16, 2021
• Study Start: September 15, 2021
• Primary Completion: February 15, 2022
• Study Completion: February 25, 2022
• Last Updated: March 10, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)