Comparison of YWTL Exercises and Closed Kinetic Chain Exercises on Shoulder Pain, Disability, Upper Limb Mobility and Posture in Children With Scapular Dyskinesis.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 22
- Locations
- 1
- Primary Endpoint
- upper extremity functional use scale
Study Overview
Brief Summary
Scapular dyskinesia is defined by abnormal movement or placement of the scapula, the shoulder blade, during arm movements. Physical treatment aimed at regaining appropriate scapular mechanics through strengthening exercises, postural correction, and functional movement training is typically part of management. A randomized clinical trial will be conducted. The study will be conducted at Unique school and on school going children in a total duration of 10 months. Sample size will be 22.There will be two study groups. A convenient sampling technique will be used. The sample which will have following characteristics will be included children with age group 9 to 12 years, positive scapular test, positive scapular assistance test, athletes who practice one hour three days a week. The sample with the following characteristics will be excluded. Any muscular or joint deformity, scoliosis, shoulder dislocation. The tools that will be included in the study are modified lateral scapular test, shoulder flexion test, shoulder and pain disability index, upper extremity functional use scale, posture and posture assessment scale, shoulder and scapular ranges.
Detailed Description
Scapular dyskinesia is defined by abnormal movement or placement of the scapula, the shoulder blade, during arm movements. Changes in scapular kinematics, such as tipping (forward or backward tilting), winging (medial border protrusion), or general prominence during shoulder movements, are usually involved. Physical treatment aimed at regaining appropriate scapular mechanics through strengthening exercises, postural correction, and functional movement training is typically part of management. From the shoulders to the hands, proper upper limb posture is essential for both biomechanical effectiveness and the avoidance of injuries when performing tasks. In addition to maximizing mobility for daily tasks, work, sports, and leisure activities, proper posture relieves tension on muscles and joints, assuring effective performance and lowering the chance of injury. A randomized clinical trial will be conducted. The study will be conducted at Unique School Wapda Town and The Punjab School in a total duration of 10 months. Sample size will be 22.
There will be two study groups. A convenient sampling technique will be used. The sample which will have following characteristics will be included children with age group 9 to 12 years, positive scapular test, positive scapular assistance test, normal shoulder ranges, normal scapular ranges, athletes who practice one hour three days a week. The sample with the following characteristics will be excluded. Any muscular or joint deformity, scoliosis, shoulder dislocation, previous surgery of shoulder and cervicobrachialgia. The tools that will be included in the study are modified lateral scapular test, scapular dyskinesis test, shoulder flexion test, scapular assistance test, shoulder and pain disability index, upper extremity functional use scale, posture and posture assessment scale, shoulder and scapular ranges. SPSS version 27 will be used for data analysis.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- Single (Participant)
Masking Description
Participants will get separate treatment protocols and possible efforts will be put to mask the both group about the treatment.
Eligibility Criteria
- Ages
- 9 Years to 12 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Children with an age group of 9 to 12 years.
- •Both genders.
- •Engage in overhead sports.
- •Minimum play time is 1 hour 3 times in a week.
- •Positive Modified lateral scapular test
- •Positive scapular dyskinesis shoulder flexion test
- •Positive scapular assistance test
- •Shoulder and pain disabilty index (score 1 to 20 )
- •Upper extremity functional use scale (score 60 to 80).
Exclusion Criteria
- •Any muscular or joint deformity.
- •Scoliosis.
- •Shoulder dislocation
- •Post fracture.
- •Neurological deficits
- •Cervicobrachialgia
Arms & Interventions
group 1 with YWTL exercises
group 1 will receive YWTL exercises for alternating 3 days a week for 6 weeks.
Intervention: YWTL EXERCISES (Other)
group 1 with YWTL exercises
group 1 will receive YWTL exercises for alternating 3 days a week for 6 weeks.
Intervention: Closed kinetic chain exercises (Other)
group 2 with closed kinetic chain exercises
group 2 will receive closed kinetic chain exercises for alternating 3 days a week for 6 weeks.
Intervention: YWTL EXERCISES (Other)
group 2 with closed kinetic chain exercises
group 2 will receive closed kinetic chain exercises for alternating 3 days a week for 6 weeks.
Intervention: Closed kinetic chain exercises (Other)
Outcomes
Primary Outcomes
upper extremity functional use scale
Time Frame: pre reading(1st week) post reading (6th week)
The Upper Extremity Functional Use Scale assesses the frequency and quality of functional use of the affected upper limb in daily activities.
posture and posture assessment scale
Time Frame: pre reading(1st week) , post reading (6th week)
The Posture and Postural Ability Scale includes items for measuring posture as well as a 7-point ordinal scale for postural ability in supine, prone, sitting, and standing
shoulder ranges
Time Frame: pre reading(1st week) , post reading (6th week)
Shoulder ranges refer to the degrees of motion the shoulder joint can achieve in various directions, including flexion, extension, abduction, adduction, and rotation.
scapular ranges
Time Frame: pre reading(1st week), post reading (6th week)
Scapular ranges are the measurable degrees of movement the scapula performs during shoulder motions, including elevation, depression, protraction, retraction, and rotation.
shoulder and pain disability index
Time Frame: pre reading(1st week) post reading (6th week)
The Shoulder Pain and Disability Index (SPADI) is a self-reported questionnaire that measures the pain and functional impairment associated with shoulder disorders.
modified lateral scapular test
Time Frame: pre reading(1st week) post reading (6th week)
The Modified Lateral Scapular Slide Test assesses scapular asymmetry and stability by measuring the distance between the inferior angle of the scapula and the spine in various arm positions.
scapular dyskinesis test
Time Frame: pre reading(1st week) post reading (6th week)
The Scapular Dyskinesis Test evaluates abnormal scapular movement patterns during shoulder motion to identify dysfunction.
shoulder flexion test
Time Frame: pre reading(1st week) post reading (6th week)
The Shoulder Flexion Test assesses the range of motion and flexibility of the shoulder joint as the arm is raised overhead.
scapular assistance test
Time Frame: pre reading(1st week) post reading (6th week)
The Scapular Assistance Test evaluates the effect of manually assisting scapular motion on shoulder pain and function during arm elevation.
Secondary Outcomes
No secondary outcomes reported