YWTL Exercises and Close Kinetic Chain Exercises in Children With Scapular Dyskinesis.

NCT06943131 | Recruiting DMC

• 1 other identifier: REC/RCR&AHS/24/0728
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

Scapular dyskinesia is defined by abnormal movement or placement of the scapula, the shoulder blade, during arm movements. Physical treatment aimed at regaining appropriate scapular mechanics through strengthening exercises, postural correction, and functional movement training is typically part of management. A randomized clinical trial will be conducted. The study will be conducted at Unique school and on school going children in a total duration of 10 months. Sample size will be 22.There will be two study groups. A convenient sampling technique will be used. The sample which will have following characteristics will be included children with age group 9 to 12 years, positive scapular test, positive scapular assistance test, athletes who practice one hour three days a week. The sample with the following characteristics will be excluded. Any muscular or joint deformity, scoliosis, shoulder dislocation. The tools that will be included in the study are modified lateral scapular test, shoulder flexion test, shoulder and pain disability index, upper extremity functional use scale, posture and posture assessment scale, shoulder and scapular ranges.

Conditions

Scapular Dyskinesis

Keywords

Scapular Dyskinesis, Scapulohumeral YWTL Exercises.

Outcome Measures

Primary Outcomes (9)

• modified lateral scapular test

  The Modified Lateral Scapular Slide Test assesses scapular asymmetry and stability by measuring the distance between the inferior angle of the scapula and the spine in various arm positions.

  pre reading(1st week) post reading (6th week)

• scapular dyskinesis test

  The Scapular Dyskinesis Test evaluates abnormal scapular movement patterns during shoulder motion to identify dysfunction.

  pre reading(1st week) post reading (6th week)

• shoulder flexion test

  The Shoulder Flexion Test assesses the range of motion and flexibility of the shoulder joint as the arm is raised overhead.

  pre reading(1st week) post reading (6th week)

• scapular assistance test

  The Scapular Assistance Test evaluates the effect of manually assisting scapular motion on shoulder pain and function during arm elevation.

  pre reading(1st week) post reading (6th week)

• shoulder and pain disability index

  The Shoulder Pain and Disability Index (SPADI) is a self-reported questionnaire that measures the pain and functional impairment associated with shoulder disorders.

  pre reading(1st week) post reading (6th week)

• upper extremity functional use scale

  The Upper Extremity Functional Use Scale assesses the frequency and quality of functional use of the affected upper limb in daily activities.

  pre reading(1st week) post reading (6th week)

• posture and posture assessment scale

  The Posture and Postural Ability Scale includes items for measuring posture as well as a 7-point ordinal scale for postural ability in supine, prone, sitting, and standing

  pre reading(1st week) , post reading (6th week)

• shoulder ranges

  Shoulder ranges refer to the degrees of motion the shoulder joint can achieve in various directions, including flexion, extension, abduction, adduction, and rotation.

  pre reading(1st week) , post reading (6th week)

• scapular ranges

  Scapular ranges are the measurable degrees of movement the scapula performs during shoulder motions, including elevation, depression, protraction, retraction, and rotation.

  pre reading(1st week), post reading (6th week)

Study Arms (2)

group 1 with YWTL exercises

EXPERIMENTAL

group 1 will receive YWTL exercises for alternating 3 days a week for 6 weeks.

Other: YWTL EXERCISES; Other: Closed kinetic chain exercises

group 2 with closed kinetic chain exercises

EXPERIMENTAL

group 2 will receive closed kinetic chain exercises for alternating 3 days a week for 6 weeks.

