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IRCT20230125057229N1 IRCT 2023-02-17 Tehran University of Medical Sciences comparing the effect of therapeutic exercise in treatment of scapular dyskinesis Comparing the effect of kinetic chain and scapular proprioceptive neuromuscular facilitation exercise on pain, disability and shoulder performance of overhead athletes with scapular dyskinesia 2023-02-05 anticipated 22 Complete https://irct.ir/trial/68274 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Sampling method: Convenience non-probability sampling Randomization: Sealed Envelope, Blinding description: In this double-blind study, both the participants and the outcome assessors (responsible for data collection) are unware of the study group allocation. N/A scapular dyskinesis. 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.. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No decision has been taken yet, maybe it will be published later.
public Mehrnoosh Vaezi
Saa'dat abad kaj sq morvarid st 9th east av kamyar 17no
Tehran Iran (Islamic Republic of) 1998715954 +98 21 2237 3653 vi.mehrnoosh@gmail.com Tehran University of Medical Sciences scientific Mehrnoosh Vaezi
Saa'dat abad kaj sq morvarid st 9th east av kamyar 17no
Tehran Iran (Islamic Republic of) 1998715954 +98 21 2237 3653 vi.mehrnoosh@gmail.com Tehran University of Medical Sciences Iran (Islamic Republic of) 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 18 years 30 years Male 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 Treatment - Other 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. 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. 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. Tehran University of Medical Sciences Approved 2023-01-23 Ethics committee of Tehran University of Medical Sciences No. 9 , East Morvarid Ave. , kaj square , saadat abad Tehran Tehran Iran (Islamic Republic of)