Effect of Thoracic Mobility Exercises Combined With Scapular Stabilization Exercises in Individuals With Subacromial Pain Syndrome
NCT ID: NCT07043842
Last Updated: 2025-06-29
Study Results
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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NOT_YET_RECRUITING
NA
20 participants
INTERVENTIONAL
2025-07-28
2026-09-28
Brief Summary
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The scapula assumes a role that is attached to the axial skeleton by atmospheric pressure and axioscapular muscles, and prepares the ground for the formation of wide range of motion in the shoulder complex. The scapulothoracic movement formed by the movement of the scapula on the thorax is provided not only by the function of the scapular muscles but also by the optimization of the thoracic muscles and posture.
Therefore, changes in the biomechanics of the thoracic spine and scapula affect the function of the shoulder. Therefore, we predict that the possible contributions of scapular stabilization and thoracic mobility exercises to scapular alignment and alignment in thoracic posture will further improve shoulder-related complaints.
Detailed Description
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A study on young tennis players, including thoracic region mobility exercises, based on the idea that increased thoracic kyphosis reduces shoulder functional capacity, has yielded effective results in correcting sagittal thoracic curvature and increasing thoracic mobility. It also strongly increased glenohumeral internal and external rotation range of motion.
Throwing injuries to the shoulder joint often occur during shoulder external rotation. Therefore, an appropriate combination of thoracic, scapular and humeral motion during throwing is important to prevent such injuries. Thoracic extension increases scapular posterior tilt and external rotation during shoulder external rotation and decreases glenohumeral horizontal abduction, and also increases maximum shoulder external rotation. It has been shown that providing thoracic extension can contribute to reducing mechanical demands on the glenohumeral joint during activities such as throwing and can potentially reduce shoulder injuries. Restricting thoracic extension can reduce scapulothoracic movement and cause excessive glenohumeral joint movement, which can be a risk factor for shoulder injuries. The finding of a significant positive correlation between scapular posterior tilt and glenohumeral external rotation also provides an idea about the posture that should be adopted to reduce the risk of injury. Therefore, during shoulder movements, it is necessary to correct the posture of the thoracic spine in order to prevent the incompatibility of scapula and thorax movements due to posture. Based on this, it is expected that the study to be conducted will shed light on the rehabilitation of individuals with subacromial pain syndrome by demonstrating the effectiveness of thoracic mobility exercises.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Treatment group
This group consists of patients who will undergo shoulder circumference exercises and scapular stabilization exercises along with thoracic mobility exercises.
Shoulder circumference exercises
They are strengthening and stretching exercises that support the range of motion of the shoulder joint.
Scapular stabilization exercises
Changes in the biomechanics of the scapula affect the function of the shoulder. Biomechanical correction will be attempted with these exercises aimed at correcting the posture of the scapula.
Thoracic mobility exercises
Changes in the biomechanics of the thoracic spine affect the function of the shoulder. Biomechanical correction will be attempted with these exercises aimed at correcting the posture of the thoracic spine.
Control group
This group consists of patients who will undergo shoulder circumference exercises and scapular stabilization exercises.
Shoulder circumference exercises
They are strengthening and stretching exercises that support the range of motion of the shoulder joint.
Scapular stabilization exercises
Changes in the biomechanics of the scapula affect the function of the shoulder. Biomechanical correction will be attempted with these exercises aimed at correcting the posture of the scapula.
Interventions
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Shoulder circumference exercises
They are strengthening and stretching exercises that support the range of motion of the shoulder joint.
Scapular stabilization exercises
Changes in the biomechanics of the scapula affect the function of the shoulder. Biomechanical correction will be attempted with these exercises aimed at correcting the posture of the scapula.
Thoracic mobility exercises
Changes in the biomechanics of the thoracic spine affect the function of the shoulder. Biomechanical correction will be attempted with these exercises aimed at correcting the posture of the thoracic spine.
Eligibility Criteria
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Inclusion Criteria
* Being between the ages of 18-60
* Being diagnosed with subacromial pain syndrome
* Having Stage I or Stage II subacromial pain syndrome according to Neer
* Having unilateral shoulder pain that limits activity for more than 6 weeks
* Having pain intensity over 3 according to VAS
Exclusion Criteria
* Having spinal deformities
* Having post-traumatic symptom onset
* Having a history of shoulder dislocation or fracture
* Having passive joint movement limitation (frozen shoulder)
* Having received steroid injections within the last 6 weeks
* Having degenerative joint disease of the shoulder joint complex, having a history of surgical intervention to the shoulder joint complex, having any diagnosed rheumatic, systemic or neurological disease
* Having cardiovascular pathologies that limit rehabilitation
18 Years
60 Years
ALL
No
Sponsors
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Ankara Yildirim Beyazıt University
OTHER
Responsible Party
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Principal Investigators
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Zeynel Abidin Çapa, MSc
Role: PRINCIPAL_INVESTIGATOR
Hitit University
Locations
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Hitit University
Çorum, , Turkey (Türkiye)
Countries
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Central Contacts
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Other Identifiers
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16.01.2025-01/1119
Identifier Type: -
Identifier Source: org_study_id