Effectiveness of Scapular Exercises Compared To Conventional Treatment in Shoulder Pain

Ankara Yildirim Beyazıt University48 enrolled

Overview

The contribution of the scapula to shoulder joint movement is great. The contribution of the scapula bone is more prominent, especially in overhead activities. Therefore, the position and movement of the scapula are generally examined in people with shoulder disease. Scapula-focused exercises are used in patients with shoulder problems. However, some studies focused on the effectiveness of scapula-focused exercises on shoulder problems. Thes studies fundings are controversial. Scapular dyskinesis has not been evaluated in these studies. No study has set the condition of having scapular dyskinesis as an inclusion criterion. Scapular-focused exercises are expected to have a greater effect especially on patients with scapular dyskinesis. Therefore, the aim of this study is to examine the effectiveness of scapula-focused exercises on patients with shoulder pain and obvious scapular dyskinesis.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Shoulder Pain Scapular Dyskinesis

Interventions

Scapular exercise includes scapular clock exercise (3 sets of 10 repetitions), rowing exercise (3 sets of 10 repetitions), resisted external rotation (3 sets of 10 repetitions), resisted punching exercise (3 sets of 10 repetitions). The rowing, external rotation and punching exercises will do with theraband. When participants complete the elastic band exercises easily and do not report any muscle fatigue, they will move on to the next level of difficulty. The color order of the bands is yellow, red, green and blue. The exercises will begin with the yellow elastic band, which provides the least resistance. The intervention will last for 6 weeks, with 2 training sessions per week and each training session lasting 15-20 minutes.

Control (Standard treatment)OTHER

Conventional Treatment includes TENS (100 Hz) with hotpack (20 minutes), Stretching exercises (posterior capsule and pectoral muscle), resisted flexion and abduction exercises. The rowing, external rotation and punching exercises will do with theraband. When participants complete the elastic band exercises easily and do not report any muscle fatigue, they will move on to the next level of difficulty. The color order of the bands is yellow, red, green and blue. The exercises will begin with the yellow elastic band, which provides the least resistance. The intervention will last for 6 weeks, with 2 training sessions per week and each training session lasting 30-45 minutes.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Having shoulder pain for at least 1 month * Having obvious scapular dyskinesia * Having a shoulder ROM (range of motion) at least 120º * Being 18 years of age or older Exclusion Criteria: * Having received any shoulder treatment in the last 6 months * Having an acromioclavicular joint problem * Having a diagnosis of frozen shoulder * Having a fracture in the shoulder area * Having a major rotator cuff muscle tear * Having a diagnosis of calcific rotator cuff tendinopathy * Having a neurological or rheumatological disease

Outcomes

Primary Outcomes

shoulder pain and disability index (SPADI)

SPADI is a self reported outcome for shoulder disorders. SPADI includes 13 questions. Scores range from 0 to 100. The higher a patient scores on the SPADI, the greater the level of pain/disability.

Time frame: Baseline and at 6 week

Secondary Outcomes

Global Rate of Change

GRoC is a reliable assessment method with 11 levels, frequently used to track changes in a participant's condition. Participants who selected the top two categories (much better and very much better) were considered recovered.