Scapula Retraction Exercises in Subacromial Pain Syndrome

Not Applicable

Completed

• Conditions: Rotator Cuff Impingement Syndrome
• Interventions: Other: Exercise Intervention

• Registration Number: NCT04956757
• Lead Sponsor: Hacettepe University

Brief Summary

Scapula retraction exercises are often recommended as a part of the exercise programs. The primary aim of this study is to investigate the initial effect of the scapula retraction exercises on acromiohumeral distance (AHD) at varying shoulder abduction angles and to compare asymptomatic subjects. The secondary aim of this study is to investigate the effect of scapula retraction exercises on AHD values and symptoms (pain and disability) in patients with SPS.

Detailed Description

Subacmial pain syndrome (SPS) is a common cause of shoulder pain and dysfunction in the general population. Exercise interventions is thought as a primary choice in clinical settings. Scapula retraction exercises are commonly recommended as a part of the exercise programs. Applying scapula retraction exercises at varying shoulder abduction angles could restore balance between the scapulothoracic muscles. Since the scapulothoracic muscles dynamically control subacromial space, scapula retraction exercises could further help to maintain AHD during arm elevation.

The primary aim of this study is to investigate the initial effect of the scapula retraction exercises on acromiohumeral distance (AHD) at varying shoulder abduction angles and to compare asymptomatic subjects. The secondary aim of this study is to investigate the effect of scapula retraction exercises on AHD values and symptoms (pain and disability) in patients with SPS.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2021-06-29
• Study First Submitted QC: 2021-07-08
• Study First Posted: 2021-07-09
• Study Start: 2021-07-30
• Primary Completion: 2022-10-30
• Study Completion: 2023-06-17
• Status Verified: 2024-02
• Last Update Submitted: 2024-02-10
• Last Update Posted: 2024-02-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 42

Inclusion Criteria

Inclusion Criteria:

• aged between 18-45
• painful arc of movement during flexion or abduction;
• positive Neer or Kennedy-Hawkins impingement signs
• pain on resisted lateral rotation, abduction or empty can test.

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Exclusion Criteria

• previous shoulder surgery;
• shoulder pain reproduced by neck movement;
• clinical signs of full-thickness RC tears; or
• adhesive capsulitis.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention Group	Exercise Intervention	exercise program consists of progressive scapula retraction exercises will be applied three times a week total 24 sessions. Home exercise program will also advised two times a day.

Primary Outcome Measures

Name	Time	Method
Acromiohumeral Distance (AHD) measurement	Acromiohumeral distance values will be recorded at baseline and 8-week follow-up	Acromiohumeral Distance will be recorded at 0°, 30°, 45°, 60° and 90° of shoulder abduction, and while they are doing scapular retraction with resistive elastic band at each shoulder position. All assessment will be recorded at baseline and at the end of the eight week rehabilitation sessions

Secondary Outcome Measures

Name	Time	Method
pain severity	pain severity will be recorded at baseline and 8-week follow-up	pain severity will be assessed by using 100 millimeters Visual Analogue Scale at rest, at night and during activity.; All patients were asked to mark their pain level that corresponds to their pain intensity on the line between "0=no pain" and "100=the worst pain imaginable".
disability status	PADI Score will be recorded at baseline and 8-week follow-up	disability status will be assessed by using Shoulder Pain and Disability Index (SPADİ). All assessment will be recorded at baseline and at the end of the eight week treatment sessions.; The questionnaire is scored on a 100-point scale, where 0 represents "no disabilities" and 100 represents "extreme disabilities"

Trial Locations

Locations (1)

Hacettepe University, Faculty of Physical Therapy and Rehabilitation; 🇹🇷 Ankara, Turkey