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this study will be conducted to compare virtual reality and scapular stabilizing exercise among basketball player with scapular dyskinesia on scapular muscle performance, rounded shoulder, pain intensity , disability and hand grip strength
Scapular dyskinesia (SD) is an alteration in the normal position or motion of the scapula during coupled scapulohumeral movements. It is lack of control of static or dynamic positioning of the scapula relative to the thorax. It affects from 64% to 100% of patients with shoulder lesions. Scapular dyskinesia is a major etiological factor in overhead athletes' shoulder problems. Virtual Reality (VR) it allows individuals to interact and train with or within interesting and relatively realistic three-dimensional(3D) environments. VR and its simulated environments are well accepted in entertainment and computer game applications. However, what is not as well recognized is that VR offers the opportunity for intensive repetition of meaningful task-related activities necessary for effective rehabilitation. The scapular stabilization exercise in rehabilitation aims to Restore shoulder function; these exercises are a combination of scapular stabilization exercises, rotator cuff strengthening exercises, range of motion (ROM), proprioceptive neuromuscular facilitation (PNF), and stretching exercises. Physiotherapy is the mainstay management for several musculoskeletal disorders. sixty basketball athletes with dyskinesea will be assigned randomly to three equal groups; the first will receive Virtual reality exercise and routine exercise, and the second group will receive Stabilization exercise and routine exercise. and finally, the third group will receive routine exercise only for eight weeks
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| scapular stabilization exercise | Experimental | thirty patients with scapular dyskinesia will receive scapular stabilization exercise and regular routine three times a week for eight weeks |
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| virtual reality exercise | Experimental | thirty patients with scapular dyskinesia will receive virtual reality exercise and regular routine three times a week for eight weeks |
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| Regular routine exercise | Active Comparator | thirty patients with scapular dyskinesia will receive regular routine exercises three times a week for eight weeks |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| scapular stabilization exercises | Other | the patients will receive scapular stabilization exercises in the form of scapular orientation exercises,Forward/Backward Bear Crawls,Lateral Bear Crawls and assisted stretch for pectoralis minor |
| Measure | Description | Time Frame |
|---|---|---|
| agonist antagonist ratio | isokinetic Biodex 3 dynamometer will be used to assess agonist antagonist ratio | up to eight weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Hand grip strength | Jamar handheld dynamometer will be used to assess hand grip strength | up to eight weeks |
| rounded shoulder posture | Patient is supine with the arms at the sides, elbows extended, palms upward, knees bent and lower back flat on the table. The examiner stands at the head of the table and use tape measurements to measure the distance between the acromion of the shoulder joint and the table surface three times. The numbers were averaged and used for analysis. Increased distance signifies higher rounded shoulder posture severity |
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Inclusion Criteria:
Exclusion Criteria:
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scapular stabilization and virtual reality exercise
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opaque sealed envelope
| virtual reality exercises | Other | The exercises described were done in a consistent manner, emphasizing low intensity, and using lightweight dumbbells (range, 3 to 30 pounds). The weight of the dumbbell was individually selected by the subject for each exercise.
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| regular routine exercises | Other | the patients will receive routine exercises in the form of Sleeper Stretch: Posterior Capsular Stretch, Push up, Wall slides, Kettlebell High Pull, |
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| up to eight weeks |
| pain intensity level | Visual Analogue Scale (VAS) will be used to assess pain by Using a ruler, the score is determined by measuring the distance on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-10. A higher score indicates greater pain intensity. | up to eight weeks |
| The disabilities of the arm, shoulder and hand | The disabilities of the arm, shoulder and hand (DASH) questionnaire will be used to assess the disability in arm, shoulder and hand. The DASH consists mainly of a 30- item disability/symptom scale. The possible score ranges from 0 to 100 points. 0 points represent a complete, unrestricted function of the upper extremities, while 100 points represent the greatest possible functional impairment. | up to eight weeks |
| peak force | isokinetic Biodex 3 dynamometer will be used to assess peak force | up to eight weeks |
| total work | isokinetic Biodex 3 dynamometer will be used to assess total work | up to eight weeks |
| work fatigue | isokinetic Biodex 3 dynamometer will be used to assess work fatigue | up to eight weeks |
| average power | isokinetic Biodex 3 dynamometer will be used to assess average power | up to eight weeks |
| ID | Term |
|---|---|
| D000088544 | Exergaming |
| ID | Term |
|---|---|
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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