Effectiveness of Scapular Clock Exercises in Scapular Dyskinesia in Post-Operative Open Heart Surgery Patients

NCT05426694 | Unknown DMC

• 1 other identifier: TUF/DR/DPT/366
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

In patients after open-heart surgery, the complaint of scapular dyskinesia is very common. It occurs due to the weakness of the muscles surrounding the scapula. In this research, investigators checked the effectiveness of scapular clock exercises in scapular dyskinesia, in post-op open heart surgery patients. There were two groups, an intervention "Active group" and a 'control group'. The patients will be randomly assigned to each group equally. The treatment session was given for a period of 4 weeks, with 3 sessions each week. They were assessed before treatment, after 2 weeks and post-intervention.

Conditions

Scapular Dyskinesis

Keywords

Scapular dyskinesia; Scapular Clock Exercises; Open Heart Surgery

Outcome Measures

Primary Outcomes (1)

• Shoulder pain

  Shoulder pain was assessed by using the Numeric Pain Rating (NPRS) Scale. NPRS is an 11-item Likert scale having 0 as no pain and 10 as maximum pain

  4 weeks

Secondary Outcomes (1)

• Level of Shoulder activity limitation

  4 weeks

Other Outcomes (1)

• Shoulder Range of Motion (ROM)

  4 weeks

Study Arms (2)

Group A

EXPERIMENTAL

The interventional group received stretching and strengthening exercises along with scapular clock exercises. For the first two weeks, only scapular clock exercises were performed by the patient actively. After 2 weeks, the subjects performed scapular clock exercises by using the thera-band.

Other: Scapular clock exercises; Other: Stretching and strengthening exercises

Group B

ACTIVE COMPARATOR

The active control group received stretching and strengthening exercises only. The stretching and strengthening exercises include corner stretch, wall-washes and pectoralis minor muscle stretch.

Other: Stretching and strengthening exercises

Interventions

Scapular clock exercises OTHER

In scapular clock exercises, the hand is placed on the wall in front of your body. Move the hand in direction of 12 and 6 o'clock to elevate and depress the scapula. Then move hands towards 9 o' clock and 3 o'clock direction to protract and retract the scapula. Hold each position for 10 seconds. From 3rd week and onward the patient will use thera-band and then perform clock exercises.

Also known as: Stretching and strengthening exercises (Physical Therapy)

Group A

Stretching and strengthening exercises OTHER

Stretching and strengthening exercises of shoulder and scapular muscles was performed including wall washes, corner stretch, pectoral muscles stretch and wall push ups.

Group A; Group B

Eligibility Criteria

• Age: 35 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients whose open heart surgery is done at least 6weeks ago.
• Subjects having shoulder and scapular region pain.
• % or less loss of Active ROM of shoulder in abduction, flexion and external rotation.
• Positive Scapular assistance (SAT) and Scapular retraction test.
• Positive findings on observational examination of scapula, showing abnormal prominence of either inferior, medial or superior border of scapula.
• Type I and Type II scapular dyskinesia present
• Consented to take part in the study.

You may not qualify if:

• Bilateral shoulder involvement
• History of previous surgery on shoulder
• Shoulder fracture
• Glenohumeral or acromioclavicular joint Arthritis.
• Neuromuscular disorders

Sponsors & Collaborators

• University of Faisalabad: lead

Study Sites (1)

Faisalabad Institute of Cardiology

Faisalābad, Punjab Province, 34000, Pakistan

RECRUITING

MeSH Terms

Interventions

Physical Therapy Modalities

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Izza Ayub, MS Physical Therapy

  The University of Faisalabad

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Aqsa Shahid, Doctor of Physical Therapy

CONTACT

0301-8057342; ladydocter48@gmail.com

Sana Zahir, Doctor of Physical Therapy

CONTACT

0306-6396683; sanazahir22@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Only the participants were masked. They did not know either they are in the interventional group or in the control group.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr Sana Zahir;PT and Dr Aqsa Shahid;PT

Model Details: There were 30 subjects divided equally and randomly into Group A and Group B. Group A was receive the intervention while group B will be active control group. The duration of treatment will be equal for both groups, that is 3 sessions per week for a period of 4 weeks.

Study Record Dates

• First Submitted: May 25, 2022
• First Posted: June 22, 2022
• Study Start: April 15, 2022
• Primary Completion: June 20, 2022
• Study Completion: June 30, 2022
• Last Updated: June 22, 2022

Record last verified: 2022-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)