Prone Row Exercise Versus Lateral Pull Down Exercise In Shoulder Impingement Syndrome With Scapular Dyskinesia
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age40-65
SponsorCairo University
About this trial
The purpose of this study is to compare the prone row exercise, and the lateral pull down exercise, in individuals diagnosed with shoulder impingement syndrome and scapular dyskinesia regarding latissimus dorsi strength, middle trapezius strength, lower trapezius strength, rhomboids strength, Visual analog scale score, Shoulder pain and disability index score and scapular stability test values.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
-Fifty-four male and female.
Individuals diagnosed with SIS and aged between 40-65 years with right-hand dominance (Andrea et al., 2024).
Participants experiencing shoulder pain persisting for a minimum duration of 3 months (Lucas et al., 2022).
Subjects with a primary complaint of shoulder impingement and scapular dyskinesia according to Neer's classification specifically in stages I and II are referred by an orthopedist (El Melhat et al., 2025).
Disqualifiers
History of shoulder surgery, dislocation, or fracture (Crawshaw et al., 2010).
History of neurological disorders (Crawshaw et al., 2010).
Participants will be excluded if they had cervical spine pain or any signs of cervical radiculopathy (Magee, 2014).
Individuals with chronic low back pain will be also excluded (Mohamed et al., 2022).
Trial design
Design model
Parallel
Treatments tested in this trial
Group A will perform the prone row exercise and selected physical therapy treatment
Procedure/Surgeryprone row exercise: freely off the side and the head in a neutral position, supported if needed. The starting position involves 90-degree shoulder flexion with full elbow extension (0-degree elbow flexion), transitioning into 0-degree shoulder flexion with 90-degree elbow flexion. From this position, a bilateral vertical pulling movement is performed, involving scapular retraction and shoulder extension against resistance. The motion ends with the elbow flexed at 90 degrees, the shoulder extended, and the scapula fully retracted towards the spine, with control throughout the movement. selected physical therapy treatment, which includes stretches to pectoralis minor, Posterior soft tissue. Codman's exercise, scapular sets and Wall slides and Postural exercises like thoracic extensions, Chin tuck and Scapular retraction exercises
Group B will receive selected physical therapy treatment and Lateral pull down exercise.
Procedure/SurgeryThe patient is seated on the pulldown machine with an upright trunk and feet flat on the floor, maintaining a stable posture. The starting position includes gripping the straight bar with a wide overhand (pronated) grip, marked to ensure a between-hands distance equal to 1.6 times the biacromial distance which is the horizontal distance between the most lateral points of the right and left acromion processes (shoulder tip). From this position, the participant performs a downward pulling movement, bringing the bar down in front of the face toward the upper chest near the clavicle in a smooth and controlled manner. selected physical therapy treatment, which includes stretches to pectoralis minor, Posterior soft tissue. Codman's exercise, scapular sets and Wall slides and Postural exercises like thoracic extensions, Chin tuck and Scapular retraction exercises
Treatment groups
54 Participants
are divided into 2 treatment groupsGroup A: Group A: Prone Row exercise and selected physical therapy program groupExperimental treatment 1 intervention
Group B: Group B:the Lateral Pull Down exercise and selected physical therapy program received by Group AExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Lateral scapular slide test
Lateral Scapular Slide Test (LSST), defined as a side-to-side scapular difference of 1.5 cm or more in any of the three arm positions, indicating scapular asymmetry associated with dyskinesis (Odom, 2001; Kibler, 1998).
Time frame
(pre-intervention) and after 6 weeks (post-intervention)2
Isometric muscle strength testing of latissimus dorsi, middle trapezius, lower trapezius and rhomboids muscles using Handheld dynamometer (HHD)
Lafayette HHD revealed mostly good to excellent reliability (coefficients ≥ 0.70) for all LL muscles measurements. Also, it has good validity for most measures of isometric LL strength and power in healthy population. Lafayette HHD is a reliable instrument to measure the foot and ankle strength of young and older adults, for both intra-rater (ICC (3,1) = 0.78-0.94) and interrater (ICC (3,1) = 0.77-0.88) comparisons. (Celik et al., 2012).
Time frame
(pre-intervention) and after 6 weeks (post-intervention)3
Pain using the Visual Analogue Scale (VAS)
The Visual Analogue Scale (VAS) will be used to measure pain. The VAS is a straight line, with one end representing 0 (no pain) and the other end representing 10 (worst pain possible). The number 0 indicates no problem, and 10 represents the worst possible condition (Huskisson, 1974).
Time frame
(pre-intervention) and after 6 weeks (post-intervention)4
Function using SPADI
Shoulder pain and disability index (SPADI) is demonstrated to be a validated and reliable measure of shoulder pain and disability (Roach et al., 1991). The translated version of SPADI in the Arabic language showed excellent internal consistency and test-retest reliability and construct validity based on substantial correlations of Arabic SPADI with Quick DASH, NRS, and active shoulder ROM. SPADI is recommended for the evaluation of patients with shoulder dysfunction (Alsanawi et al.,2015)
Time frame
(pre-intervention) and after 6 weeks (post-intervention)Sponsors and contacts
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Source ClinicalTrials.gov
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