Scapular Upward Rotation Exercises for Subjects With Deperessed Scapular Alignment

Scapular Dyskinesis Clinical Trial

Official title:

Effect of Scapular Upward Rotation Exercises on Neural Tissue Mechanosensitivity in Subjects With Deperessed Scapular Alignment

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT04775251
• Other study ID #: P.T.REC/012/002640
• Status: Not yet recruiting
• Phase: N/A
• Start date: February 28, 2021
• Est. completion date: August 2021

Study information

• Verified date: February 2021
• Source: Cairo University
• Contact: Doha Al-Afifi
• Phone: 01003169353
• Email: doha.h.afifi[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

It was hypothesized that: There is no statistical significant effects of a scapular vupward rotation exercise (SURE) on scapular alignment in subjects with scapular downward rotation syndrome (SDRS). There is no statistical significant effects a scapular upward rotation exercise (SURE) on mechanosensitivity of the upper limb peripheral nervous system in a depressed scapular alignment subjects. There is no statistical significant effects a scapular upward rotation exercise (SURE) on pressure Pain Threshold in a depressed scapular alignment subjects. There is no statistical significant effects a scapular upward rotation exercise (SURE)on Strenght Duration Curve measurement in a depressed scapular alignment subjects.

Description:

This study was conducted to investigate the effects of scapular upward rotation exercises on strength duration curve and pressure pain threshold (PPT) in subjects with scapular downward rotation syndrome. Thirty subjects with age range of 18 to 30 years with scapular downward rotation were recruited in this study. Thirty subjects of both gender with scapular downward rotation were recruited in this study. All recruited subjects were examined to exclude defined pathological conditions. All subjects were assessed by screening examination for downward rotation of scapula. Pressure pain threshold was measured using pressure algometer. Mechanosensitivity of neural tissue was measured using neurodynamic test. Pain was measured using strength-duration (SD) curve. Treatment program consisted of 3 sessions/week, for 6 weeks. All measurements were taken pre and post the treatment period.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 30
• Est. completion date: August 2021
• Est. primary completion date: May 30, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 30 Years

Eligibility

Inclusion Criteria:

• University population were screened for subjects with scapular downward rotation, those who met the following criteria was recruited in this study. The inclusion criteria for subject selection in this study was based on the literature (Caldwell et

al., 2007; Ha et al., 2011) which included:

1. The scapula was downwardly rotated by visual appraisal.We examined the root of spine of scapulae (superior angle) and inferior angle of scapulae. If scapulae was downwardly rotated, inferior angle closer to spine than root of spine of scapulae (superior angle).

2. The clavicle appeared to be horizontal or the acromioclavicular joint was lower than the sternoclavicular joint by visual appraisal.

3. The vertebral borders of the scapula was less than 3 inches from the spine by tape measure.

Exclusion Criteria:

• Subject who has any of the following criteria was excluded from the study:

1. Subjects with cervical spinal fractures.

2. Neck-rotation ROM of <20º.

3. Radiating pain to an upper extremity.

4. Scoliosis.

5. Leg length discrepancy.

6. A history of unresolved cancer.

7. Diabetes Miletus.

8. Polyneuropathy.

9. Myofascial Pain Syndrome.

10. Fibromyalgia.

Related Conditions & MeSH terms

• Dyskinesias
• Scapular Dyskinesis

Intervention

Other:
• Upward rotation exercise
Treatment for correction of depressed scapular Alignment by exercise ( Upward Rotation Exercises) for 6 weeks.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Neural excitability	Neural excitability measured by Strenght-duration cruve.	Strenght-duration curve for neural excitability is measured before starting the treatment.Strenght-duration is measured after application of 6 weeks treatment program.
Secondary	Pressure pain threshold	Pressure pain threshold was measured using pressure algometer.	All measurements were taken pre and post the treatment period (6 weeks).