Scapular Dyskinesis With Impingement Syndrome

NCT ID: NCT07001228

Last Updated: 2025-06-06

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

360 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-29

Study Completion Date

2027-05-31

Brief Summary

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The goal of this study is to diagnose scapular dyskinesis-which can appear as a cause or result of various shoulder disorders-through screening tests in patients with shoulder impingement syndrome, the most common shoulder condition. By identifying scapular dyskinesis, the study aims to maximize treatment outcomes through appropriate rehabilitative exercise therapy.

Detailed Description

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Conditions

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Scapular Dyskinesis Impingement Syndrome, Shoulder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study involves patients who visited the outpatient clinic with unilateral shoulder pain persisting for more than three months and were diagnosed with unilateral shoulder impingement syndrome based on MRI findings. Only patients who provided informed consent were enrolled in the study.

A total of 320 patients with unilateral shoulder impingement syndrome from Chuncheon Sacred Heart Hospital were included. The participants were randomly assigned into two groups of 160 patients each. Both groups underwent rehabilitation for shoulder impingement syndrome; however, the control group (Group 1) did not receive rehabilitation for scapular dyskinesis, while the experimental group (Group 2) did receive rehabilitation targeting scapular dyskinesis.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors
The investigators plan to enroll patients who consent to participate in the study and allocate them into two groups using a random sequence generator. A random allocation table will be created and managed by a third party who is not involved in the study. When planning the treatment method, group assignment will be requested from this third party holding the allocation table, ensuring that the allocator is blinded to the upcoming group assignments in advance. Treatment in each group will be administered consistently according to a pre-agreed protocol, and follow-up will also be conducted using the same method in both groups.

Study Groups

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Impinge c SD treatment

In this experimental group, rehabilitation for scapular dyskinesis will begin at the second outpatient visit, which takes place three weeks after the subacromial steroid injection.

Group Type EXPERIMENTAL

SD rehabilitation

Intervention Type BEHAVIORAL

For shoulder impingement syndrome, the standard rehabilitation protocol involves administering a subacromial steroid injection at the initial outpatient visit, followed by stick exercises to restore joint mobility starting three weeks later. Four weeks after initiating the stick exercises, rotator cuff strengthening exercises using therabands are introduced and maintained for a duration of six weeks.

For SD rehabilitation, shoulder external rotation, push up plus, and shoulder rolls were performed. In the experimental group, rehabilitation for scapular dyskinesis will begin at the second outpatient visit, which takes place three weeks after the subacromial steroid injection.

Impinge s SD treatment

In this sham group, rehabilitation for scapular dyskinesis will not be begun at the second outpatient visit, which takes place three weeks after the subacromial steroid injection.

Group Type SHAM_COMPARATOR

No SD rehabilitation

Intervention Type BEHAVIORAL

For shoulder impingement syndrome, the standard rehabilitation protocol involves administering a subacromial steroid injection at the initial outpatient visit, followed by stick exercises to restore joint mobility starting three weeks later. Four weeks after initiating the stick exercises, rotator cuff strengthening exercises using therabands are introduced and maintained for a duration of six weeks.

In the sham group, rehabilitation for scapular dyskinesis will not begun at the second outpatient visit, which takes place three weeks after the subacromial steroid injection.

Interventions

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SD rehabilitation

For shoulder impingement syndrome, the standard rehabilitation protocol involves administering a subacromial steroid injection at the initial outpatient visit, followed by stick exercises to restore joint mobility starting three weeks later. Four weeks after initiating the stick exercises, rotator cuff strengthening exercises using therabands are introduced and maintained for a duration of six weeks.

For SD rehabilitation, shoulder external rotation, push up plus, and shoulder rolls were performed. In the experimental group, rehabilitation for scapular dyskinesis will begin at the second outpatient visit, which takes place three weeks after the subacromial steroid injection.

Intervention Type BEHAVIORAL

No SD rehabilitation

For shoulder impingement syndrome, the standard rehabilitation protocol involves administering a subacromial steroid injection at the initial outpatient visit, followed by stick exercises to restore joint mobility starting three weeks later. Four weeks after initiating the stick exercises, rotator cuff strengthening exercises using therabands are introduced and maintained for a duration of six weeks.

In the sham group, rehabilitation for scapular dyskinesis will not begun at the second outpatient visit, which takes place three weeks after the subacromial steroid injection.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Patients diagnosed with unilateral shoulder impingement syndrome in the outpatient clinic (based on clinical symptoms and MRI) from the IRB approval date until March 1, 2027

Individuals who provided written informed consent after receiving a thorough explanation of the study prior to any procedures

Age 20 years or older

Exclusion Criteria

Individuals who did not receive a subacromial steroid injection for shoulder impingement syndrome

Individuals with a history of surgical treatment or fracture in the affected shoulder

Individuals who refused to participate in the study

Individuals with neurological disorders affecting the ipsilateral upper extremity
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chuncheon Sacred Heart Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jung-Taek Hwang

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jung-Taek Hwang, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hallym University Medical Center

Locations

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Hallym University Chuncheon Sacred Heart Hospital

Chuncheon, Gangwon-do, South Korea

Site Status

Countries

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South Korea

Central Contacts

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Jung-Taek Hwang, MD, PhD

Role: CONTACT

+82332405197

Su-Jung Seo, PhD

Role: CONTACT

Facility Contacts

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Su-Jung Seo, PhD

Role: primary

+82332405197

References

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Park JY, Hwang JT, Oh KS, Kim SJ, Kim NR, Cha MJ. Revisit to scapular dyskinesis: three-dimensional wing computed tomography in prone position. J Shoulder Elbow Surg. 2014 Jun;23(6):821-8. doi: 10.1016/j.jse.2013.08.016. Epub 2013 Nov 23.

Reference Type BACKGROUND
PMID: 24280352 (View on PubMed)

Park JY, Hwang JT, Kim KM, Makkar D, Moon SG, Han KJ. How to assess scapular dyskinesis precisely: 3-dimensional wing computer tomography--a new diagnostic modality. J Shoulder Elbow Surg. 2013 Aug;22(8):1084-91. doi: 10.1016/j.jse.2012.10.046. Epub 2013 Jan 24.

Reference Type BACKGROUND
PMID: 23352185 (View on PubMed)

Kibler WB, McMullen J. Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg. 2003 Mar-Apr;11(2):142-51. doi: 10.5435/00124635-200303000-00008.

Reference Type BACKGROUND
PMID: 12670140 (View on PubMed)

Kibler WB, Ludewig PM, McClure P, Uhl TL, Sciascia A. Scapular Summit 2009: introduction. July 16, 2009, Lexington, Kentucky. J Orthop Sports Phys Ther. 2009 Nov;39(11):A1-A13. doi: 10.2519/jospt.2009.0303.

Reference Type BACKGROUND
PMID: 19881011 (View on PubMed)

Other Identifiers

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2025-03-009-002

Identifier Type: -

Identifier Source: org_study_id

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