Global Postural Reeducation and Segmental Exercises in Patients With Scapular Dyskinesis and Cervicalgia

Study Overview
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Brief Summary
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The purpose of this study is to assess the effectiveness of global postural reeducation relative to segmental exercises in the treatment of scapular dyskinesis with cervicalgia.

Detailed Description
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Purpose: To assess the effectiveness of global postural reeducation relative to segmental exercises in the treatment of scapular dyskinesis with cervicalgia. Methods: Participants with scapular dyskinesis and cervicalgia (n = 30) aged 18 to 65 years were randomly assigned to one of two groups: Global Postural Reeducation and Segmental Exercises(stretching and strengthening). Upper extremity was assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Function of the neck was estimated using the Neck Disability Index (NDI). Pain severity was measured using a Visual Analogical Scale. Health-related quality of life (HRQoL) was assessed using the Short Form (SF)-12. Assessments were conducted at baseline and after 10 weekly sessions (60 minutes each). Significance level was established at 5%.

Official Title
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Effectiveness of Global Postural Reeducation and Segmental Exercises on Function, Pain, and Quality of Life of Patients With Scapular Dyskinesis and Cervicalgia: A Randomized Clinical Study

Conditions
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Scapular Dyskinesis, Cervicalgia

Intervention / Treatment
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* Other: Global Postural Reeducation Group
* Other: Segmental Exercises Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Scapular Dyskinesis as per the SICK Scapula Rating Scale Chronic Cervicalgia (pain for at least three months) Exclusion Criteria: Cervical Stenosis Myelopathy Prolapsed Inter-Vertebral Disk (as confirmed by magnetic resonance imaging), Winged Scapula due to lesions of the long thoracic nerve or spinal accessory nerve, (as documented by electromyography)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Global Postural Reeducation Group<br>Global Postural Reeducation | Other: Global Postural Reeducation Group<br>* Sessions happened once a week for 10 weeks, lasting 60 minutes each and consisted in manual therapy maneuvers and global postural reeducation treatment.<br>* Other names: Stretching Exercises;|
| Active Comparator: Segmental Exercises Group<br>Segmental Exercises | Other: Segmental Exercises Group<br>* Sessions happened once a week for 10 weeks, lasting 60 minutes each and consisted in segmental exercises (stretching and strengthening) treatment.<br>* Other names: Stretching and Strengthening Exercises;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Function of the upper extremity | The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was used to measure function of the upper extremity, where 0 corresponded to no disability and 100 corresponded to most severe disability. | 10 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain severity | The Visual Analogical Scale (VAS) was used to measure pain, where the left extremity corresponded tono pain and the right extremity, corresponded tomaximum pain. | 10 weeks | 
| Health-related quality of life (HRQoL) | The HRQoL was assessed using the Short Form (SF)-12, the abbreviated version of the SF-36, whose score ranges from 0 to 100, and higher scores reflect better quality of life. | 10 weeks | 
| Function of the neck | The Neck Disability Index (NDI) was used to measure fuction of the neck, whose score ranges from 0 to 50: disability (0-5); mild disability (5-14); moderate disability (15-24); severe disability (25-34) and totally disabled (35-50). | 10 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Physical Therapy Modalities, Posture, Muscle Stretching Exercises, Dyskinesias, Neck pain