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This project is a Randomized clinical trial, will be conducted to check the comparative effects of scapular stabilization versus scapular functional exercises in patients with chronic neck pain. Study duration will be of 8 months, convenient sampling will be done, subject following eligibility criteria from Amina Physical therapy and rehab Centre Lahore, will be randomly allocated in two groups, baseline assessment will be done, Group A participants will be given baseline treatment along with scapular stabilization exercises, Group B participants will be given baseline treatment along with scapular functional exercises. Assessment will be done in 4th week and 8th week via, Visual analogue scale for neck pain, Function of neck will be assessed by Neck disability index and inclinometer measurements of cervical ranges,3 sessions per week will be given, data will be analyzed by using SPSS version 21.
In recent years musculoskeletal related problems are the leading cause of discomfort in people worldwide. Chronic neck pain is among the most commonly reported problems to physicians. Even before reporting to clinics there is long history of using over the counter pain killers. For the duration of rehabilitation in patients who are suffering from chronic neck pain, exercising has been considered one of the maximum proof-based modalities. Rehabilitation exercises that aim to return functionality of the scapular muscles are deemed necessary to render a successful result on chronic neck pain. In previous researches no one explains the specific treatment protocol in scapular exercises. The current study has compared the effects of scapular stabilization exercises and scapular functional exercises protocol and also compare which is more effective for chronic neck pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Scapular stabilization exercises | Experimental | Scapular stabilization exercises |
|
| Scapular functional exercises | Active Comparator | Scapular functional exercises |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Scapular stabilization exercises | Other | In Scapular stabilization exercise, following treatment protocol will involve.
These above exercises will perform 3 times a week for eight weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| VAS | This VAS will be used in this study to measure Pain. Patients will be instructed to assess the severity of neck pain experienced last week on a 0-10 cm horizontal line (0 = painless and 10 = worst pain imaginable). | 8th Week |
| NDI | NDI will be used to measure function of neck. Neck disability index is the first tool to measure the self-reported disability in patients with neck pain. Total score of NDI is 50 and ranges are defined on the level of disability. | 8th Week |
| Inclinometer | Cervical spine range of motion will be assessed by inclinometer. It consists of a circular, fluid-filled disk with a bubble that indicates the number of degrees on the scale of protractor. Bubble inclinometer showed good intrarater and interrater reliability with intraclass Correlation Coefficient | 8th Week |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Syed Shakil ur Rehman | Riphah International University, Lahore, Pakistan | Principal Investigator |
| Noor Ul Huda | Riphah International University, Lahore, Pakistan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Amina Physical Therapy and Rehab Centre, Lahore, Pakistan | Lahore | Punjab Province | 54000 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36642710 | Background | Abichandani D, Ting JTY, Cancino EE, Althobaiti S, Falla D. Measures of neck muscle strength and their measurement properties in adults with chronic neck pain-a systematic review. Syst Rev. 2023 Jan 16;12(1):6. doi: 10.1186/s13643-022-02162-5. | |
| 35248285 | Background | Fatima A, Veqar Z, Zaidi S, Tanwar T. Effects of scapular stabilization and upper limb proprioception as an adjunct to cervical stabilization in chronic neck pain patients: A randomized controlled trial. J Bodyw Mov Ther. 2022 Jan;29:291-301. doi: 10.1016/j.jbmt.2021.10.016. Epub 2021 Nov 1. |
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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|
| Scapular functional exercises | Other | In Scapular functional exercises, following treatment protocol will involve
These all above exercises will perform by holding dumbbells in hands (20RM at first week, 10RM at last week) with 3 sets, 3 times a week for eight weeks. |
|
| 31668049 | Background | Seo YG, Park WH, Lee CS, Kang KC, Min KB, Lee SM, Yoo JC. Is Scapular Stabilization Exercise Effective for Managing Nonspecific Chronic Neck Pain?: A Systematic Review. Asian Spine J. 2020 Feb;14(1):122-129. doi: 10.31616/asj.2019.0055. Epub 2019 Nov 1. |
| Background | Raju AS, Apparao P, Swamy G, Chaturvadi P, Mounika RG. A comparative study on deep cervical flexors training and neck stabilization exercises in subjects with chronic neck pain. Indian Journal of Physiotherapy & Occupational Therapy. 2019;13(2):1. |
| 26755405 | Background | Celenay ST, Akbayrak T, Kaya DO. A Comparison of the Effects of Stabilization Exercises Plus Manual Therapy to Those of Stabilization Exercises Alone in Patients With Nonspecific Mechanical Neck Pain: A Randomized Clinical Trial. J Orthop Sports Phys Ther. 2016 Feb;46(2):44-55. doi: 10.2519/jospt.2016.5979. Epub 2016 Jan 11. |
| Background | MAWAD ANW, MOHAMED H, YARA S. Scapular stabilization exercise versus neck stabilization exercise in females with chronic mechanical neck pain. The Medical Journal of Cairo University. 2021;89(December):2729-34. |
| 29950768 | Background | Kang JI, Choi HH, Jeong DK, Choi H, Moon YJ, Park JS. Effect of scapular stabilization exercise on neck alignment and muscle activity in patients with forward head posture. J Phys Ther Sci. 2018 Jun;30(6):804-808. doi: 10.1589/jpts.30.804. Epub 2018 Jun 12. |
| Background | Attia AMM, Aboelnour NH, Sherif RA, Saafaan KI. Effect of Manual Pressure Release and Scapular Stabilization Exercises on Myofascial Pain Syndrome Following Neck Dissection Surgery. The Egyptian Journal of Hospital Medicine. 2022;89(1):4668-75. |
| Background | Demir O, Atıcı E, Torlak MS. Therapeutic and stabilization exercises after manual therapy in patients with non-specific chronic neck pain: A randomised clinical trial. International Journal of Osteopathic Medicine. 2023;47:100639. |
| 34441791 | Background | Javdaneh N, Ambrozy T, Barati AH, Mozafaripour E, Rydzik L. Focus on the Scapular Region in the Rehabilitation of Chronic Neck Pain Is Effective in Improving the Symptoms: A Randomized Controlled Trial. J Clin Med. 2021 Aug 8;10(16):3495. doi: 10.3390/jcm10163495. |