Comparing the effect of kinetic chain and scapular proprioceptive neuromuscular facilitation exercise on pain, disability and shoulder performance of overhead athletes with scapular dyskinesia
Comparing the effect of kinetic chain and scapular proprioceptive neuromuscular facilitation exercise on pain, disability and shoulder performance of overhead athletes with scapular dyskinesia
Design
Double blind clinical trial with parallel groups with simple randomized method on 22 patients
Settings and conduct
Exercises are performed under the supervision of a researcher in a private clinic. The cases are randomly divided into two groups, both groups receive common exercises. In addition to common exercises, the first group received kinetic chain exercises and the second group received scapular PNF exercises in addition to common exercises.
Participants/Inclusion and exclusion criteria
inclusion criteria:
1) Overhead amateur male athlete
3) 18 to 30 years of age
4) Positive Lateral Scapular Slide Test
5) Shoulder pain during active Flex. & Abd. For at least 3 months with a score of at least 3 and at most 7 on the VAS
6) Absence of major cognitive disorders
7) Health of the lower limbs and no surgery in the trunk and lower limbs during the past year
exclusion criteria:
1) Other conditions that cause upper extremity pain
2) History of surgery, fracture and dislocation in the shoulder
3) Having a neck injury
4) BMI above 30
5) Has received physiotherapy in the last 6 months
6) Non-cooperation in carrying out treatment protocols
7) Absence of the person in two consecutive treatment sessions
8) Inability to complete the assessment steps before and after treatment
Intervention groups
Male amateur overhead athletes with scapular dyskinesia
Main outcome variables
Pain intensity
Flex/Abd Active ROM
Upper limb disability (DASH)
Distance of the best 2 throws out of 5 throws
Ratio of successful throws to overall throws
Scapular dyskinesia (LSST)
Reach distance in Upper quarter Y balance test
Reach distance in lower quarter Y balance test
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20230125057229N1
Registration date:2023-02-17, 1401/11/28
Registration timing:registered_while_recruiting
Last update:2023-02-17, 1401/11/28
Update count:0
Registration date
2023-02-17, 1401/11/28
Registrant information
Name
mehrnoosh vaezi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 2237 3653
Email address
vi.mehrnoosh@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-02-05, 1401/11/16
Expected recruitment end date
2023-06-06, 1402/03/16
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparing the effect of kinetic chain and scapular proprioceptive neuromuscular facilitation exercise on pain, disability and shoulder performance of overhead athletes with scapular dyskinesia
Public title
comparing the effect of therapeutic exercise in treatment of scapular dyskinesis
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Overhead amateur athletes
Males gender
18 to 30 years of age
Positive lateral scapular slide test
Shoulder pain during active Flexion & Abduction For at least 3 months with a score of at least 3 and at most 7 on the VAS.
Absence of major cognitive disorders (ability to answer basic quesqion)
Health of the lower limbs and no surgery in the trunk and lower limbs during the past year
Exclusion criteria:
Other conditions that cause upper extremity pain (eg, massive rotator cuff tears and long head of the biceps brachii, frozen shoulder, fibromyalgia, degenerative shoulder joint disorders and arthritis, disorders secondary to nerve damage)
History of surgery, fracture and dislocation in the shoulder
Having a neck and upper limb injury
BMI above 30 (due to high fat or muscle tissue and difficulty in detecting shoulder movements)
Has received physiotherapy in the last 6 months
Non-cooperation in carrying out treatment protocols
Absence of the person in two consecutive treatment sessions
Inability to complete the assessment steps before and after treatment
Taking sedatives, alcohol, drugs, etc. during the evaluation or treatment period
In this double-blind study, both the participants and the outcome assessors (responsible for data collection) are unware of the study group allocation.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Tehran University of Medical Sciences
Street address
No. 9 , East Morvarid Ave. , kaj square , saadat abad
City
Tehran
Province
Tehran
Postal code
1998715954
Approval date
2023-01-23, 1401/11/03
Ethics committee reference number
IR.TUMS.FNM.REC.1401.151
Health conditions studied
1
Description of health condition studied
scapular dyskinesis
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
Upper quarter Y balance test
Timepoint
the begining and end of the tratment period
Method of measurement
The reach is measured using a tape measure and presented as a percentage based on the length of the body.
