Effectiveness of Scapular Exercises Compared To Conventional Treatment in Shoulder Pain

NCT06890000 | Recruiting

• 1 other identifier: 09/972
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

The contribution of the scapula to shoulder joint movement is great. The contribution of the scapula bone is more prominent, especially in overhead activities. Therefore, the position and movement of the scapula are generally examined in people with shoulder disease. Scapula-focused exercises are used in patients with shoulder problems. However, some studies focused on the effectiveness of scapula-focused exercises on shoulder problems. Thes studies fundings are controversial. Scapular dyskinesis has not been evaluated in these studies. No study has set the condition of having scapular dyskinesis as an inclusion criterion. Scapular-focused exercises are expected to have a greater effect especially on patients with scapular dyskinesis. Therefore, the aim of this study is to examine the effectiveness of scapula-focused exercises on patients with shoulder pain and obvious scapular dyskinesis.

Conditions

Shoulder Pain; Scapular Dyskinesis

Keywords

Shoulder pain; obvious scapular dyskinesis; Conventional Treatment; Scapular Exercises; Effectiveness

Outcome Measures

Primary Outcomes (1)

• shoulder pain and disability index (SPADI)

  SPADI is a self reported outcome for shoulder disorders. SPADI includes 13 questions. Scores range from 0 to 100. The higher a patient scores on the SPADI, the greater the level of pain/disability.

  Baseline and at 6 week

Secondary Outcomes (1)

• Global Rate of Change

  Baseline and at 6 week

Study Arms (2)

Scapular Exercises

EXPERIMENTAL

Scapular exercise includes scapular clock exercise, rowing exercise, resisted external rotation, resisted punching exercise. The group program also includes conventional treatment.

Other: Scapular Exercise; Other: Control (Standard treatment)

Conventional Treatment

ACTIVE COMPARATOR

Conventional treatment includes TENS, hotpack, Stretching exercises (posterior capsule and pectoral muscle), resisted flexion and abduction exercises

Other: Control (Standard treatment)

Interventions

Scapular Exercise OTHER

Scapular exercise includes scapular clock exercise (3 sets of 10 repetitions), rowing exercise (3 sets of 10 repetitions), resisted external rotation (3 sets of 10 repetitions), resisted punching exercise (3 sets of 10 repetitions). The rowing, external rotation and punching exercises will do with theraband. When participants complete the elastic band exercises easily and do not report any muscle fatigue, they will move on to the next level of difficulty. The color order of the bands is yellow, red, green and blue. The exercises will begin with the yellow elastic band, which provides the least resistance. The intervention will last for 6 weeks, with 2 training sessions per week and each training session lasting 15-20 minutes.

Scapular Exercises

Control (Standard treatment) OTHER

Conventional Treatment includes TENS (100 Hz) with hotpack (20 minutes), Stretching exercises (posterior capsule and pectoral muscle), resisted flexion and abduction exercises. The rowing, external rotation and punching exercises will do with theraband. When participants complete the elastic band exercises easily and do not report any muscle fatigue, they will move on to the next level of difficulty. The color order of the bands is yellow, red, green and blue. The exercises will begin with the yellow elastic band, which provides the least resistance. The intervention will last for 6 weeks, with 2 training sessions per week and each training session lasting 30-45 minutes.

Conventional Treatment; Scapular Exercises

Eligibility Criteria

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

You may qualify if:

• Having shoulder pain for at least 1 month
• Having obvious scapular dyskinesia
• Having a shoulder ROM (range of motion) at least 120º
• Being 18 years of age or older

You may not qualify if:

• Having received any shoulder treatment in the last 6 months
• Having an acromioclavicular joint problem
• Having a diagnosis of frozen shoulder
• Having a fracture in the shoulder area
• Having a major rotator cuff muscle tear
• Having a diagnosis of calcific rotator cuff tendinopathy
• Having a neurological or rheumatological disease

Sponsors & Collaborators

• Ankara Yildirim Beyazıt University: lead
• Gulhane School of Medicine: collaborator

Study Sites (1)

Universtiy of Health Sciences - Gülhane Faculty of Physiotherapy and Rehabilitation

Ankara, 06010, Turkey (Türkiye)

RECRUITING

Related Publications (1)

• Bury J, West M, Chamorro-Moriana G, Littlewood C. Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis. Man Ther. 2016 Sep;25:35-42. doi: 10.1016/j.math.2016.05.337. Epub 2016 Jun 4.

  PMID: 27422595 BACKGROUND

MeSH Terms

Conditions

Shoulder Pain

Condition Hierarchy (Ancestors)

Arthralgia; Joint Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Mehmet DELEN, PhD

CONTACT

+905548258720; mehmetdelen@aybu.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Asst Prof

Study Record Dates

• First Submitted: March 17, 2025
• First Posted: March 21, 2025
• Study Start: March 24, 2025
• Primary Completion: March 1, 2026
• Study Completion (Estimated): October 20, 2026
• Last Updated: March 26, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)