Scapular Dyskinesis Clinical Trial
Official title:
Comparison of Scapular Stabilization and Thoracic Extension Exercises in Patients With Scapular Dyskinesis
Verified date | July 2023 |
Source | Riphah International University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Scapular dyskinesis is defined as a visible alteration in scapular movement and position during rest or while performing dynamic motions causing a breakage in kinetic chain. Kinematic studies in subjects with scapular dysfunction showed decrease posterior tilt of scapula, increased scapular upward rotation and changes in glenohumeral to scapulothoracic ratios. Scapular dyskinesis can be categorized into 3 types according to standard classification. Type I is the posterior displacement of infero-medial angle due to excessive anterior tilt in sagittal plane, type II is the displacement of entire medial angle from posterior thorax caused by excessive internal rotation and dysrhythmic movement of scapula excessive elevation of superior border during scapular elevation is distinguished as type III . Almost 90% of office workers presenting with scapular and neck complains present with scapular dyskinesis . Shoulder dysfunction occur in up to 68% of individuals presenting with scapular dyskinesis
Status | Completed |
Enrollment | 50 |
Est. completion date | July 10, 2023 |
Est. primary completion date | July 10, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 25 Years to 40 Years |
Eligibility | Inclusion Criteria: - > 1.5 cm difference on lateral scapular slide test - Ability to perform shoulder abduction at neutral position - Presence of any type of scapular dyskinesis - Asymmetrical scapular position at rest or winging seen during inspection of scapula - Patients volunteered to participate in the study and signed informed consent Exclusion Criteria: - Patients with Structural scoliosis - Patients with secondary conditions (Neoplasm, Neurological or vascular disorders) - Patient undergone surgical treatment of shoulder or upper limb - Patient with disc prolapse, spinal stenosis and fibromyalgia - Infectious or inflammatory arthritis of spine - Severe bone conditions (osteoporosis) - Psychosocial disturbances |
Country | Name | City | State |
---|---|---|---|
Pakistan | Railway General Hospital | Rawalpindi | Punjab |
Lead Sponsor | Collaborator |
---|---|
Riphah International University |
Pakistan,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | inclinometer | Used to measure the scapular posterior tilt (type I dyskinesis), external rotation (type II dyskinesis) and upward rotation (type III dyskinesis) at different humeral abduction and flexion angles. The starting position was the elbow extension and wrist neutral position in the standing pose. Inclinometer is brought into contact with the scapula spine and scapular movements were measured at different angles. | four weeks | |
Primary | vernier calliper | Used to evaluate the scapular index (indicator of position of scapula in static pose). The Scapular Index value is calculated using the following equation:
Scapular Index = [(distance from the sternal notch to the coracoid process/distance from the posterolateral angle of the acromion to the third spinous process of the thoracic spine) × 100] |
four weeks | |
Primary | goniometer | Universal goniometer for range of motion measurement of shoulder joint. | four weeks | |
Primary | Disability of the Arm, Shoulder, and Hand Outcome Questionnaire | The Disability of the Arm, Shoulder, and Hand Outcome Questionnaire evaluation tool consists of total of 30 items, scored on a five-point scale (no difficulty, slightly difficult, moderately difficult, very difficult, or not at all). | four weeks |
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