Effect of Scapular Stabilization Exercises Versus Virtual Reality Exercises in Basketball Players With Scapular Dyskinesia

NCT ID: NCT06293599

Last Updated: 2024-03-05

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 90 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-03-05
• Study Completion Date: 2024-07-30

Brief Summary

this study will be conducted to compare virtual reality and scapular stabilizing exercise among basketball player with scapular dyskinesia on scapular muscle performance, rounded shoulder, pain intensity , disability and hand grip strength

Detailed Description

Scapular dyskinesia (SD) is an alteration in the normal position or motion of the scapula during coupled scapulohumeral movements. It is lack of control of static or dynamic positioning of the scapula relative to the thorax. It affects from 64% to 100% of patients with shoulder lesions. Scapular dyskinesia is a major etiological factor in overhead athletes' shoulder problems. Virtual Reality (VR) it allows individuals to interact and train with or within interesting and relatively realistic three-dimensional(3D) environments. VR and its simulated environments are well accepted in entertainment and computer game applications. However, what is not as well recognized is that VR offers the opportunity for intensive repetition of meaningful task-related activities necessary for effective rehabilitation. The scapular stabilization exercise in rehabilitation aims to Restore shoulder function; these exercises are a combination of scapular stabilization exercises, rotator cuff strengthening exercises, range of motion (ROM), proprioceptive neuromuscular facilitation (PNF), and stretching exercises. Physiotherapy is the mainstay management for several musculoskeletal disorders. sixty basketball athletes with dyskinesea will be assigned randomly to three equal groups; the first will receive Virtual reality exercise and routine exercise, and the second group will receive Stabilization exercise and routine exercise. and finally, the third group will receive routine exercise only for eight weeks

Conditions

Scapular Dyskinesis

Study Design

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

Study Groups

scapular stabilization exercise

thirty patients with scapular dyskinesia will receive scapular stabilization exercise and regular routine three times a week for eight weeks

Group Type: EXPERIMENTAL

scapular stabilization exercises

Intervention Type: OTHER

the patients will receive scapular stabilization exercises in the form of scapular orientation exercises,Forward/Backward Bear Crawls,Lateral Bear Crawls and assisted stretch for pectoralis minor

regular routine exercises

Intervention Type: OTHER

the patients will receive routine exercises in the form of Sleeper Stretch: Posterior Capsular Stretch, Push up, Wall slides, Kettlebell High Pull,

virtual reality exercise

thirty patients with scapular dyskinesia will receive virtual reality exercise and regular routine three times a week for eight weeks

Group Type: EXPERIMENTAL

virtual reality exercises

Intervention Type: OTHER

The exercises described were done in a consistent manner, emphasizing low intensity, and using lightweight dumbbells (range, 3 to 30 pounds). The weight of the dumbbell was individually selected by the subject for each exercise.

1. elevation of the arm in the sagittal plane (shoulder flexion

2. elevation of the arm in the scapular plane with humeral external rotation (shoulder scaption

3. elevation of the arm in the coronal plane (shoulder abduction)

4. rowing

5. horizontal shoulder abduction

6. horizontal abduction with humeral external rotation

7. push-up with hands apart

8. push-up with a plus-normal push-up adding maximum shoulder and scapular protraction with elbows fully extended

9. dumbbell bench press

10. dumbbell military press

11. shoulder shrug

12. deceleration exercise-simulating the pitching followthrough

13. shoulder extension prone

14. shoulder internal rotation

15. shoulder external rotation

16. press-up

regular routine exercises

Intervention Type: OTHER

the patients will receive routine exercises in the form of Sleeper Stretch: Posterior Capsular Stretch, Push up, Wall slides, Kettlebell High Pull,

Regular routine exercise

thirty patients with scapular dyskinesia will receive regular routine exercises three times a week for eight weeks

Group Type: ACTIVE_COMPARATOR

regular routine exercises

Intervention Type: OTHER

the patients will receive routine exercises in the form of Sleeper Stretch: Posterior Capsular Stretch, Push up, Wall slides, Kettlebell High Pull,

Interventions

scapular stabilization exercises

the patients will receive scapular stabilization exercises in the form of scapular orientation exercises,Forward/Backward Bear Crawls,Lateral Bear Crawls and assisted stretch for pectoralis minor

Intervention Type: OTHER

virtual reality exercises

The exercises described were done in a consistent manner, emphasizing low intensity, and using lightweight dumbbells (range, 3 to 30 pounds). The weight of the dumbbell was individually selected by the subject for each exercise.

1. elevation of the arm in the sagittal plane (shoulder flexion

2. elevation of the arm in the scapular plane with humeral external rotation (shoulder scaption

3. elevation of the arm in the coronal plane (shoulder abduction)

4. rowing

5. horizontal shoulder abduction

6. horizontal abduction with humeral external rotation

7. push-up with hands apart

8. push-up with a plus-normal push-up adding maximum shoulder and scapular protraction with elbows fully extended

9. dumbbell bench press

10. dumbbell military press

11. shoulder shrug

12. deceleration exercise-simulating the pitching followthrough

13. shoulder extension prone

14. shoulder internal rotation

15. shoulder external rotation

16. press-up

Intervention Type: OTHER

regular routine exercises

the patients will receive routine exercises in the form of Sleeper Stretch: Posterior Capsular Stretch, Push up, Wall slides, Kettlebell High Pull,

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• ninety basketball players of both genders.
• Subjects with age between 20 and 25 years old.
• Subjects with Body Mass Index (BMI) ranging from 18 to 25 kg/m².

Exclusion Criteria

• An injury within the four weeks before testing.
• Upper extremity fractures.
• Bilateral repetitive strain injuries
• Osteoarthritis on hand

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 25 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Nabil Mahmoud Ismail Abdel-Aal

Principal investigator Nabil mahmoud ismail

Responsibility Role: PRINCIPAL_INVESTIGATOR

Other Identifiers

P.T.REC/012/003131

Identifier Type: -

Identifier Source: org_study_id