Clinical trial NCT05814978: Effects of Scapular Therapeutic Exercise on Essential Biomechanical and Neurophysiological Parameters in Shoulder Pain Conditions With Scapular Impairments
Official title: Effects of Scapular Therapeutic Exercise on Essential Biomechanical and Neurophysiological Parameters in Shoulder Pain Conditions With Scapular Impairments
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Shoulder Pain
Keywords: Shoulder pain
Scapular muscles
Scapular kinematics
Therapeutic exercise
Lead sponsor: Polytechnic Institute of Porto
Sponsor class: OTHER
Collaborators: name: School of Health of Polytechnic Institute of Porto
name: Center for Rehabilitation Research - Human Movement System (Re)habilitation Area
name: Universidade do Porto
name: Porto Biomechanics Laboratory
name: Center for Interdisciplinary Applied Research in Health, Health School of the Setubal, Polytechnic Institute
First posted: 2023-04-18
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: Shoulder pain is a prevalent and recurrent condition. After a period of shoulder pain, some adaptations could be found, as in scapular muscles and kinematics and/or in nervous system.

It seems important to assess several biomechanical and neurophysiological outcomes to better characterize shoulder pain conditions and to program an intervention plane.

Therapeutic exercise is one of the treatments used for shoulder pain, however there are still doubts and controversial findings regarding exercise focusing the scapular musculature. Thus, the present study aims to assess the effects of an intervention protocol based on scapular therapeutic exercise.

Detailed description: The study only started after approval of the protocol

Eligibility criteria: Inclusion Criteria:

* 18 to 65 years old
* Chronic (more than 3 months), continuously or intermittently, non-specific or associated with a diagnostic (except if mentioned in the exclusion criteria) shoulder pain of, at least, moderate intensity
* Presenting scapular alterations as scapular dyskinesis (identified at rest or during motion)

Exclusion Criteria:

* History of shoulder fracture, dislocation, tears, infection or neoplasm
* Shoulder surgery
* Cervical and/or thoracic pathologies or pain associated with active movements of these regions
* Neurological disease
* Body mass index out of the range 18,5-30 kg/m2 and muscular skinfold higher than 20mm
* Inability to perform the exercises
* Current practice of competitive/high-level exercise/sport focusing the upper limb

Primary outcomes:
measure: Change in shoulder pain
timeFrame: Baseline and one week after intervention
measure: Change in shoulder function
timeFrame: Baseline and one week after intervention
measure: Change in scapular muscles activity levels
timeFrame: Baseline and one week after intervention
measure: Change in scapular muscles ratio
timeFrame: Baseline and one week after intervention
measure: Change in kinematics
timeFrame: Baseline and one week after intervention
measure: Change in movement quality through time variables
timeFrame: Baseline and one week after intervention
measure: Change in movement quality through trunk compensation
timeFrame: Baseline and one week after intervention
measure: Change in movement quality through smoothness
timeFrame: Baseline and one week after intervention
Secondary outcomes:
measure: Change in muscle stiffness
timeFrame: Baseline and one week after intervention
measure: Change in pressure pain threshold
timeFrame: Baseline and one week after intervention
measure: Change in pain-related fear
timeFrame: Baseline and one week after intervention
measure: Change in pain catastrophization
timeFrame: Baseline and one week after intervention
measure: Self-impression of change
timeFrame: One week after intervention
Other outcomes:
Locations:
city: Porto
country: Portugal
facility: Center for Rehabilitation Research, School of Health, Polytechnic of Porto
Study officials:
affiliation: Polytechnic Institute of Porto
name: Ana Melo
role: PRINCIPAL_INVESTIGATOR
References: