Effects of Neuromuscular Electrostimulation on Scapular Stability

Study Overview
=================
Brief Summary
-----------------
Injuries and shoulder pain are common problems in handball, more often among female athletes. The impact on performance and participation shows the need to work on the risk factors to minimize the damage. It has been found an association between scapular dysfunction and pain in the shoulder. Currently there are many exercise programs, but few with electrotherapy implemented. The aim of the study is to assess the effect of a therapeutic physical exercise program for scapulo-humeral stabilitation with and without electrotherapy on scapular stability, glenohumeral internal rotation and external rotation strength.

Official Title
-----------------
Effects of Neuromuscular Electrical Stimulation (NMES) Plus Therapeutic Exercise Combination on Scapular Stability in Female Professional Handball Players With Scapular Dyskinesia

Conditions
-----------------
Adult Female Handball Player

Intervention / Treatment
-----------------
* Other: Therapeutic physical exercise program for scapulo-humeral stabilitation
* Other: Therapeutic physical exercise program for scapulo-humeral stabilitation + electrostimulation


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: To have more than 18 YO To be female To do at least 5 hour of sport training per week in last two years To be part of federated club that allows them in their weekly practice to participate in recreational matches or small local championship during weekends. To have scapular diskinesis by McClure scale Exclusion Criteria: To have an actual injury To have an history of injury in last 12 months To take drugs that can affect to control motor. To be part or participate in a control motor program or specific prevention program To have a recent surgery in last year in upper or back. A score below 45 points on the Personal Psychological Apprehension Scale.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Two groups. Experimental group realizes a therapeutic physical exercise program for scapulo-humeral stabilitation, and the other group (control group) the same program with electrostimulation. The programme consisted of a two-part sequence of isometric prone push-up, being it an optimal position for periscapular stability exercises.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Therapeutic physical exercise program for scapulo-humeral stabilitation<br>Therapeutic physical exercise program for scapulo-humeral stabilitation | Other: Therapeutic physical exercise program for scapulo-humeral stabilitation<br>* This group realize a therapeutic physical exercise program for scapulo-humeral stabilitation during a month<br>|
| Active Comparator: Therapeutic physical exercise program for scapulo-humeral stabilitation + Electrostimulation<br>Therapeutic physical exercise program for scapulo-humeral stabilitation + Electrostimulation | Other: Therapeutic physical exercise program for scapulo-humeral stabilitation + electrostimulation<br>* This group realize a therapeutic physical exercise program for scapulo-humeral stabilitation added electrostimulation during a month<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Scapular Static Positioning Assessment: Upper distance | cm | Changes from baseline after a month | 
| Scapular Static Positioning Assessment: Lower distance | cm | Changes from baseline after a month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| RI Range of movement | Degrees | Changes from baseline after a month | 
| External rotation strenght | kg | Changes from baseline after a month | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Electric Stimulation Therapy, Resistance training, Overhead sports, Risk factors, Scapular anomalies