Secondary outcomes
1
Description
Pain intensity، Flex/Abd Active ROM، Upper limb disability، Distance of the best 2 throws out of 5 throws، Ratio of successful throws to overall throws، Scapular dyskinesia، Reach distance in lower quarter Y balance test in Ant, PL, and PM directions
Timepoint
the begining and end of the treatment period
Method of measurement
VAS، Goniometer، DASH questionnaire، Single arm shot put test، Functional throwing performance index، Lateral Scapular Slide Test، Tape Measure
Intervention groups
1
Description
Intervention group: The first intervention group: they receive shoulder stabilization exercises with a flexibility and strengthening approach under the title of conventional shoulder dyskinesia treatment exercises along with kinetic chain exercises for 4 weeks 3 times a week (12 sessions). The second intervention group: they receive scapular stabilization exercises with a flexibility and strengthening approach under the title of common scapular dyskinesia therapeutic exercises along with scapular proprioceptive neuromuscular facilitation (PNF) exercises for 4 weeks 3 times a week (12 sessions). Shoulder stabilization exercises in both groups (common exercises): shoulder stabilization exercises with a flexibility approach including stretching the muscles of the pectoralis minor, levator scapula, latissimus dorsi and posterior capsule 3 sets each with 5 repetitions and shoulder stabilization exercises with a strengthening approach It includes strengthening exercises for the rotator cuff, trapezius and anterior serratus muscles, including Resisted shoulder internal/external rotation, Resisted full can and Serratus punch, 3 sets each with 10 repetitions in both PNF and Kinetic chain groups. Kinetic chain exercises: These exercises are performed in the first group and include sling exercises such as wall slides with squat, lawn mower with diagonal squat, robbery with squat, wall pushups with ipsilateral leg extension, resisted scapular retraction with contralateral one-leg squat, and resisted Shoulder internal/external rotation with step is done 3 sets with 10 repetitions each. PNF exercises: These exercises include Rhythmic initiation and Repeated stretch techniques with 10 repetitions in each session and 20 seconds of rest between them. Both techniques in all patterns (Anterior elevation-Posterior depression and Anterior depression-Posterior elevation) are performed on the affected shoulder.
Category
Treatment - Other
Recruitment centers
1
Recruitment center
Name of recruitment center
Dayani clinic
Full name of responsible person
Mohammadreza dayani
Street address
No. 75 , ASP builgings, southern Sheykh Bahayi
City
tehran
Province
Tehran
Postal code
1437773639
Phone
+98 21 8861 3954
Email
vi.mehrnoosh@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Akbar fotouhi
Street address
6th floor of Research and Technology Vice-Chancellor, Central Organization of the University, corner of Quds St, Keshavarz Blvd
City
Tehran
Province
Tehran
Postal code
1417614411
Phone
+98 21 8899 2970
Email
afotouhi@tums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Tehran University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Mehrnoosh Vaezi
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
Saa'dat abad kaj sq morvarid st 9th east av kamyar 17no
City
Tehran
Province
Tehran
Postal code
1998715954
Phone
+98 21 2237 3653
Fax
Email
vi.mehrnoosh@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Mehrnoosh Vaezi
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
Saa'dat abad kaj sq morvarid st 9th east av kamyar 17no
City
Tehran
Province
Tehran
Postal code
1998715954
Phone
+98 21 2237 3653
Fax
Email
vi.mehrnoosh@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Mehrnoosh Vaezi
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
Saa'dat abad kaj sq morvarid st 9th east av kamyar 17no
City
Tehran
Province
Tehran
Postal code
1998715954
Phone
+98 21 2237 3653
Fax
Email
vi.mehrnoosh@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available