Effectiveness of Scapular Exercises Compared To Conventional Treatment in Shoulder Pain

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorAnkara Yildirim Beyazıt University

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Scapular Exercise

    Other intervention

    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.

  • Control (Standard treatment)

    Other intervention

    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.

Treatment groups

48 Participants
are divided into 2 treatment groups
Group A: Scapular ExercisesExperimental treatment 2 interventions
Group B: Conventional TreatmentActive comparator 1 intervention

Trial outcomes

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.

Time frame
Baseline and at 6 week

Secondary outcomes

1

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.

Time frame
Baseline and at 6 week

Other outcomes

Sponsors and contacts

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Ankara Yildirim Beyazıt University

Lead sponsor

Gulhane School of Medicine

Collaborator