Autogenic Inhibition Versus Reciprocal Inhibition Muscle Energy Techniques Effect on Swimming Performance on Swimmers With Scapular Dyskinesis

Scapular Dyskinesis Clinical Trial

Official title:

Autogenic Inhibition Versus Reciprocal Inhibition Muscle Energy Techniques Effect on Swimming Performance on Swimmers With Scapular Dyskinesis

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06202391
• Other study ID #: FUI/CTR/2023/27
• Status: Recruiting
• Phase: N/A
• Start date: August 30, 2023
• Est. completion date: February 1, 2024

Study information

• Verified date: January 2024
• Source: Foundation University Islamabad
• Contact: Ayesha Sameen, MS-MSKPT*
• Phone: 03394016858
• Email: ayessha.sameen[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Swimming can cause shoulder pain due to scapular dyskinesis. Proper scapula movement is necessary for efficient swimming strokes and to avoid injury. Studying the effects of autogenic and reciprocal inhibition muscle energy techniques on swimmers with scapular dyskinesis can lead to effective interventions and reduce shoulder injuries

Description:

Efficient swimming strokes require proper positioning of the scapula. Scapular dyskinesis (SD) is a condition where normal scapular kinematics are altered due to injury or changes in muscle activation. Swimmers, who are considered overhead athletes, have risk of developing SD. Even individuals who do not experience symptoms can have SD, and it may lead to future shoulder injuries. Early diagnosis and treatment of this condition can prevent it from progressing and minimize the risk of injury. Additionally, using autogenic and reciprocal inhibition muscle energy techniques can enhance the activation of the appropriate muscles responsible for scapular movement, which can lead to more effective interventions, improved swimming performance, and reduced injury risk. he intervention protocol (Muscle energy techniques to the upper fibers of the Trapezius, Levator Scapulae, Pectoralis Major, Latissimus Dorsi) will be conducted for 8-14 minutes over 3 weeks with 12 sessions/4 times a week. Outcomes measure will be assessed after the intervention period and data will be analyzed.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 34
• Est. completion date: February 1, 2024
• Est. primary completion date: January 15, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 30 Years

Eligibility

Inclusion Criteria:

• Swimmers with at least four times training per week

• Does not have any shoulder pain or injury or operation to the shoulders

• Positive Scapular Dyskinesis diagnosis test

• Freestyle (also known as a front crawl) swimming stroke

Exclusion criteria:

• Shoulder pain in the last six months

• History of shoulder surgery or fracture within the last six months

• Frequent practice of physical activity in any other sport

• Negative result of the Scapular Dyskinesis test

• Other swimming strokes

Related Conditions & MeSH terms

• Dyskinesias
• Scapular Dyskinesis

Intervention

Procedure:
• Autogenic Inhibition-MET
Autogenic Inhibition-MET protocol: 3-5 repetitions of post isometric relaxation (PIR) (30- 50% isometric contraction of the muscle to be stretched for 5-10 seconds, followed by rest period of 5 seconds and then a stretch of 20-30 seconds' hold. A total of 12 sessions, four times a week, for three consecutive weeks.
• Reciprocal Inhibition-MET protocol
Reciprocal Inhibition-MET protocol: 3-5 repetitions of Reciprocal Inhibition (RI) MET (30- 50% isometric contraction of the muscle opposite to the muscle to be stretched for 5-10 seconds, followed by rest period of 5 seconds and then a stretch of 20-30 seconds' hold A total of 12 sessions, four times a week, for three consecutive weeks

Locations

Country	Name	City	State
Pakistan	Foundation University College of Physical Therapy	Rawalpindi	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Foundation University Islamabad

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Stroke velocity	Stroke velocity will be assessed using KINOVEA	3 weeks
Primary	Stroke rate	Stroke rate will be assessed using KINOVEA	3 weeks
Primary	stroke length	Stroke length will be assessed using KINOVEA	3 weeks
Primary	Total strokes	Total strokes will be assessed using KINOVEA	03 Week
Primary	Stroke time	Stroke time will be assessed using KINOVEA	03 Week