Scapular Upward Rotation Exercises for Subjects With Deperessed Scapular Alignment

Study Overview
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Brief Summary
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It was hypothesized that: There is no statistical significant effects of a scapular vupward rotation exercise (SURE) on scapular alignment in subjects with scapular downward rotation syndrome (SDRS). There is no statistical significant effects a scapular upward rotation exercise (SURE) on mechanosensitivity of the upper limb peripheral nervous system in a depressed scapular alignment subjects. There is no statistical significant effects a scapular upward rotation exercise (SURE) on pressure Pain Threshold in a depressed scapular alignment subjects. There is no statistical significant effects a scapular upward rotation exercise (SURE)on Strenght Duration Curve measurement in a depressed scapular alignment subjects.

Detailed Description
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This study was conducted to investigate the effects of scapular upward rotation exercises on strength duration curve and pressure pain threshold (PPT) in subjects with scapular downward rotation syndrome. Thirty subjects with age range of 18 to 30 years with scapular downward rotation were recruited in this study. Thirty subjects of both gender with scapular downward rotation were recruited in this study. All recruited subjects were examined to exclude defined pathological conditions. All subjects were assessed by screening examination for downward rotation of scapula. Pressure pain threshold was measured using pressure algometer. Mechanosensitivity of neural tissue was measured using neurodynamic test. Pain was measured using strength-duration (SD) curve. Treatment program consisted of 3 sessions/week, for 6 weeks. All measurements were taken pre and post the treatment period.

Official Title
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Effect of Scapular Upward Rotation Exercises on Neural Tissue Mechanosensitivity in Subjects With Deperessed Scapular Alignment

Conditions
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Scapular Dyskinesis

Intervention / Treatment
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* Other: Upward rotation exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: University population were screened for subjects with scapular downward rotation, those who met the following criteria was recruited in this study. The inclusion criteria for subject selection in this study was based on the literature (Caldwell et al., 2007; Ha et al., 2011) which included: The scapula was downwardly rotated by visual appraisal.We examined the root of spine of scapulae (superior angle) and inferior angle of scapulae. If scapulae was downwardly rotated, inferior angle closer to spine than root of spine of scapulae (superior angle). The clavicle appeared to be horizontal or the acromioclavicular joint was lower than the sternoclavicular joint by visual appraisal. The vertebral borders of the scapula was less than 3 inches from the spine by tape measure. Exclusion Criteria: Subject who has any of the following criteria was excluded from the study: Subjects with cervical spinal fractures. Neck-rotation ROM of <20º. Radiating pain to an upper extremity. Scoliosis. Leg length discrepancy. A history of unresolved cancer. Diabetes Miletus. Polyneuropathy. Myofascial Pain Syndrome. Fibromyalgia.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 30 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
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: one group<br>The treatment program consisted of upward rotation exercises for 3 sessions/week, for 6 weeks. | Other: Upward rotation exercise<br>* Treatment for correction of depressed scapular Alignment by exercise ( Upward Rotation Exercises) for 6 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neural excitability | Neural excitability measured by Strenght-duration cruve. | Strenght-duration curve for neural excitability is measured before starting the treatment.Strenght-duration is measured after application of 6 weeks treatment program. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pressure pain threshold | Pressure pain threshold was measured using pressure algometer. | All measurements were taken pre and post the treatment period (6 weeks). | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Neural tissue mechanosensitivity, Depressed Scapular Alignment, Scapular upward rotation exercises