Scapular Dyskinesis, Shoulder Pain
Conditions
Keywords
Shoulder pain, obvious scapular dyskinesis, Conventional Treatment, Scapular Exercises, Effectiveness
Brief summary
The contribution of the scapula to shoulder joint movement is great. The contribution of the scapula bone is more prominent, especially in overhead activities. Therefore, the position and movement of the scapula are generally examined in people with shoulder disease. Scapula-focused exercises are used in patients with shoulder problems. However, some studies focused on the effectiveness of scapula-focused exercises on shoulder problems. Thes studies fundings are controversial. Scapular dyskinesis has not been evaluated in these studies. No study has set the condition of having scapular dyskinesis as an inclusion criterion. Scapular-focused exercises are expected to have a greater effect especially on patients with scapular dyskinesis. Therefore, the aim of this study is to examine the effectiveness of scapula-focused exercises on patients with shoulder pain and obvious scapular dyskinesis.
Interventions
OTHERScapular Exercise
Scapular exercise includes scapular clock exercise (3 sets of 10 repetitions), rowing exercise (3 sets of 10 repetitions), resisted external rotation (3 sets of 10 repetitions), resisted punching exercise (3 sets of 10 repetitions). The rowing, external rotation and punching exercises will do with theraband. When participants complete the elastic band exercises easily and do not report any muscle fatigue, they will move on to the next level of difficulty. The color order of the bands is yellow, red, green and blue. The exercises will begin with the yellow elastic band, which provides the least resistance. The intervention will last for 6 weeks, with 2 training sessions per week and each training session lasting 15-20 minutes.
OTHERControl (Standard treatment)
Conventional Treatment includes TENS (100 Hz) with hotpack (20 minutes), Stretching exercises (posterior capsule and pectoral muscle), resisted flexion and abduction exercises. The rowing, external rotation and punching exercises will do with theraband. When participants complete the elastic band exercises easily and do not report any muscle fatigue, they will move on to the next level of difficulty. The color order of the bands is yellow, red, green and blue. The exercises will begin with the yellow elastic band, which provides the least resistance. The intervention will last for 6 weeks, with 2 training sessions per week and each training session lasting 30-45 minutes.
Sponsors
Gulhane School of Medicine
Ankara Yildirim Beyazıt University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Having shoulder pain for at least 1 month * Having obvious scapular dyskinesia * Having a shoulder ROM (range of motion) at least 120º * Being 18 years of age or older
Exclusion criteria
* Having received any shoulder treatment in the last 6 months * Having an acromioclavicular joint problem * Having a diagnosis of frozen shoulder * Having a fracture in the shoulder area * Having a major rotator cuff muscle tear * Having a diagnosis of calcific rotator cuff tendinopathy * Having a neurological or rheumatological disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| shoulder pain and disability index (SPADI) | Baseline and at 6 week | SPADI is a self reported outcome for shoulder disorders. SPADI includes 13 questions. Scores range from 0 to 100. The higher a patient scores on the SPADI, the greater the level of pain/disability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Global Rate of Change | Baseline and at 6 week | GRoC is a reliable assessment method with 11 levels, frequently used to track changes in a participant's condition. Participants who selected the top two categories (much better and very much better) were considered recovered. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactMehmet DELEN, PhD
Outcome results
None listed