Global Postural Reeducation and Segmental Exercises in Patients With Scapular Dyskinesis and Cervicalgia

Scapular Dyskinesis Clinical Trial

Official title:

Effectiveness of Global Postural Reeducation and Segmental Exercises on Function, Pain, and Quality of Life of Patients With Scapular Dyskinesis and Cervicalgia: A Randomized Clinical Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01568840
• Other study ID #: 192/10
• Status: Completed
• Phase: Phase 1
• First received: March 26, 2012
• Last updated: March 29, 2012
• Start date: July 2010
• Est. completion date: February 2011

Study information

• Verified date: March 2012
• Source: Irmandade da Santa Casa de Misericordia de Sao Paulo
• Contact: n/a
• Is FDA regulated: No
• Health authority: Brazil: Ethics Committee
• Study type: Interventional

Clinical Trial 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.

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%.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: February 2011
• Est. primary completion date: January 2011
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years to 65 Years

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)

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Cervicalgia
• Dyskinesias
• Neck Pain
• Scapular Dyskinesis

Intervention

Other:
• Global Postural Reeducation Group
Sessions happened once a week for 10 weeks, lasting 60 minutes each and consisted in manual therapy maneuvers and global postural reeducation treatment.
• Segmental Exercises Group
Sessions happened once a week for 10 weeks, lasting 60 minutes each and consisted in segmental exercises (stretching and strengthening) treatment.

Locations

Country	Name	City	State
Brazil	Irmandade da Santa Casa de Misericordia de Sao Paulo	Sao Paulo	SP

Sponsors (1)

Lead Sponsor	Collaborator
Irmandade da Santa Casa de Misericordia de Sao Paulo

Country where clinical trial is conducted

Brazil, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Function of the upper extremity	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".	10 weeks	Yes
Secondary	Pain severity	The Visual Analogical Scale (VAS) was used to measure pain, where the left extremity corresponded to"no pain" and the right extremity, corresponded to"maximum pain".	10 weeks	Yes
Secondary	Health-related quality of life (HRQoL)	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.	10 weeks	Yes
Secondary	Function of the neck	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).	10 weeks	Yes