Scapular Stabilization vs Functional Exercises on Chronic Neck Pain
Condition: Neck Pain
MeSH terms: Neck Pain
Study type: Interventional

Summary: 
      This project is a Randomized clinical trial, will be conducted to check the comparative
      effects of scapular stabilization versus scapular functional exercises in patients with
      chronic neck pain. Study duration will be of 8 months, convenient sampling will be done,
      subject following eligibility criteria from Amina Physical therapy and rehab Centre Lahore,
      will be randomly allocated in two groups, baseline assessment will be done, Group A
      participants will be given baseline treatment along with scapular stabilization exercises,
      Group B participants will be given baseline treatment along with scapular functional
      exercises. Assessment will be done in 4th week and 8th week via, Visual analogue scale for
      neck pain, Function of neck will be assessed by Neck disability index and inclinometer
      measurements of cervical ranges,3 sessions per week will be given, data will be analyzed by
      using SPSS version 21.
    

Detailed description: 
      In recent years musculoskeletal related problems are the leading cause of discomfort in
      people worldwide. Chronic neck pain is among the most commonly reported problems to
      physicians. Even before reporting to clinics there is long history of using over the counter
      pain killers. For the duration of rehabilitation in patients who are suffering from chronic
      neck pain, exercising has been considered one of the maximum proof-based modalities.
      Rehabilitation exercises that aim to return functionality of the scapular muscles are deemed
      necessary to render a successful result on chronic neck pain. In previous researches no one
      explains the specific treatment protocol in scapular exercises. The current study has
      compared the effects of scapular stabilization exercises and scapular functional exercises
      protocol and also compare which is more effective for chronic neck pain.
    

Intervention name(s): Scapular stabilization exercises; Scapular functional exercises
Intervention type(s): Other; Other
Intervention description(s): In Scapular stabilization exercise, following treatment protocol will involve.
In supine position, for the relaxation of body, patient will take a deep breath.
In sitting position, patient will sit on the chair, placed both feet on the floor while bending knee at 90 degree. After this patient will raise his hand overhead with 90 degree flexion and elbow extension and also perform scapular retraction. (10 sec hold, 10 reps, 20 sec break).
In quadrupled position with 120 degree flexion and shoulder abduction patient will lifted his hands. (10 sec hold, 10 reps, 20 sec break) TYI exercises will be administered
T shape: Place both arms horizontal with thumbs up. (10 times, 5 sec hold, 3 sets)
Y-shape: In prone lying place arms in 45 degree. (10 times, 5 sec hold, 3 sets)
I-shape: In prone position patients will place his both arms overhead. (10 times, 5 sec hold, 3 sets).
These above exercises will perform 3 times a week for eight weeks.; In Scapular functional exercises, following treatment protocol will involve
Press-up (in a chair).
Push-up plus, Grade 1, in oblique position exercise will be performed with the support of a table. After progression perform this in horizontal plane.
Lateral pull down
Horizontal pull apart
Prone flexion: in prone position on plinth. Both arms placed overhead, and then raise arms towards ceiling.
Prone rows: in prone position, with elbow straight, slowly raise arms towards ceiling while bending the elbows.
These all above exercises will perform by holding dumbbells in hands (20RM at first week, 10RM at last week) with 3 sets, 3 times a week for eight weeks.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Neck pain; Scapular exercises; Range of motion; Disability