Effects of Scapular Therapeutic Exercise on Essential Biomechanical and Neurophysiological Parameters in Shoulder Pain Conditions With Scapular Impairments
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Change in shoulder pain
研究概览
简要总结
Shoulder pain is a prevalent and recurrent condition. After a period of shoulder pain, some adaptations could be found, as in scapular muscles and kinematics and/or in nervous system.
It seems important to assess several biomechanical and neurophysiological outcomes to better characterize shoulder pain conditions and to program an intervention plane.
Therapeutic exercise is one of the treatments used for shoulder pain, however there are still doubts and controversial findings regarding exercise focusing the scapular musculature. Thus, the present study aims to assess the effects of an intervention protocol based on scapular therapeutic exercise.
详细描述
The study only started after approval of the protocol
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 to 65 years old
- •Chronic (more than 3 months), continuously or intermittently, non-specific or associated with a diagnostic (except if mentioned in the
排除标准
- •) shoulder pain of, at least, moderate intensity
- •Presenting scapular alterations as scapular dyskinesis (identified at rest or during motion)
- •Exclusion Criteria:
- •History of shoulder fracture, dislocation, tears, infection or neoplasm
- •Shoulder surgery
- •Cervical and/or thoracic pathologies or pain associated with active movements of these regions
- •Neurological disease
- •Body mass index out of the range 18,5-30 kg/m2 and muscular skinfold higher than 20mm
- •Inability to perform the exercises
- •Current practice of competitive/high-level exercise/sport focusing the upper limb
结局指标
主要结局
Change in shoulder pain
时间窗: Baseline and one week after intervention
The intensity of pain will be measured with a self-reported 11-point scale (Numerical Rating Pain Scale), with scores ranging from 0 (no pain) to 10 (maximum pain)
Change in movement quality through time variables
时间窗: Baseline and one week after intervention
Movement quality will be assessed considering time to peak acceleration and task completion time, calculated according to the data recorded with inertial sensors
Change in kinematics
时间窗: Baseline and one week after intervention
Scapular kinematics and scapulohumeral rhythm, during shoulder analytical movements and during a functional task, will be measured by inertial sensors and described in degrees (°)
Change in movement quality through smoothness
时间窗: Baseline and one week after intervention
Smoothness will be calculated by jerk logarithm of data recorded with inertial sensors
Change in shoulder function
时间窗: Baseline and one week after intervention
Shoulder functional status will be measured with a self-reported 13 items scale (SPADI), which ranges from 0 (fully functional) to 100 (maximum degree of disability).
Change in scapular muscles activity levels
时间窗: Baseline and one week after intervention
Scapular muscles activity levels, during shoulder analytical movements and during a functional task, will be recorded superficially by a wireless electromyographic signal detector system
Change in movement quality through trunk compensation
时间窗: Baseline and one week after intervention
Movement quality will be also assessed considering the trunk motion, calculated according to the data recorded with inertial sensors
Change in scapular muscles ratio
时间窗: Baseline and one week after intervention
Ratio between scapular muscles activity levels, during shoulder analytical movements and during a functional task, will be calculated considered the superficially eletromyographic data measured by a wireless electromyographic signal detector system.
次要结局
- Change in pain-related fear(Baseline and one week after intervention)
- Change in muscle stiffness(Baseline and one week after intervention)
- Change in pressure pain threshold(Baseline and one week after intervention)
- Self-impression of change(One week after intervention)
- Change in pain catastrophization(Baseline and one week after intervention)
研究者
Ana Melo
Principal Investigator - PhD grant student
Polytechnic Institute of Porto