Shoulder Pain
Conditions
Brief summary
The aim of this study is to analyze whether an Augmented Reality based scapular stabilization exercise program is more effective than conventional programs in patients with chronic shoulder pain and Scapular Dyskinesis.
Interventions
OTHERAugmented reality
The subjects will perform scapular repositioning exercise using glasses of augmented reality to see their scapular movement simultaneously. Furthermore, they will also see at the same time a video record of an ideal scapular movement, and will me encouraged to simulate that ideal scapular movement.
OTHERScapular repositioning exercise
Subjects will perform scapular repositioning exercises for improving scapular movement.
Sponsors
Ruben Fernandez Matias
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The researchers involved in measuring outcomes will not be aware of treatment allocation.
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Unilateral mechanical shoulder pain of nonspecific origin (non-traumatic) lasting at least 3 months. * Weakness in flexion, abduction and/or external rotation isometric strength testing. * Presence of scapular dyskinesis according to Kibler, Scapular Assistance Test, and Scapular Reposition Test.
Exclusion criteria
* Previous shoulder surgery. * History of shoulder fracture or glenohumeral luxation. * History of acromioclavicular joint injury. * Presence of massive rotator cuff rears. * Presence of frozen shoulder. * Cervical hernias or radiculopathy. * Fibromyalgia. * Neuropathic pain. * Cervical and/or vestibular problems with dizziness, unsteadiness, or vertigo. * Medical contraindication for performing exercise (cardio-vascular or cardio-pulmonar diseases, systemic diseases, metabolic diseases in non-controlled acute state). * Blindness. * Actually being treated with physical therapy for shoulder pain.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in pain intensity | Baseline, change from baseline at 1-month, change from baseline at 2-months, change from baseline at 3-months, and change from baseline at 6-months | Pain intensity measured with a visual analogue scale which ranges from 0 (no pain) to 10 (worst imaginable pain). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in arm disability | Baseline, change from baseline at 1-month, change from baseline at 2-months, change from baseline at 3-months, and change from baseline at 6-months | Arm disability measured with Disabilities of the Arm, Shoulder, and Hand (Quick-DASH), which ranges from 0 (no disability) to 100 (maximum degree of disability). |
| Change in kinesiophobia | Baseline, change from baseline at 1-month, change from baseline at 2-months, change from baseline at 3-months, and change from baseline at 6-months | Kinesiophobia measured with Tampa Scale of Kinesiophobia (TSK-11), which ranges from 0 (no kinesiophobia) to 100 (maximum degree of kinesiophobia) |
| Change in shoulder disability | Baseline, change from baseline at 1-month, change from baseline at 2-months, change from baseline at 3-months, and change from baseline at 6-months | Shoulder disability measured with Shoulder Pain and Disability Index (SPADI), which ranges from 0 (no disability) to 100 (maximum degree of disability). |
| Change in shoulder range of motion | Baseline, 1-month, 2-months, 3-months, and 6-months | Shoulder range of motion in abduction, flexion, internal and external rotation, measured with a goniometer |
| Change in surface electromiography | Baseline, change from baseline at 1-month, change from baseline at 2-months, change from baseline at 3-months, and change from baseline at 6-months | Electromiographic activity of serratus anterior, upper trapezius, lower trapezius, and deltoid medimum muscles. Percent of electromiographic activity as a function of maximum voluntary isometric contraction, as well as latency of muscle activation during scaption will be recorded. |
| Change in catastrophism | Baseline, change from baseline at 1-month, change from baseline at 2-months, change from baseline at 3-months, and change from baseline at 6-months | Pain catastrophism measured with Pain Catastrophism Scale (PCS), which ranges from 0 (no catastrophism) to 100 (severe catastrophism). |
Countries
Spain
Outcome results
None listed