Clinical trial NCT06943131: YWTL Exercises and Close Kinetic Chain Exercises in Children With Scapular Dyskinesis.
Official title: Comparison of YWTL Exercises and Closed Kinetic Chain Exercises on Shoulder Pain, Disability, Upper Limb Mobility and Posture in Children With Scapular Dyskinesis.
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Scapular Dyskinesis
Keywords: Scapular Dyskinesis, Scapulohumeral YWTL Exercises.
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-04-24
Enrollment: 22
Sex: ALL
Minimum age (years): 9
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: A randomized clinical trial will be performed, in which 22 children with scapular dyskinesis with age 9 to 12 years will be taken after screening and meeting inclusion criteria. children will be divided into 2 groups. group 1 will receive YWTL exercises for alternating 3 days a week. Group 2 will receive closed kinetic chain exercises for alternating 3 days a week. Pre values were taken at 1st week and then post values of intervention will be taken after 6th week of intervention to measure the effect of both therapies.
Primary purpose: OTHER

Brief summary: Scapular dyskinesia is defined by abnormal movement or placement of the scapula, the shoulder blade, during arm movements. Physical treatment aimed at regaining appropriate scapular mechanics through strengthening exercises, postural correction, and functional movement training is typically part of management. A randomized clinical trial will be conducted. The study will be conducted at Unique school and on school going children in a total duration of 10 months. Sample size will be 22.There will be two study groups. A convenient sampling technique will be used. The sample which will have following characteristics will be included children with age group 9 to 12 years, positive scapular test, positive scapular assistance test, athletes who practice one hour three days a week. The sample with the following characteristics will be excluded. Any muscular or joint deformity, scoliosis, shoulder dislocation. The tools that will be included in the study are modified lateral scapular test, shoulder flexion test, shoulder and pain disability index, upper extremity functional use scale, posture and posture assessment scale, shoulder and scapular ranges.

Detailed description: Scapular dyskinesia is defined by abnormal movement or placement of the scapula, the shoulder blade, during arm movements. Changes in scapular kinematics, such as tipping (forward or backward tilting), winging (medial border protrusion), or general prominence during shoulder movements, are usually involved. Physical treatment aimed at regaining appropriate scapular mechanics through strengthening exercises, postural correction, and functional movement training is typically part of management. From the shoulders to the hands, proper upper limb posture is essential for both biomechanical effectiveness and the avoidance of injuries when performing tasks. In addition to maximizing mobility for daily tasks, work, sports, and leisure activities, proper posture relieves tension on muscles and joints, assuring effective performance and lowering the chance of injury. A randomized clinical trial will be conducted. The study will be conducted at Unique School Wapda Town and The Punjab School in a total duration of 10 months. Sample size will be 22.

There will be two study groups. A convenient sampling technique will be used. The sample which will have following characteristics will be included children with age group 9 to 12 years, positive scapular test, positive scapular assistance test, normal shoulder ranges, normal scapular ranges, athletes who practice one hour three days a week. The sample with the following characteristics will be excluded. Any muscular or joint deformity, scoliosis, shoulder dislocation, previous surgery of shoulder and cervicobrachialgia. The tools that will be included in the study are modified lateral scapular test, scapular dyskinesis test, shoulder flexion test, scapular assistance test, shoulder and pain disability index, upper extremity functional use scale, posture and posture assessment scale, shoulder and scapular ranges. SPSS version 27 will be used for data analysis.

Eligibility criteria: Inclusion Criteria:

Children with an age group of 9 to 12 years.

* Both genders.
* Engage in overhead sports.
* Minimum play time is 1 hour 3 times in a week.
* Positive Modified lateral scapular test
* Positive scapular dyskinesis shoulder flexion test
* Positive scapular assistance test
* Shoulder and pain disabilty index (score 1 to 20 )
* Upper extremity functional use scale (score 60 to 80).

Exclusion Criteria:

Any muscular or joint deformity.

* Scoliosis.
* Shoulder dislocation
* Post fracture.
* Neurological deficits
* Cervicobrachialgia

Primary outcomes:
measure: modified lateral scapular test
timeFrame: pre reading(1st week) post reading (6th week)
measure: scapular dyskinesis test
timeFrame: pre reading(1st week) post reading (6th week)
measure: shoulder flexion test
timeFrame: pre reading(1st week) post reading (6th week)
measure: scapular assistance test
timeFrame: pre reading(1st week) post reading (6th week)
measure: shoulder and pain disability index
timeFrame: pre reading(1st week) post reading (6th week)
measure: upper extremity functional use scale
timeFrame: pre reading(1st week) post reading (6th week)
measure: posture and posture assessment scale
timeFrame: pre reading(1st week) , post reading (6th week)
measure: shoulder ranges
timeFrame: pre reading(1st week) , post reading (6th week)
measure: scapular ranges
timeFrame: pre reading(1st week), post reading (6th week)
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Mishal Farwa
state: Punjab
Study officials:
affiliation: Riphah International University
name: Mishal Farwa, MS-PT
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Otoshi K, Kikuchi S, Kato K, Sato R, Igari T, Kaga T, Konno S. The prevalence of scapular malalignment in elementally school aged baseball player and its association to shoulder disorder. J Orthop Sci. 2018 Nov;23(6):942-947. doi: 10.1016/j.jos.2018.07.006. Epub 2018 Aug 4.
citation: 4. Mahale A, Bisen R, Kalra K. Prevalence of Scapular Dyskinesia in Elite Badminton Players in Pune. International Journal of Health Sciences and Research. 2020;10(11):127-34.
citation: Joseph R, Alenabi T, Lulic T, Dickerson CR. Activation of Supraspinatus and Infraspinatus Partitions and Periscapular Musculature During Rehabilitative Elastic Resistance Exercises. Am J Phys Med Rehabil. 2019 May;98(5):407-415. doi: 10.1097/PHM.0000000000001116.
citation: Gianakos AL, Abdelmoneim A, Kerkhoffs G, Mulcahey MK. Rehabilitation and Return to Sport of Female Athletes. Arthrosc Sports Med Rehabil. 2022 Jan 28;4(1):e247-e253. doi: 10.1016/j.asmr.2021.09.040. eCollection 2022 Jan.