Routine Rehabilitation Versus Shock Wave Therapy for Scapular Dyskinesis
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorTanta University
About this trial
It has been proposed that altered scapular muscle function can contribute to alterations in shoulder kinematics, which often lead to SD and are frequently associated with other shoulder pathologies. However, whether SD leads to the development of these diseases or is a consequence has yet to be clarified. Changes in scapular kinematics can be attributed not only to altered scapular recruitment patterns (e.g., altered serratus anterior muscle activity) or muscle performance (e.g., force imbalance in the upper and lower trapezius muscles) but also to flexibility deficits in the soft tissue surrounding the scapula, which may restrict normal scapular movement during daily activities and sport- specific movements. Although many studies have investigated the optimal management method, to date, there is no consensus. Conservative approaches involve not only physiotherapy but also other techniques, such as extracorporeal shockwave therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
This study included 100 patients with scapular dyskinesis. The patients were divided into 2 groups: one group was treated with ESWT and routine rehabilitation, and the second group was treated with routine rehabilitation only. Adult patients with scapular dyskinesia who exhibited signs of dyskinesia for at least 6 months before enrolment in the study will be selected.
Disqualifiers
History of shoulder or thorax trauma or surgery.
The back pain involved the cervical spine and thoracic spine.
Participants with neurologic deficits
history of inflammatory conditions such as ankylosing spondylitis
Trial design
Design model
Parallel
Treatments tested in this trial
Radial extracorporeal shock wave therapy (active comparator)
DeviceRadial extracorporeal shock wave therapy (r ESWT) will be applied by Dornier AR2 machine (DornierMedTech GmbH, Wessling, Germany) under ultrasound guidance, at periscapular muscles . 1.500 pulses will be applied by an R20 probe with a focusing depth of 4cm. The intensity will be 0.10 mJ to 0.3mJ/mm2 (2.5 bar), with frequency 4 Hz every week for one month for the treatment group and without operating the machine for the sham group . No anesthetic oranalgesic drugs will be administered to patients during the therapy session. Both groups will be put under the same physiotherapeutic program performed by the same well-trained physiatrist.
Sham rESWT
Other interventionThe Dornier AR2 machine (Dornier MedTechGmbH, Wessling, Germany) used under ultrasound guidance, at affested periscapular muscles . 1.500 pulses will be applied by anR20 probe with intensity of 0.10 mJ to0.3mJ/mm2 (2.5 bar) \& frequency 4 Hz every week for one month without operating the machine.
Treatment groups
100 Participants
are divided into 2 treatment groupsGroup A: Radial extracorporeal shock wave therapy/ Intervention groupActive comparator 1 intervention
Group B: Sham rESWT/ Control groupSham comparator 1 intervention
Trial outcomes
Primary outcomes
1
Improvement by Scapular Assistance Test and/or Scapular Dyskinesis Test
Time frame
1 month after interventionSponsors and contacts
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Source ClinicalTrials.gov