Combined Effect of Biofeedback and Scapular Stabilization Exercises in Children With Swimmer's Shoulder
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- The Shoulder Pain and Disability Index (SPADI)
研究概览
简要总结
The purpose of this study is to investigate the combined effect of biofeedback and scapular stabilization exercises on swimmer's shoulder in pediatric elite swimmers.
详细描述
Swimmer's shoulder is the most common injury in swimmers and is defined as a painful syndrome that occurs mostly in the anterior region of the shoulder and results from repetitive impingement of the rotator cuff under the coracoacromial arch during the technical gesture of swimming.
Shoulder injuries have been reported in up to 90% of swimmers. The scapula is vital in shoulder function and abnormal scapulothoracic mechanics and scapula-humeral rhythm have been implicated in shoulder pathologies, including glenohumeral impingement and rotator cuff tears.
When weakness or dysfunction is present in the scapular musculature, normal scapular positioning and mechanics may become altered which result in abnormal stresses to the capsular structures, rotator cuff compression and reduced performance.
Knowledge of scapulothoracic movements is regarded as crucial in the development of preventative strategies and treatment programs in athletes with shoulder pathology.
Scapula upward rotation is the dominant scapula action throughout shoulder elevation and has been previously implicated in the development of impingement.
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
- None
入排标准
- 年龄范围
- 9 Years 至 13 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Both sexes form 9-13 years old and active in competitive swimming clubs
- •Swimming styles will be selected are butterfly and backstroke styles and the swimmers undergone an average minimum of 4 hours of swimming per week.
- •All pediatric swimmers have shoulder pain.
- •All of them are not allowed to practice swimming during study.
排除标准
- •Pediatric swimmers who practice any sport related to overhead activities.
- •Swimmers who had dermatological problems.
- •Past history of upper limb fractures or surgeries.
- •Swimmers who had any neurological condition (like winging scapula due to nerve damage).
- •Swimmers who had dorsal scoliosis (s or c shaped).
- •Swimmers who integrate in swimming competitions at the same time of study.
结局指标
主要结局
The Shoulder Pain and Disability Index (SPADI)
时间窗: 6 weeks
The SPADI uses a 10 cm visual analogue scale for each question, with anchors from "no pain/difficulty" to "worst pain imaginable/so difficult it required help." Pain (5 items) and disability (8 items) scores are calculated separately and converted to percentages: pain (/50), disability (/80), and total SPADI (/130). If questions are skipped, scores are divided by the total possible. The final score (0-100) reflects shoulder impairment, with higher scores indicating worse function. A change of at least 13 points is needed to be considered meaningful beyond measurement error.
次要结局
- Digital Inclinometer(6 weeks)
- Digital goniometer(6 weeks)
- Kibler's Test (Lateral Scapular Slide Test)(6 weeks)
研究者
Osama Ali Hamed Mohamed
Principal Investigator
Cairo University