Comparison of Scapular Stabilization and Thoracic Extension Exercises in Patients With Scapular Dyskinesis

NCT05811520 | Completed DMC

• 1 other identifier: REC/MS-PT/01486 Maryam Qaiser
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Scapular dyskinesis is defined as a visible alteration in scapular movement and position during rest or while performing dynamic motions causing a breakage in kinetic chain. Kinematic studies in subjects with scapular dysfunction showed decrease posterior tilt of scapula, increased scapular upward rotation and changes in glenohumeral to scapulothoracic ratios. Scapular dyskinesis can be categorized into 3 types according to standard classification. Type I is the posterior displacement of infero-medial angle due to excessive anterior tilt in sagittal plane, type II is the displacement of entire medial angle from posterior thorax caused by excessive internal rotation and dysrhythmic movement of scapula excessive elevation of superior border during scapular elevation is distinguished as type III . Almost 90% of office workers presenting with scapular and neck complains present with scapular dyskinesis . Shoulder dysfunction occur in up to 68% of individuals presenting with scapular dyskinesis

Conditions

Scapular Dyskinesis

Keywords

scapular stabilization; thoracic extension; scapular rhythm

Outcome Measures

Primary Outcomes (4)

• inclinometer

  Used to measure the scapular posterior tilt (type I dyskinesis), external rotation (type II dyskinesis) and upward rotation (type III dyskinesis) at different humeral abduction and flexion angles. The starting position was the elbow extension and wrist neutral position in the standing pose. Inclinometer is brought into contact with the scapula spine and scapular movements were measured at different angles.

  four weeks

• vernier calliper

  Used to evaluate the scapular index (indicator of position of scapula in static pose). The Scapular Index value is calculated using the following equation: Scapular Index = \[(distance from the sternal notch to the coracoid process/distance from the posterolateral angle of the acromion to the third spinous process of the thoracic spine) × 100\]

  four weeks

• goniometer

  Universal goniometer for range of motion measurement of shoulder joint.

  four weeks

• Disability of the Arm, Shoulder, and Hand Outcome Questionnaire

  The Disability of the Arm, Shoulder, and Hand Outcome Questionnaire evaluation tool consists of total of 30 items, scored on a five-point scale (no difficulty, slightly difficult, moderately difficult, very difficult, or not at all).

  four weeks

Study Arms (2)

Scapular stabilization exercises with conventional therapy

EXPERIMENTAL

The patient will sit on the knees in 90° flexion position, and a Swiss ball will be placed between the chest and stomach. From the side, the earlobe, acromion of scapula, and pelvis should made a straight line. Four general exercises will be included with 2 sets of 15 repetitions, holding for 10 sec.

Other: Scapular stabilization exercises with conventional therapy

Thoracic extension exercises with conventional therapy

EXPERIMENTAL

Thoracic extension exercises consist of three exercise types

Other: Thoracic extension exercises with conventional therapy

Interventions

Scapular stabilization exercises with conventional therapy OTHER

The patient will sit on the knees in 90° flexion position, and a Swiss ball will be placed between the chest and stomach. From the side, the earlobe, acromion of scapula, and pelvis should made a straight line. Four general exercises will be included with 2 sets of 15 repetitions, holding for 10 sec

Scapular stabilization exercises with conventional therapy

Thoracic extension exercises with conventional therapy OTHER

Thoracic extension exercises consist of three exercise protocols

Thoracic extension exercises with conventional therapy

Eligibility Criteria

• Age: 25 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \> 1.5 cm difference on lateral scapular slide test
• Ability to perform shoulder abduction at neutral position
• Presence of any type of scapular dyskinesis
• Asymmetrical scapular position at rest or winging seen during inspection of scapula
• Patients volunteered to participate in the study and signed informed consent

You may not qualify if:

• Patients with Structural scoliosis
• Patients with secondary conditions (Neoplasm, Neurological or vascular disorders)
• Patient undergone surgical treatment of shoulder or upper limb
• Patient with disc prolapse, spinal stenosis and fibromyalgia
• Infectious or inflammatory arthritis of spine
• Severe bone conditions (osteoporosis)
• Psychosocial disturbances

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Railway General Hospital

Rawalpindi, Punjab Province, 46000, Pakistan

Location

Study Officials

• maria Khalid, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 31, 2023
• First Posted: April 13, 2023
• Study Start: April 1, 2023
• Primary Completion: July 10, 2023
• Study Completion: July 10, 2023
• Last Updated: July 19, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)