About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
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
Trial design
Parallel
Treatments tested in this trial
Scapular Exercise
Other interventionScapular 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.
Control (Standard treatment)
Other interventionConventional 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.
Treatment groups
Trial outcomes
Primary outcomes
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.
Secondary outcomes
Global Rate of Change
GRoC is a reliable assessment method with 11 levels, frequently used to track changes in a participant's condition. Participants who selected the top two categories (much better and very much better) were considered recovered.
Sponsors and contacts
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Ankara Yildirim Beyazıt University
Lead sponsor
Gulhane School of Medicine
Collaborator