Effectiveness of Global Postural Reeducation and Segmental Exercises on Function, Pain, and Quality of Life of Patients With Scapular Dyskinesis and Cervicalgia: A Randomized Clinical Study
Trial Snapshot
- Phase
- Phase 1
- Status
- Completed
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Function of the upper extremity
Study Overview
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 Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
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)
Arms & Interventions
Global Postural Reeducation Group
Global Postural Reeducation
Intervention: Global Postural Reeducation Group (Other)
Segmental Exercises Group
Segmental Exercises
Intervention: Segmental Exercises Group (Other)
Outcomes
Primary Outcomes
Function of the upper extremity
Time Frame: 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 Outcomes
- Pain severity(10 weeks)
- Health-related quality of life (HRQoL)(10 weeks)
- Function of the neck(10 weeks)
Investigators
Cinthia Santos Miotto de Amorim
Effectiveness of Global Postural Reeducation and Segmental Exercises on Function, Pain, and Quality of Life of Patients with Scapular Dyskinesis and Cervicalgia: A Randomized Clinical Study
Irmandade da Santa Casa de Misericordia de Sao Paulo