Scapular and Upper Limb Proprioceptive Neuromuscular Facilitation Techniques in Stroke With Scapular Dyskinesia.

Riphah International University

Status: Enrolling

Conditions: Scapular Dyskinesis

Treatments: Other: Conventional treatment; Other: Scapular PNF

Study type: Interventional

Funder types: Other

Identifiers

NCT07148466

Aqsa Fayyaz

Details and patient eligibility

About

This study aims to fill this gap by investigating the effects of scapular and upper limb proprioceptive neuromuscular facilitation techniques on shoulder pain, upper limb function & gait in stroke with scapular dyskinesia. This study is a randomized control trial that includes 44 patients which were randomly divided into two groups each containing 22 participants. Experimental group will receive scapular PNF coupled with upper limb PNF and conventional physiotherapy treatment and Control group will receive only Conventional treatment.

Full description

Stroke is one of the major causes of disability, cognitive decline, and mortality worldwide. This condition is recognized as the second leading cause of disability and the third leading cause of death. Scapular dyskinesia (SD) refers to the abnormal movement and function of scapula .Changes in scapular kinematics can result from altered scapular recruitment patterns , muscles performance issues and flexibility deficits in the surrounding soft tissues which may restrict normal scapular movements during daily activities.

Physical therapy is crucial for rehabilitating scapular disorders. The goal of therapeutic intervention is to restore the normal position, movement, and strength of the scapula. Specific exercises are designed to target the scapular stabilizing muscles. Proprioceptive Neuromuscular Facilitation (PNF) is a neurological technique used in therapeutic exercise that integrates functionally based diagonal movement patterns with neuromuscular facilitation techniques. This approach aims to elicit motor responses and enhance neuromuscular control and performance. This study aims to fill this gap by investigating the effects of scapular and upper limb proprioceptive neuromuscular facilitation techniques on shoulder pain, upper limb function & gait in stroke with scapular dyskinesia.

Enrollment: 44 estimated patients

Sex: All

Ages: 40 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • Sub-acute

  • MCA
  • Age bracket 40-65 years.
  • Gender Male or Female.
  • Gait baseline score (DGI less than 19)
  • Patients with spasticity between grades (+1 and 1) on the Modified Ashworth Scale (MAS).

Exclusion criteria

• • Inability to communicate/understand instructions.

  • Stroke with other neurological conditions.
  • Patient with any other psychological and medical condition.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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44 participants in 2 patient groups

GROUP 1

Experimental group

Description:

scapular PNF coupled with upper limb PNF and conventional physiotherapy treatment.

Treatment:

Other: Scapular PNF

GROUP 2

Active Comparator group

Description:

Conventional treatment

Treatment:

Other: Conventional treatment