Effect of Scapular Stabilization Exercises Versus Virtual Reality Exercises in Basketball Players With Scapular Dyskinesia

Not Applicable

Not yet recruiting

• Conditions: Scapular Dyskinesis
• Interventions: Other: scapular stabilization exercises; Other: virtual reality exercises; Other: regular routine exercises

• Registration Number: NCT06293599
• Lead Sponsor: Cairo University

Brief Summary

this study will be conducted to compare virtual reality and scapular stabilizing exercise among basketball player with scapular dyskinesia on scapular muscle performance, rounded shoulder, pain intensity , disability and hand grip strength

Detailed Description

Scapular dyskinesia (SD) is an alteration in the normal position or motion of the scapula during coupled scapulohumeral movements. It is lack of control of static or dynamic positioning of the scapula relative to the thorax. It affects from 64% to 100% of patients with shoulder lesions. Scapular dyskinesia is a major etiological factor in overhead athletes' shoulder problems. Virtual Reality (VR) it allows individuals to interact and train with or within interesting and relatively realistic three-dimensional(3D) environments. VR and its simulated environments are well accepted in entertainment and computer game applications. However, what is not as well recognized is that VR offers the opportunity for intensive repetition of meaningful task-related activities necessary for effective rehabilitation. The scapular stabilization exercise in rehabilitation aims to Restore shoulder function; these exercises are a combination of scapular stabilization exercises, rotator cuff strengthening exercises, range of motion (ROM), proprioceptive neuromuscular facilitation (PNF), and stretching exercises. Physiotherapy is the mainstay management for several musculoskeletal disorders. sixty basketball athletes with dyskinesea will be assigned randomly to three equal groups; the first will receive Virtual reality exercise and routine exercise, and the second group will receive Stabilization exercise and routine exercise. and finally, the third group will receive routine exercise only for eight weeks

Study Timeline

• Study First Submitted: 2024-01-31
• Status Verified: 2024-02
• Study First Submitted QC: 2024-02-27
• Last Update Submitted: 2024-02-27
• Study Start: 2024-03-05
• Study First Posted: 2024-03-05
• Last Update Posted: 2024-03-05
• Primary Completion: 2024-07-30
• Study Completion: 2024-07-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

• ninety basketball players of both genders.
• Subjects with age between 20 and 25 years old.
• Subjects with Body Mass Index (BMI) ranging from 18 to 25 kg/m².

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Exclusion Criteria

• An injury within the four weeks before testing.
• Upper extremity fractures.
• Bilateral repetitive strain injuries
• Osteoarthritis on hand

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
scapular stabilization exercise	regular routine exercises	thirty patients with scapular dyskinesia will receive scapular stabilization exercise and regular routine three times a week for eight weeks
Regular routine exercise	regular routine exercises	thirty patients with scapular dyskinesia will receive regular routine exercises three times a week for eight weeks
scapular stabilization exercise	scapular stabilization exercises	thirty patients with scapular dyskinesia will receive scapular stabilization exercise and regular routine three times a week for eight weeks
virtual reality exercise	regular routine exercises	thirty patients with scapular dyskinesia will receive virtual reality exercise and regular routine three times a week for eight weeks
virtual reality exercise	virtual reality exercises	thirty patients with scapular dyskinesia will receive virtual reality exercise and regular routine three times a week for eight weeks

Primary Outcome Measures

Name	Time	Method
agonist antagonist ratio	up to eight weeks	isokinetic Biodex 3 dynamometer will be used to assess agonist antagonist ratio

Secondary Outcome Measures

Name	Time	Method
work fatigue	up to eight weeks	isokinetic Biodex 3 dynamometer will be used to assess work fatigue
average power	up to eight weeks	isokinetic Biodex 3 dynamometer will be used to assess average power
Hand grip strength	up to eight weeks	Jamar handheld dynamometer will be used to assess hand grip strength
The disabilities of the arm, shoulder and hand	up to eight weeks	The disabilities of the arm, shoulder and hand (DASH) questionnaire will be used to assess the disability in arm, shoulder and hand. The DASH consists mainly of a 30- item disability/symptom scale. The possible score ranges from 0 to 100 points. 0 points represent a complete, unrestricted function of the upper extremities, while 100 points represent the greatest possible functional impairment.
peak force	up to eight weeks	isokinetic Biodex 3 dynamometer will be used to assess peak force
total work	up to eight weeks	isokinetic Biodex 3 dynamometer will be used to assess total work
rounded shoulder posture	up to eight weeks	Patient is supine with the arms at the sides, elbows extended, palms upward, knees bent and lower back flat on the table. The examiner stands at the head of the table and use tape measurements to measure the distance between the acromion of the shoulder joint and the table surface three times. The numbers were averaged and used for analysis. Increased distance signifies higher rounded shoulder posture severity
pain intensity level	up to eight weeks	Visual Analogue Scale (VAS) will be used to assess pain by Using a ruler, the score is determined by measuring the distance on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-10. A higher score indicates greater pain intensity.