Clinical trial NCT03528499: Scapular Movement Training Versus General Exercises for Individuals With Shoulder Pain
Official title: Scapular Movement Training Versus General Exercises for Individuals With Shoulder Pain: Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Shoulder Pain
Musculoskeletal Disease
Joint Disease
Shoulder Injury
Keywords: Scapula
Physical Therapy
Movement
Rehabilitation
Lead sponsor: Universidade Federal de Sao Carlos
Sponsor class: OTHER
First posted: 2018-05-17
Enrollment: 64
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Interventions focused on the scapula have been frequently used to treat shoulder pain. However, most studies do not assess the contribution of scapular movement alteration for the symptoms.

Objectives: To compare the effects of two interventions for shoulder pain: Scapular Movement Training and General Exercises.

Detailed description: This is a double-blinded randomized controlled trial. Sixty-four subjects with shoulder pain, scapular dyskinesis, and positive scapular assistance test will be randomized in two groups: 1) Scapular Movement Training, and 2) General Exercises. The Scapular Movement Training Group will receive the orientation about proper scapular position and movement, and will be trained to modify the scapular movement pattern. The General Exercises Group will perform scapulothoracic stretching and strengthening exercises.

Both groups will be treated twice a week for eight weeks. The following outcomes will be collected at baseline and follow-up: scapular kinematics, electromyographic muscle activity of the upper, middle and lower trapezius, and serratus anterior, as well as pain intensity, function, and fear avoidance beliefs. Also, pain intensity, function, and fear-avoidance beliefs will be assessed at the fourth week of follow-up after the end of treatment's period.

Eligibility criteria: Inclusion Criteria:

* Shoulder pain intensity ≥ 3 points on Numerical Rating Scale;
* Shoulder pain lasting ≥ 3 months;
* Scapular dyskinesis;
* Positive Scapular Assistance Test;
* Arm elevation ≥ 150°;

Exclusion Criteria:

* Body Mass index \> 28Kg/m
* History of humerus, clavicle and scapula fracture and/or surgery;
* History of rotator cuff surgery or tears, shoulder dislocation, and instability;
* Frozen Shoulder;
* Neurological or systemic disease which may alter the muscle strength and sensibility;
* Positive Upper Limb Tension Test and/or Spurling's test
* Pregnancy;
* Physical therapy within 6 months;
* Corticosteroid injection within 3 months
* Transpore tape allergy;

Primary outcomes:
measure: Change in Three-Dimensional Scapular Kinematics from baseline to 8 weeks.
timeFrame: Pre (baseline) and post Treatment (8 weeks)
Secondary outcomes:
measure: Change in Muscle activity from baseline to 8 weeks.
timeFrame: Pre (baseline) and post Treatment (8 weeks)
measure: Change in Pain from baseline to follow-up.
timeFrame: Pre (baseline), 4 weeks, post Treatment (8 weeks), and follow-up (4 weeks after treatment )
measure: Change in Function from baseline to follow-up.
timeFrame: Pre (baseline), 4 weeks, post Treatment (8 weeks), and follow-up (4 weeks after treatment )
measure: Change in Fear-Avoidance Beliefs from baseline to follow-up.
timeFrame: Pre (baseline), 4 weeks, post Treatment (8 weeks), and follow-up (4 weeks after treatment )
measure: Change in Overall improvement of Symptoms from baseline to follow-up.
timeFrame: Pre (baseline), 4 weeks, post Treatment (8 weeks), and follow-up (4 weeks after treatment )
measure: Change in Kinesiophobia from baseline to follow-up
timeFrame: Pre (baseline), 4 weeks, post Treatment (8 weeks), and follow-up (4 weeks after treatment )
Other outcomes:
Locations:
city: São Carlos
country: Brazil
facility: Universidade Federal de São Carlos
state: São Paulo
Study officials:
affiliation: Universidade Federal de Sao Carlos
name: Paula Camargo, PhD
role: STUDY_DIRECTOR
References:
citation: Kamonseki DH, Haik MN, Ribeiro LP, Almeida RF, Camargo PR. Scapular movement training is not superior to standardized exercises in the treatment of individuals with chronic shoulder pain and scapular dyskinesis: randomized controlled trial. Disabil Rehabil. 2023 Sep;45(18):2925-2935. doi: 10.1080/09638288.2022.2114552. Epub 2022 Aug 24.
citation: Kamonseki DH, Haik MN, Camargo PR. Scapular movement training versus standardized exercises for individuals with chronic shoulder pain: protocol for a randomized controlled trial. Braz J Phys Ther. 2021 Mar-Apr;25(2):221-229. doi: 10.1016/j.bjpt.2020.08.001. Epub 2020 Aug 18.