Clinical trial NCT07001228: Scapular Dyskinesis With Impingement Syndrome
Official title: Diagnosis and Treatment of Scapular Dyskinesis Combined With Impingement Syndrome of Shoulder
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Scapular Dyskinesis
Impingement Syndrome, Shoulder
Lead sponsor: Chuncheon Sacred Heart Hospital
Sponsor class: OTHER
First posted: 2025-06-03
Enrollment: 360
Sex: ALL
Minimum age (years): 20
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This study involves patients who visited the outpatient clinic with unilateral shoulder pain persisting for more than three months and were diagnosed with unilateral shoulder impingement syndrome based on MRI findings. Only patients who provided informed consent were enrolled in the study.

A total of 320 patients with unilateral shoulder impingement syndrome from Chuncheon Sacred Heart Hospital were included. The participants were randomly assigned into two groups of 160 patients each. Both groups underwent rehabilitation for shoulder impingement syndrome; however, the control group (Group 1) did not receive rehabilitation for scapular dyskinesis, while the experimental group (Group 2) did receive rehabilitation targeting scapular dyskinesis.
Primary purpose: DIAGNOSTIC

Brief summary: The goal of this study is to diagnose scapular dyskinesis-which can appear as a cause or result of various shoulder disorders-through screening tests in patients with shoulder impingement syndrome, the most common shoulder condition. By identifying scapular dyskinesis, the study aims to maximize treatment outcomes through appropriate rehabilitative exercise therapy.


Eligibility criteria: 1. Inclusion Criteria

   Patients diagnosed with unilateral shoulder impingement syndrome in the outpatient clinic (based on clinical symptoms and MRI) from the IRB approval date until March 1, 2027

   Individuals who provided written informed consent after receiving a thorough explanation of the study prior to any procedures

   Age 20 years or older
2. Exclusion Criteria

Individuals who did not receive a subacromial steroid injection for shoulder impingement syndrome

Individuals with a history of surgical treatment or fracture in the affected shoulder

Individuals who refused to participate in the study

Individuals with neurological disorders affecting the ipsilateral upper extremity

Primary outcomes:
measure: visual analog pain scale (VAS)
timeFrame: Initial, 3, 7, 13 weeks
Secondary outcomes:
measure: American Shoulder and Elbow Surgeons' (ASES) score
timeFrame: Initial, 3, 7,13 weeks
measure: Constant score
timeFrame: Initial, 3, 7, 13 weeks
Other outcomes:
Locations:
city: Chuncheon
country: Korea, Republic of
facility: Hallym University Chuncheon Sacred Heart Hospital
state: Gangwon
Study officials:
affiliation: Hallym University Medical Center
name: Jung-Taek Hwang, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Park JY, Hwang JT, Oh KS, Kim SJ, Kim NR, Cha MJ. Revisit to scapular dyskinesis: three-dimensional wing computed tomography in prone position. J Shoulder Elbow Surg. 2014 Jun;23(6):821-8. doi: 10.1016/j.jse.2013.08.016. Epub 2013 Nov 23.
citation: Park JY, Hwang JT, Kim KM, Makkar D, Moon SG, Han KJ. How to assess scapular dyskinesis precisely: 3-dimensional wing computer tomography--a new diagnostic modality. J Shoulder Elbow Surg. 2013 Aug;22(8):1084-91. doi: 10.1016/j.jse.2012.10.046. Epub 2013 Jan 24.
citation: Kibler WB, McMullen J. Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg. 2003 Mar-Apr;11(2):142-51. doi: 10.5435/00124635-200303000-00008.
citation: Kibler WB, Ludewig PM, McClure P, Uhl TL, Sciascia A. Scapular Summit 2009: introduction. July 16, 2009, Lexington, Kentucky. J Orthop Sports Phys Ther. 2009 Nov;39(11):A1-A13. doi: 10.2519/jospt.2009.0303.