Scapular Dyskinesis
Conditions
Keywords
scapular stabilization, virtual reality, scapular dyskinesia
Brief summary
this study will be conducted to compare virtual reality and scapular stabilizing exercise among basketball player with scapular dyskinesia on scapular muscle performance, rounded shoulder, pain intensity , disability and hand grip strength
Detailed description
Scapular dyskinesia (SD) is an alteration in the normal position or motion of the scapula during coupled scapulohumeral movements. It is lack of control of static or dynamic positioning of the scapula relative to the thorax. It affects from 64% to 100% of patients with shoulder lesions. Scapular dyskinesia is a major etiological factor in overhead athletes' shoulder problems. Virtual Reality (VR) it allows individuals to interact and train with or within interesting and relatively realistic three-dimensional(3D) environments. VR and its simulated environments are well accepted in entertainment and computer game applications. However, what is not as well recognized is that VR offers the opportunity for intensive repetition of meaningful task-related activities necessary for effective rehabilitation. The scapular stabilization exercise in rehabilitation aims to Restore shoulder function; these exercises are a combination of scapular stabilization exercises, rotator cuff strengthening exercises, range of motion (ROM), proprioceptive neuromuscular facilitation (PNF), and stretching exercises. Physiotherapy is the mainstay management for several musculoskeletal disorders. sixty basketball athletes with dyskinesea will be assigned randomly to three equal groups; the first will receive Virtual reality exercise and routine exercise, and the second group will receive Stabilization exercise and routine exercise. and finally, the third group will receive routine exercise only for eight weeks
Interventions
the patients will receive scapular stabilization exercises in the form of scapular orientation exercises,Forward/Backward Bear Crawls,Lateral Bear Crawls and assisted stretch for pectoralis minor
The exercises described were done in a consistent manner, emphasizing low intensity, and using lightweight dumbbells (range, 3 to 30 pounds). The weight of the dumbbell was individually selected by the subject for each exercise. 1. elevation of the arm in the sagittal plane (shoulder flexion 2. elevation of the arm in the scapular plane with humeral external rotation (shoulder scaption 3. elevation of the arm in the coronal plane (shoulder abduction) 4. rowing 5. horizontal shoulder abduction 6. horizontal abduction with humeral external rotation 7. push-up with hands apart 8. push-up with a plus-normal push-up adding maximum shoulder and scapular protraction with elbows fully extended 9. dumbbell bench press 10. dumbbell military press 11. shoulder shrug 12. deceleration exercise-simulating the pitching followthrough 13. shoulder extension prone 14. shoulder internal rotation 15. shoulder external rotation 16. press-up
OTHERregular routine exercises
the patients will receive routine exercises in the form of Sleeper Stretch: Posterior Capsular Stretch, Push up, Wall slides, Kettlebell High Pull,
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
opaque sealed envelope
Intervention model description
scapular stabilization and virtual reality exercise
Eligibility
Sex/Gender
ALL
Age
20 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
* ninety basketball players of both genders. * Subjects with age between 20 and 25 years old. * Subjects with Body Mass Index (BMI) ranging from 18 to 25 kg/m².
Exclusion criteria
* An injury within the four weeks before testing. * Upper extremity fractures. * Bilateral repetitive strain injuries * Osteoarthritis on hand
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| agonist antagonist ratio | up to eight weeks | isokinetic Biodex 3 dynamometer will be used to assess agonist antagonist ratio |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| rounded shoulder posture | up to eight weeks | Patient is supine with the arms at the sides, elbows extended, palms upward, knees bent and lower back flat on the table. The examiner stands at the head of the table and use tape measurements to measure the distance between the acromion of the shoulder joint and the table surface three times. The numbers were averaged and used for analysis. Increased distance signifies higher rounded shoulder posture severity |
| pain intensity level | up to eight weeks | Visual Analogue Scale (VAS) will be used to assess pain by Using a ruler, the score is determined by measuring the distance on the 10-cm line between the no pain anchor and the patient's mark, providing a range of scores from 0-10. A higher score indicates greater pain intensity. |
| The disabilities of the arm, shoulder and hand | up to eight weeks | The disabilities of the arm, shoulder and hand (DASH) questionnaire will be used to assess the disability in arm, shoulder and hand. The DASH consists mainly of a 30- item disability/symptom scale. The possible score ranges from 0 to 100 points. 0 points represent a complete, unrestricted function of the upper extremities, while 100 points represent the greatest possible functional impairment. |
| Hand grip strength | up to eight weeks | Jamar handheld dynamometer will be used to assess hand grip strength |
| total work | up to eight weeks | isokinetic Biodex 3 dynamometer will be used to assess total work |
| work fatigue | up to eight weeks | isokinetic Biodex 3 dynamometer will be used to assess work fatigue |
| average power | up to eight weeks | isokinetic Biodex 3 dynamometer will be used to assess average power |
| peak force | up to eight weeks | isokinetic Biodex 3 dynamometer will be used to assess peak force |
Outcome results
None listed