Global Postural Reeducation and Segmental Exercises in Patients With Scapular Dyskinesis and Cervicalgia

Phase 1

Completed

• Conditions: Scapular Dyskinesis; Cervicalgia
• Interventions: Other: Global Postural Reeducation Group; Other: Segmental Exercises Group

• Registration Number: NCT01568840
• Lead Sponsor: Irmandade da Santa Casa de Misericordia de Sao Paulo

Brief Summary

The purpose of this study is to assess the effectiveness of global postural reeducation relative to segmental exercises in the treatment of scapular dyskinesis with cervicalgia.

Detailed Description

Purpose: To assess the effectiveness of global postural reeducation relative to segmental exercises in the treatment of scapular dyskinesis with cervicalgia.

Methods: Participants with scapular dyskinesis and cervicalgia (n = 30) aged 18 to 65 years were randomly assigned to one of two groups: Global Postural Reeducation and Segmental Exercises(stretching and strengthening). Upper extremity was assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Function of the neck was estimated using the Neck Disability Index (NDI). Pain severity was measured using a Visual Analogical Scale. Health-related quality of life (HRQoL) was assessed using the Short Form (SF)-12. Assessments were conducted at baseline and after 10 weekly sessions (60 minutes each). Significance level was established at 5%.

Study Timeline

• Study Start: 2010-07
• Primary Completion: 2011-01
• Study Completion: 2011-02
• Status Verified: 2012-03
• Study First Submitted: 2012-03-26
• Study First Submitted QC: 2012-03-29
• Last Update Submitted: 2012-03-29
• Study First Posted: 2012-04-02
• Last Update Posted: 2012-04-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Scapular Dyskinesis as per the SICK Scapula Rating Scale
• Chronic Cervicalgia (pain for at least three months)

Exclusion Criteria

• Cervical Stenosis
• Myelopathy
• Prolapsed Inter-Vertebral Disk (as confirmed by magnetic resonance imaging),
• Winged Scapula due to lesions of the long thoracic nerve or spinal accessory nerve, (as documented by electromyography)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Global Postural Reeducation Group	Global Postural Reeducation Group	Global Postural Reeducation
Segmental Exercises Group	Segmental Exercises Group	Segmental Exercises

Primary Outcome Measures

Name	Time	Method
Function of the upper extremity	10 weeks	The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was used to measure function of the upper extremity, where 0 corresponded to "no disability" and 100 corresponded to "most severe disability".

Secondary Outcome Measures

Name	Time	Method
Pain severity	10 weeks	The Visual Analogical Scale (VAS) was used to measure pain, where the left extremity corresponded to"no pain" and the right extremity, corresponded to"maximum pain".
Health-related quality of life (HRQoL)	10 weeks	The HRQoL was assessed using the Short Form (SF)-12, the abbreviated version of the SF-36, whose score ranges from 0 to 100, and higher scores reflect better quality of life.
Function of the neck	10 weeks	The Neck Disability Index (NDI) was used to measure fuction of the neck, whose score ranges from 0 to 50: disability (0-5); mild disability (5-14); moderate disability (15-24); severe disability (25-34) and totally disabled (35-50).

Trial Locations

Locations (1)

Irmandade da Santa Casa de Misericordia de Sao Paulo; 🇧🇷 Sao Paulo, SP, Brazil