Effect of Dynamic Neuromuscular Stabilization and Scapular Stabilization Exercises in individuals with chronic non specific neck pain with scapular dyskinesia A comparative study
Trial Snapshot
- Phase
- Phase 2
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Lateral Scapular Slide Test Used for assessment and diagnosis of scapular dyskinesia
Study Overview
Brief Summary
Neck pain is a common musculoskeletal disorder that significantly affects quality of life and work productivity, with a high prevalence among adults. Recent studies highlight a close relationship between the cervical spine and scapular region, where dysfunction in one can influence the other. Dynamic Neuromuscular Stabilization (DNS), rooted in developmental kinesiology, promotes coordinated movement and postural control by activating deep stabilizing muscles, improving joint alignment and overall biomechanical function. Research has shown that DNS enhances muscle activation, reduces abnormal scapular motion, and improves coordination in individuals with chronic nonspecific neck pain and scapular dyskinesia. Scapular dyskinesis is commonly assessed using the Lateral Scapular Slide Test (LSST), which detects abnormalities such as winging or altered rhythm. Impaired proprioception and neuromuscular control further compromise scapular stability, contributing to pain, dysfunction, and a higher risk of injury. This study aims to provide a comparative analysis of these interventions to enhance understanding and determine the more effective treatment approach for patients with scapular dyskinesia associated with chronic nonspecific neck pain,
Keywords. Dynamic Neuromuscular Stabilization, Scapular Stabilization Exercises, Scapular Dyskinesia, Chronic Non Specific Neck Pain.
Study Design
- Study Type
- Interventional
- Allocation
- Other
- Masking
- Participant Blinded
Eligibility Criteria
- Ages
- 20.00 Year(s) to 40.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •1 Patients with chronic non-specific neck pain for more than 3 months 2 Patient having Grade 2 Scapular Dyskinesia 3 Clinical evidence of scapular dyskinesia Lateral Scapular Slide Test 4 Include only mild and moderate pain on NPRS.
Exclusion Criteria
- •1 Neurological or systemic conditions affecting movement 2 History of fractures or dislocations in the shoulder or cervical spine 3 Pregnancy 4 No history of shoulder or neck surgery in the past year.
Outcomes
Primary Outcomes
Lateral Scapular Slide Test Used for assessment and diagnosis of scapular dyskinesia
Time Frame: Lateral Scapular Slide Test Used for assessment and diagnosis of scapular dyskinesia | Scapular Upward Rotation By using Pro Digital 360 Digital Inclinometer
Scapular Upward Rotation By using Pro Digital 360 Digital Inclinometer
Time Frame: Lateral Scapular Slide Test Used for assessment and diagnosis of scapular dyskinesia | Scapular Upward Rotation By using Pro Digital 360 Digital Inclinometer
Secondary Outcomes
- Neck Disability Index (NDI)(Numerical Pain Rating Scale (NPRS))
Investigators
Dr Arpita Rathod
Tilak Maharashtra Vidyapeeth Indutai Tilak college of Physiotherapy, Pune
