Scapular Movement Training Versus General Exercises for Individuals With Shoulder Pain

NCT ID: NCT03528499

Last Updated: 2020-11-09

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 64 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-08-21
• Study Completion Date: 2020-11-01

Brief Summary

Interventions focused on the scapula have been frequently used to treat shoulder pain. However, most studies do not assess the contribution of scapular movement alteration for the symptoms.

Objectives: To compare the effects of two interventions for shoulder pain: Scapular Movement Training and General Exercises.

Detailed Description

This is a double-blinded randomized controlled trial. Sixty-four subjects with shoulder pain, scapular dyskinesis, and positive scapular assistance test will be randomized in two groups: 1) Scapular Movement Training, and 2) General Exercises. The Scapular Movement Training Group will receive the orientation about proper scapular position and movement, and will be trained to modify the scapular movement pattern. The General Exercises Group will perform scapulothoracic stretching and strengthening exercises.

Both groups will be treated twice a week for eight weeks. The following outcomes will be collected at baseline and follow-up: scapular kinematics, electromyographic muscle activity of the upper, middle and lower trapezius, and serratus anterior, as well as pain intensity, function, and fear avoidance beliefs. Also, pain intensity, function, and fear-avoidance beliefs will be assessed at the fourth week of follow-up after the end of treatment's period.

Conditions

Shoulder Pain; Musculoskeletal Disease; Joint Disease; Shoulder Injury

Keywords

Scapula; Physical Therapy; Movement; Rehabilitation

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Scapular Movement Training

Orientation and scapular exercises, performed twice a week, for 8 weeks.

Group Type: EXPERIMENTAL

Scapular Movement Training

Intervention Type: OTHER

Orientation about the proper scapular position and movement and training to modify the scapular movement pattern.

General Exercises

Scapulothoracic muscle stretching and strengthening exercises, performed twice a week, for 8 weeks.

Group Type: ACTIVE_COMPARATOR

General Exercises

Intervention Type: OTHER

Strengthening and stretching exercises.

Interventions

Scapular Movement Training

Orientation about the proper scapular position and movement and training to modify the scapular movement pattern.

Intervention Type: OTHER

General Exercises

Strengthening and stretching exercises.

Intervention Type: OTHER

Other Intervention Names

Orientation and training; Exercises

Eligibility Criteria

Inclusion Criteria

• Shoulder pain intensity ≥ 3 points on Numerical Rating Scale;
• Shoulder pain lasting ≥ 3 months;
• Scapular dyskinesis;
• Positive Scapular Assistance Test;
• Arm elevation ≥ 150°;

Exclusion Criteria

• Body Mass index > 28Kg/m
• History of humerus, clavicle and scapula fracture and/or surgery;
• History of rotator cuff surgery or tears, shoulder dislocation, and instability;
• Frozen Shoulder;
• Neurological or systemic disease which may alter the muscle strength and sensibility;
• Positive Upper Limb Tension Test and/or Spurling's test
• Pregnancy;
• Physical therapy within 6 months;
• Corticosteroid injection within 3 months
• Transpore tape allergy;

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Universidade Federal de Sao Carlos

OTHER

Sponsor Role: lead

Responsible Party

Danilo Harudy Kamonseki

Ms, PT

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Paula Camargo, PhD

Role: STUDY_DIRECTOR

Universidade Federal de Sao Carlos

Locations

Universidade Federal de São Carlos

São Carlos, São Paulo, Brazil

Countries

Brazil

References

Kamonseki DH, Haik MN, Ribeiro LP, Almeida RF, Camargo PR. Scapular movement training is not superior to standardized exercises in the treatment of individuals with chronic shoulder pain and scapular dyskinesis: randomized controlled trial. Disabil Rehabil. 2023 Sep;45(18):2925-2935. doi: 10.1080/09638288.2022.2114552. Epub 2022 Aug 24.

Reference Type: DERIVED

PMID: 36000960 (View on PubMed)

Kamonseki DH, Haik MN, Camargo PR. Scapular movement training versus standardized exercises for individuals with chronic shoulder pain: protocol for a randomized controlled trial. Braz J Phys Ther. 2021 Mar-Apr;25(2):221-229. doi: 10.1016/j.bjpt.2020.08.001. Epub 2020 Aug 18.

Reference Type: DERIVED

PMID: 32855073 (View on PubMed)

Other Identifiers

86974318.7.0000.5504

Identifier Type: -

Identifier Source: org_study_id