Effects of Global Postural Reeducation Versus Scapular Stabilization Exercises

NCT06944756 | Completed

• 1 other identifier: RCR&AHS/REC/MS-OMPT/S19/013
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Shoulder pain is an experience that most of the people can expect to deal in their lives due to over-exertion or postural asymmetries, which may or may not have it interfering with the normal activities of their daily living. Shoulder pain associated with scapular dyskinesia can be associated with restricted joint range of motion and loss of muscle strength, and is among the most common conditions treated by physical therapists. The patho-mechanisms of shoulder pain are only scarcely known but it is associated with both psychosocial and physical factors. Although there is some evidence of pain reduction, improving range of motion and function occurring following global posture reeducation, scapular stabilizing exercise, it is not known how the training influences the muscle activities of persons shoulder pain associated scapular dyskinesia.

Conditions

Scapular Dyskinesis

Keywords

Scapular Dyskinesia; Shoulder Pain; Global Posture Reeducation

Outcome Measures

Primary Outcomes (5)

• Shoulder Flexion Range of Motion

  Goniometer

  Pre, 3rd week, 5th week

• Shoulder Abduction ROM

  Goniometer

  Pre, 3rd week, 5th week measured using degree of movement (160 to 180)

• Shoulder Pain

  Numeric Pain Rating Scale

  Pre, 3rd week, 5th week (Score measuring on on a scale of 0 to 10, 0 being no Pain and 10 being worst)

• Shoulder Disability

  Disability of arm shoulder and hand

  Pre, 3rd week, 5th week (scoring 0-100, 0 being no disability and 100 being most sever disability)

• Shoulder Function

  Pennsylvania Shoulder scale

  Pre, 3rd week, 5th week (scoring 0-100, 0 being poor shoulder function and 100 being most best shoulder fucntions)

Study Arms (2)

GROUP A: GPR

EXPERIMENTAL

Two stretching postures were maintained for 10 minutes each.

Other: Global Postural Reeducation

GROUP B: SSE

EXPERIMENTAL

1\) Push up plus and 2) press up, were selected in reference to a study for scapular stabilization.

Other: Scapular Stabilization Exercises

Interventions

Global Postural Reeducation OTHER

Two stretching postures were maintained for 10 minutes each. * In order to stretch the posterior muscle chain(the supine posture with hip flexion, which stretches the posterior muscle chain) the patient lay in the supine position with the occipital, lumbar, and sacral spine stabilized, with the lower limbs at 90° hip flexion, and performed gradual knee extensions, and dorsiflexion of the ankle. * In order to stretch the anterior muscle chain (the supine posture with leg extension, which progressively stretches the anterior muscle chain) the patient lay in the supine position with the upper limbs abducted at 30° and the forearms supine.. Hips were flexed, abducted, and laterally rotated, with the soles of the feet touching each other. Gradually, respecting the patient's limits, the lower limbs were extended as much as possible and adduction of the upper limbs.

GROUP A: GPR

Scapular Stabilization Exercises OTHER

1\) Push up plus and 2) press up, were selected in reference to a study for scapular stabilization. During the 5-week intervention training, sets of repetitions were increased progressively. In the first week participants performed 3 sets of each exercise (10 repetitions × 10-second duration each) and worked up to a maximum of 5 sets of 10 repetitions in the last weeks of the intervention.

GROUP B: SSE

Eligibility Criteria

• Age: 20 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients of both genders.
• SD of type I with scapular malposition, inferior medial border prominence, coracoid pain and malposition, and dyskinesia of scapular movement (SICK) Scapula Rating Scale, in association to shoulder pain (pain for at least 3 months).
• Pain intensity ranges from 2-9 on scale of shoulder in last month.

You may not qualify if:

• Additional cervical or shoulder pathology (cervical stenosis, myelopathy, prolapsed intervertebral disk )
• Pre-diagnosed winged scapula due to lesions of the long thoracic nerve or spinal accessory nerve.
• Patients with shoulder instability
• Medical red flag history (tumor, metabolic diseases, rheumatoid arthritis, osteoporosis or Infection)
• Any Neurological disorder that affects shoulder
• History of Severe trauma or any fracture of shoulder girdle
• Hypertension (Systolic BP\[160, diastolic BP\[100\])
• Cardiovascular diseases (e.g., chest pain during physical exercise, heart failure, myocardial infarction)
• Postoperative conditions in the neck and affected shoulder region Pregnancy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Ali Hospital

Lahore, Punjab Province, 54000, Pakistan

Location

MeSH Terms

Conditions

Shoulder Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Aiza Yousaf, DPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Patients and assessor blinded
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: RCT

Study Record Dates

• First Submitted: April 7, 2025
• First Posted: April 25, 2025
• Study Start: April 6, 2019
• Primary Completion: July 6, 2019
• Study Completion: October 10, 2019
• Last Updated: April 25, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)