Cervicalgia, Scapular Dyskinesis
Conditions
Keywords
Physical Therapy Modalities, Posture, Muscle Stretching Exercises, Dyskinesias, Neck pain
Brief summary
The purpose of this study is to assess the effectiveness of global postural reeducation relative to segmental exercises in the treatment of scapular dyskinesis with cervicalgia.
Detailed description
Purpose: To assess the effectiveness of global postural reeducation relative to segmental exercises in the treatment of scapular dyskinesis with cervicalgia. Methods: Participants with scapular dyskinesis and cervicalgia (n = 30) aged 18 to 65 years were randomly assigned to one of two groups: Global Postural Reeducation and Segmental Exercises(stretching and strengthening). Upper extremity was assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Function of the neck was estimated using the Neck Disability Index (NDI). Pain severity was measured using a Visual Analogical Scale. Health-related quality of life (HRQoL) was assessed using the Short Form (SF)-12. Assessments were conducted at baseline and after 10 weekly sessions (60 minutes each). Significance level was established at 5%.
Interventions
Sessions happened once a week for 10 weeks, lasting 60 minutes each and consisted in manual therapy maneuvers and global postural reeducation treatment.
Sessions happened once a week for 10 weeks, lasting 60 minutes each and consisted in segmental exercises (stretching and strengthening) treatment.
Sponsors
Study design
Eligibility
Inclusion criteria
* Scapular Dyskinesis as per the SICK Scapula Rating Scale * Chronic Cervicalgia (pain for at least three months)
Exclusion criteria
* Cervical Stenosis * Myelopathy * Prolapsed Inter-Vertebral Disk (as confirmed by magnetic resonance imaging), * Winged Scapula due to lesions of the long thoracic nerve or spinal accessory nerve, (as documented by electromyography)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Function of the upper extremity | 10 weeks | The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was used to measure function of the upper extremity, where 0 corresponded to no disability and 100 corresponded to most severe disability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain severity | 10 weeks | The Visual Analogical Scale (VAS) was used to measure pain, where the left extremity corresponded tono pain and the right extremity, corresponded tomaximum pain. |
| Health-related quality of life (HRQoL) | 10 weeks | The HRQoL was assessed using the Short Form (SF)-12, the abbreviated version of the SF-36, whose score ranges from 0 to 100, and higher scores reflect better quality of life. |
| Function of the neck | 10 weeks | The Neck Disability Index (NDI) was used to measure fuction of the neck, whose score ranges from 0 to 50: disability (0-5); mild disability (5-14); moderate disability (15-24); severe disability (25-34) and totally disabled (35-50). |
Countries
Brazil