Effectiveness of Scapular Exercises Compared To Conventional Treatment in Shoulder Pain

NCT ID: NCT06890000

Last Updated: 2025-03-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-24

Study Completion Date

2026-10-20

Brief Summary

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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.

Detailed Description

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Conditions

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Shoulder Pain Scapular Dyskinesis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Scapular Exercises

Scapular exercise includes scapular clock exercise, rowing exercise, resisted external rotation, resisted punching exercise.

The group program also includes conventional treatment.

Group Type EXPERIMENTAL

Scapular Exercise

Intervention Type OTHER

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)

Intervention Type 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.

Conventional Treatment

Conventional treatment includes TENS, hotpack, Stretching exercises (posterior capsule and pectoral muscle), resisted flexion and abduction exercises

Group Type ACTIVE_COMPARATOR

Control (Standard treatment)

Intervention Type 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.

Interventions

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Scapular Exercise

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.

Intervention Type OTHER

Control (Standard treatment)

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.

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gulhane School of Medicine

OTHER

Sponsor Role collaborator

Ankara Yildirim Beyazıt University

OTHER

Sponsor Role lead

Responsible Party

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Mehmet Delen

Asst Prof

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Universtiy of Health Sciences - Gülhane Faculty of Physiotherapy and Rehabilitation

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Mehmet DELEN, PhD

Role: CONTACT

+905548258720

Facility Contacts

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Mehmet Delen, PhD

Role: primary

+905548258720

References

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Bury J, West M, Chamorro-Moriana G, Littlewood C. Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis. Man Ther. 2016 Sep;25:35-42. doi: 10.1016/j.math.2016.05.337. Epub 2016 Jun 4.

Reference Type BACKGROUND
PMID: 27422595 (View on PubMed)

Other Identifiers

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09/972

Identifier Type: -

Identifier Source: org_study_id

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