Scapular Upward Rotation Exercises for Subjects With Deperessed Scapular Alignment

Cairo University30 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 30 YearsHealthy volunteers:

Medical Language ↔ Plain English

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.

Outcomes

Primary Outcomes

Neural excitability

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 Outcomes

Pressure pain threshold

Pressure pain threshold was measured using pressure algometer.

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