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| ID | Type | Description | Link |
|---|---|---|---|
| SFRH/BD/140874/2018 | Other Grant/Funding Number | Fundação para a Ciência e Tecnologia (FCT), Portugal | |
| UIDB/05210/2020 | Other Grant/Funding Number | Fundação para a Ciência e Tecnologia (FCT), Portugal and the European Union (EU) |
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| Name | Class |
|---|---|
| School of Health of Polytechnic Institute of Porto | UNKNOWN |
| Center for Rehabilitation Research - Human Movement System (Re)habilitation Area | UNKNOWN |
| Universidade do Porto | OTHER |
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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.
The study only started after approval of the protocol
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Scapular Therapeutic Exercise Group | Experimental | Patients in this group will perform therapeutic exercises, recommended for subjects with shoulder pain and focusing the neuromuscular control, stretching and/or strengthening of the scapular muscles |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Experimental Scapular Therapeutic Exercise Group | Other | All subjects will perform a program of scapular therapeutic exercises including: neuromuscular control/strength - scapular therapeutic exercises that leads to, at least, moderate muscular activity levels; and stretching exercises. The intervention period will be of 8 weeks, considering in-person and/or home sessions. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in shoulder pain | The intensity of pain will be measured with a self-reported 11-point scale (Numerical Rating Pain Scale), with scores ranging from 0 (no pain) to 10 (maximum pain) | Baseline and one week after intervention |
| Change in shoulder function | Shoulder functional status will be measured with a self-reported 13 items scale (SPADI), which ranges from 0 (fully functional) to 100 (maximum degree of disability). | Baseline and one week after intervention |
| Change in scapular muscles activity levels | Scapular muscles activity levels, during shoulder analytical movements and during a functional task, will be recorded superficially by a wireless electromyographic signal detector system | Baseline and one week after intervention |
| Change in scapular muscles ratio | Ratio between scapular muscles activity levels, during shoulder analytical movements and during a functional task, will be calculated considered the superficially eletromyographic data measured by a wireless electromyographic signal detector system. | Baseline and one week after intervention |
| Change in kinematics | Scapular kinematics and scapulohumeral rhythm, during shoulder analytical movements and during a functional task, will be measured by inertial sensors and described in degrees (°) | Baseline and one week after intervention |
| Change in movement quality through time variables | Movement quality will be assessed considering time to peak acceleration and task completion time, calculated according to the data recorded with inertial sensors |
| Measure | Description | Time Frame |
|---|---|---|
| Change in muscle stiffness | Scapular muscles stiffness will be assessed by myotonometry (using a digital palpation device) | Baseline and one week after intervention |
| Change in pressure pain threshold |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ana Melo | Polytechnic Institute of Porto | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Rehabilitation Research, School of Health, Polytechnic of Porto | Porto | 4200 - 072 | Portugal |
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| Porto Biomechanics Laboratory |
| UNKNOWN |
| Center for Interdisciplinary Applied Research in Health, Health School of the Setubal, Polytechnic Institute | UNKNOWN |
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| Baseline and one week after intervention |
| Change in movement quality through trunk compensation | Movement quality will be also assessed considering the trunk motion, calculated according to the data recorded with inertial sensors | Baseline and one week after intervention |
| Change in movement quality through smoothness | Smoothness will be calculated by jerk logarithm of data recorded with inertial sensors | Baseline and one week after intervention |
An assessment point in the shoulder area will be assessed by the application of a mechanical pressure by an algometer
| Baseline and one week after intervention |
| Change in pain-related fear | Assessed with self-reported scales - Tampa Scale for Kinesiophobia, which ranges from 13 (best) to 52 (worst) | Baseline and one week after intervention |
| Change in pain catastrophization | Assessed with a self-reported scale - Pain Catastrophizing Scale, which ranges from 0 (better) to 52 (worst) | Baseline and one week after intervention |
| Self-impression of change | The patient's individual perspective about his/her condition and changes felt considering the intervention received will be assessed by a self-reported scale - Patient global impression of change scale, which range from 0 [no change (or condition has got worse)] to 7 (a great deal better, and a considerable improvement that has made all the difference) | One week after intervention |
| ID | Term |
|---|---|
| D020069 | Shoulder Pain |
| ID | Term |
|---|---|
| D018771 | Arthralgia |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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