Scapular Movement Training Versus General Exercises for Individuals With Shoulder Pain: Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 64
- 试验地点
- 2
- 主要终点
- Change in Three-Dimensional Scapular Kinematics from baseline to 8 weeks.
研究概览
简要总结
Interventions focused on the scapula have been frequently used to treat shoulder pain. However, most studies do not assess the contribution of scapular movement alteration for the symptoms.
Objectives: To compare the effects of two interventions for shoulder pain: Scapular Movement Training and General Exercises.
详细描述
This is a double-blinded randomized controlled trial. Sixty-four subjects with shoulder pain, scapular dyskinesis, and positive scapular assistance test will be randomized in two groups: 1) Scapular Movement Training, and 2) General Exercises. The Scapular Movement Training Group will receive the orientation about proper scapular position and movement, and will be trained to modify the scapular movement pattern. The General Exercises Group will perform scapulothoracic stretching and strengthening exercises.
Both groups will be treated twice a week for eight weeks. The following outcomes will be collected at baseline and follow-up: scapular kinematics, electromyographic muscle activity of the upper, middle and lower trapezius, and serratus anterior, as well as pain intensity, function, and fear avoidance beliefs. Also, pain intensity, function, and fear-avoidance beliefs will be assessed at the fourth week of follow-up after the end of treatment's period.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Shoulder pain intensity ≥ 3 points on Numerical Rating Scale;
- •Shoulder pain lasting ≥ 3 months;
- •Scapular dyskinesis;
- •Positive Scapular Assistance Test;
- •Arm elevation ≥ 150°;
排除标准
- •Body Mass index > 28Kg/m
- •History of humerus, clavicle and scapula fracture and/or surgery;
- •History of rotator cuff surgery or tears, shoulder dislocation, and instability;
- •Frozen Shoulder;
- •Neurological or systemic disease which may alter the muscle strength and sensibility;
- •Positive Upper Limb Tension Test and/or Spurling's test
- •Pregnancy;
- •Physical therapy within 6 months;
- •Corticosteroid injection within 3 months
- •Transpore tape allergy;
结局指标
主要结局
Change in Three-Dimensional Scapular Kinematics from baseline to 8 weeks.
时间窗: Pre (baseline) and post Treatment (8 weeks)
3-D Scapular kinematics (upward/downward rotation; internal/external rotation; anterior/posterior tilt) will be measured by an electromagnetic tracking system (in degrees).
次要结局
- Change in Muscle activity from baseline to 8 weeks.(Pre (baseline) and post Treatment (8 weeks))
- Change in Pain from baseline to follow-up.(Pre (baseline), 4 weeks, post Treatment (8 weeks), and follow-up (4 weeks after treatment ))
- Change in Function from baseline to follow-up.(Pre (baseline), 4 weeks, post Treatment (8 weeks), and follow-up (4 weeks after treatment ))
- Change in Fear-Avoidance Beliefs from baseline to follow-up.(Pre (baseline), 4 weeks, post Treatment (8 weeks), and follow-up (4 weeks after treatment ))
- Change in Overall improvement of Symptoms from baseline to follow-up.(Pre (baseline), 4 weeks, post Treatment (8 weeks), and follow-up (4 weeks after treatment ))
- Change in Kinesiophobia from baseline to follow-up(Pre (baseline), 4 weeks, post Treatment (8 weeks), and follow-up (4 weeks after treatment ))
研究者
Danilo Harudy Kamonseki
Ms, PT
Universidade Federal de Sao Carlos