Other: YWTL EXERCISES; Other: Closed kinetic chain exercises

Interventions

YWTL EXERCISES OTHER

YWTL exercises are shoulder and upper back exercises to improve posture, strengthen upper back. Each letter represents different arm position that copies shape of letter.

group 1 with YWTL exercises; group 2 with closed kinetic chain exercises

Closed kinetic chain exercises OTHER

Closed kinetic chain exercises include corner stretch hold, sleeper stretch hold - lawn mover and robbery maneuver, Scapula clock exercises, wall wash. Low row exercise maneuver, Scapular stabilization of Black burn exercises, press up, push up.

group 1 with YWTL exercises; group 2 with closed kinetic chain exercises

Eligibility Criteria

• Age: 9 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children with an age group of 9 to 12 years.
• Both genders.
• Engage in overhead sports.
• Minimum play time is 1 hour 3 times in a week.
• Positive Modified lateral scapular test
• Positive scapular dyskinesis shoulder flexion test
• Positive scapular assistance test
• Shoulder and pain disabilty index (score 1 to 20 )
• Upper extremity functional use scale (score 60 to 80).

You may not qualify if:

• Any muscular or joint deformity.
• Scoliosis.
• Shoulder dislocation
• Post fracture.
• Neurological deficits
• Cervicobrachialgia

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Mishal Farwa

Lahore, Punjab Province, 01234, Pakistan

RECRUITING

Related Publications (6)

• Teixeira DC, Alves L, Gutierres M. The role of scapular dyskinesis on rotator cuff tears: a narrative review of the current knowledge. EFORT Open Rev. 2021 Oct 19;6(10):932-940. doi: 10.1302/2058-5241.6.210043. eCollection 2021 Oct.

  PMID: 34760292 BACKGROUND

• Hogan C, Corbett JA, Ashton S, Perraton L, Frame R, Dakic J. Scapular Dyskinesis Is Not an Isolated Risk Factor for Shoulder Injury in Athletes: A Systematic Review and Meta-analysis. Am J Sports Med. 2021 Aug;49(10):2843-2853. doi: 10.1177/0363546520968508. Epub 2020 Nov 19.

  PMID: 33211975 BACKGROUND

• Otoshi K, Kikuchi S, Kato K, Sato R, Igari T, Kaga T, Konno S. The prevalence of scapular malalignment in elementally school aged baseball player and its association to shoulder disorder. J Orthop Sci. 2018 Nov;23(6):942-947. doi: 10.1016/j.jos.2018.07.006. Epub 2018 Aug 4.

  PMID: 30087015 BACKGROUND

• 4. Mahale A, Bisen R, Kalra K. Prevalence of Scapular Dyskinesia in Elite Badminton Players in Pune. International Journal of Health Sciences and Research. 2020;10(11):127-34.

  BACKGROUND

• Joseph R, Alenabi T, Lulic T, Dickerson CR. Activation of Supraspinatus and Infraspinatus Partitions and Periscapular Musculature During Rehabilitative Elastic Resistance Exercises. Am J Phys Med Rehabil. 2019 May;98(5):407-415. doi: 10.1097/PHM.0000000000001116.

  PMID: 30550457 BACKGROUND

• Gianakos AL, Abdelmoneim A, Kerkhoffs G, Mulcahey MK. Rehabilitation and Return to Sport of Female Athletes. Arthrosc Sports Med Rehabil. 2022 Jan 28;4(1):e247-e253. doi: 10.1016/j.asmr.2021.09.040. eCollection 2022 Jan.

  PMID: 35141558 BACKGROUND

Study Officials

• Mishal Farwa, MS-PT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, PHD

CONTACT

9233224390125; imran.amjad@riphah.edu.pk

Muhammad Asif Javed, MS-PT

CONTACT

923224209422; a.javed@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants will get separate treatment protocols and possible efforts will be put to mask the both group about the treatment.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: A randomized clinical trial will be performed, in which 22 children with scapular dyskinesis with age 9 to 12 years will be taken after screening and meeting inclusion criteria. children will be divided into 2 groups. group 1 will receive YWTL exercises for alternating 3 days a week. Group 2 will receive closed kinetic chain exercises for alternating 3 days a week. Pre values were taken at 1st week and then post values of intervention will be taken after 6th week of intervention to measure the effect of both therapies.

Study Record Dates

• First Submitted: April 17, 2025
• First Posted: April 24, 2025
• Study Start: February 15, 2025
• Primary Completion: July 15, 2025
• Study Completion: July 31, 2025
• Last Updated: April 24, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)