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Scapular Upward Rotation Exercises for Subjects With Deperessed Scapular Alignment

Primary Purpose

Scapular Dyskinesis

Status

Unknown status

Phase

Not Applicable

Locations

Study Type

Interventional

Intervention

Upward rotation exercise

About this trial

This is an interventional treatment trial for Scapular Dyskinesis focused on measuring Neural tissue mechanosensitivity, Depressed Scapular Alignment, Scapular upward rotation exercises

Eligibility Criteria

18 Years - 30 Years (Adult)All SexesAccepts Healthy Volunteers

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.

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

one group

Arm Description

The treatment program consisted of upward rotation exercises for 3 sessions/week, for 6 weeks.

Outcomes

Primary Outcome Measures

Neural excitability

Neural excitability measured by Strenght-duration cruve.

Secondary Outcome Measures

Pressure pain threshold

Pressure pain threshold was measured using pressure algometer.

Full Information

NCT ID

NCT04775251

First Posted

February 6, 2021

Last Updated

February 24, 2021

Sponsor

Cairo University

1. Study Identification

Unique Protocol Identification Number

NCT04775251

Brief Title

Scapular Upward Rotation Exercises for Subjects With Deperessed Scapular Alignment

Official Title

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

Study Type

Interventional

2. Study Status

Record Verification Date

February 2021

Overall Recruitment Status

Unknown status

Study Start Date

February 28, 2021 (Anticipated)

Primary Completion Date

May 30, 2021 (Anticipated)

Study Completion Date

August 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

Cairo University

4. Oversight

Studies a U.S. FDA-regulated Drug Product

Studies a U.S. FDA-regulated Device Product

Data Monitoring Committee

5. Study Description

Brief 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.

Detailed 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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Scapular Dyskinesis

Keywords

Neural tissue mechanosensitivity, Depressed Scapular Alignment, Scapular upward rotation exercises

7. Study Design

Primary Purpose

Treatment

Study Phase

Not Applicable

Interventional Study Model

Single Group Assignment

Masking

None (Open Label)

Allocation

N/A

Enrollment

30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title

one group

Arm Type

Experimental

Arm Description

The treatment program consisted of upward rotation exercises for 3 sessions/week, for 6 weeks.

Intervention Type

Other

Intervention Name(s)

Upward rotation exercise

Intervention Description

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

Primary Outcome Measure Information:

Title

Neural excitability

Description

Neural excitability measured by Strenght-duration cruve.

Time Frame

Strenght-duration curve for neural excitability is measured before starting the treatment.Strenght-duration is measured after application of 6 weeks treatment program.

Secondary Outcome Measure Information:

Title

Pressure pain threshold

Description

Pressure pain threshold was measured using pressure algometer.

Time Frame

All measurements were taken pre and post the treatment period (6 weeks).

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Maximum Age & Unit of Time

30 Years

Accepts Healthy Volunteers

Eligibility Criteria

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: 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). The clavicle appeared to be horizontal or the acromioclavicular joint was lower than the sternoclavicular joint by visual appraisal. 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: Subjects with cervical spinal fractures. Neck-rotation ROM of <20º. Radiating pain to an upper extremity. Scoliosis. Leg length discrepancy. A history of unresolved cancer. Diabetes Miletus. Polyneuropathy. Myofascial Pain Syndrome. Fibromyalgia.

Central Contact Person:

First Name & Middle Initial & Last Name or Official Title & Degree

Doha Al-Afifi

Phone

01003169353

doha.h.afifi@gmail.com

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Ragiaa Kamel

Organizational Affiliation

Basic Science Department, Faculty of Physical Therapy, Cairo University

Official's Role

Study Chair

First Name & Middle Initial & Last Name & Degree

Amr Shalaby

Organizational Affiliation

Basic Science Department, Faculty of Physical Therapy, Cairo University

Official's Role

Study Director

12. IPD Sharing Statement

Plan to Share IPD

Yes

IPD Sharing Plan Description

I commit to share the results of this study within 3-6 months of publicatin.

IPD Sharing Time Frame

I commit to share the results of this study within 3-6 months of publication.

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Scapular Upward Rotation Exercises for Subjects With Deperessed Scapular Alignment

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