Pragmatic Set of Interventions Versus Scapular Strengthening Exercises on Scapular Dyskinesia in Adhesive Capsulitis

Riphah International University

Status: Enrolling

Conditions: Scapular Dyskinesis; Adhesive Capsulitis

Treatments: Other: pragmatic set of interventipons; Other: scapular strengthening exercise.

Study type: Interventional

Funder types: Other

Identifiers

NCT06110000

REC/RCR & AHS/23/0150

Details and patient eligibility

About

The aim of this study is to determine the Effects of pragmatic set of interventions versus scapular strengthening exercises on scapular dyskinesia in adhesive capsulitis.

Full description

Scapular dyskinesia (SD) is a term that describes a physical impairment in which the scapula's position and motion are altered.Symptoms of SD can be one or a combination of the anterior shoulder pain, Postero-superior scapular pain, superior shoulder pain, proximal lateral arm pain. scapular dyskinesia is commonly found in adhesive capsulitis patients. To determine the scapular dyskinesia with shoulder pain two tests that apply manual assistance to the scapula are lateral scapular slide test and wall push up test.

Pragmatic set of interventions are an important element in rehabilitation, and has improved the treatment of many musculoskeletal and neurological conditions. Scapular strengthening exercises, which aims to improve abnormal scapular movements that commonly occur in people with adhesive capsulitis.

The purpose of this study is to explore the effect of scapular focused exercises on the rehabilitation of adhesive capsulitis, patient with scapular dyskinesia. The importance of scapular rehabilitation in the treatment of scapular dyskinesia and to examine the comparative effect of pragmatic set of intervention with scapular strengthening protocol on scapular dyskinesia.

My study on the effect of a pragmatic set of intervention versus scapular strengthening exercises on scapular dyskinesia in adhesive capsulitis is important because it addresses a gap in the current literature. While both interventions have been shown to improve scapular dyskinesia in patients with adhesive capsulitis, there is a lack of studies comparing the two methods. My study will help determine which intervention is more effective in treating scapular dyskinesia, which will be valuable information for healthcare providers working with patients with adhesive capsulitis

Enrollment: 40 estimated patients

Sex: All

Ages: 25 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Both male and females with age range b/w 25-45
• People with adhesive capsulitis (having pain, stiffness, and decrease movements of - external rotation, forward flexion and abduction)
• Scapular dyskinesia (positive lateral scapular slide with difference of 1.5cm when measurements are compared bilaterally)

Exclusion criteria

• History of shoulder surgery or other significant shoulder injury, neurological or musculoskeletal conditions that may affect shoulder function.
• History of significant medical conditions (e.g., heart disease, cancer) that may affect their ability to participate in the study.
• Pregnant or breast feeder, as the exercise program may not be safe or appropriate for them.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups, including a placebo group

pragmatic set of interventions

Experimental group

Description:

The pragmatic set included 6 interventions as follows. 1. Pragmatic posterior capsular stretch (PPCS) 2. Serratus anterior stretch (SAS) 3. Rotator cuff facilitation (RCF) 4. Acromioclavicular joint mobilization 5. Pectoralis minor stretch 6. Thoracic manipulation

Treatment:

Other: pragmatic set of interventipons

scapular strengthening exercises

Placebo Comparator group

Description:

Scapular strengthening exercises will be individualised focusing on Serratus anterior, trapezius, Levator scapulae, Rhomboids. Serratus anterior; * Dynamic hug * Scaption with external rotation * Diagonal PNF (shoulder flexion, horizontal flexion, external rotation), Trapezius - Upper trapezius: * Unilateral shoulder shrug, * Rowing, * Forward shoulder flexion, * Shoulder abduction in scapular plane above 120 degrees. Middle trapezius: * Prone shoulder horizontal abduction * Scaption, horizontal abduction with external rotation Lower trapezius: * Unilateral scapular retraction, * Prone bilateral shoulder external rotation at 90 degrees of abduction, * Prone shoulder abduction. Levator Scapulae: * Horizontal abduction with shrug, * Horizontal abduction with ER, * Prone shoulder extension. Rhomboids: * ER at 90° of abduction, * ER at 0° of abduction, * Horizontal abduction, * Shoulder extension,

Treatment:

Other: scapular strengthening exercise.