Role of Modified Robbery Exercises on Scapular Dyskinesis in Frozen Shoulder

Role of Modified Robbery Exercises on Scapular Dyskinesis in Patients With Frozen Shoulder

The study aims to find out the role of the modified robbery exercises in the management of scapular dyskinesia in patients with frozen shoulders. This single-blind randomized clinical study will be conducted at approved study center in Lahore Pakistan in line with the ethical principles stated in Declaration of Helsinki. Pain, muscle Activation, ROM, scapular dyskinesia, muscle strength, functional limitation and participants' wellbeing will be recorded at baseline, after week three, and after week six in both intervention and control groups.

Scapular Dyskinesia is regarded as the altered scapular kinematics, presenting with increased scapular upward rotation and eminence of the medial border in patients with shoulder injuries. Patients with frozen shoulder present with a certain degree of scapular dyskinesia. The objective of the study is to find out the role of the modified robbery exercises in the management of scapular dyskinesia in patients with frozen shoulders. This single-blind randomized clinical study will be conducted at approved study center in Lahore Pakistan. The study will abide by the ethical principles in line with the Declaration of Helsinki. Baseline data of the participants of pain, muscle Activation, ROM, scapular dyskinesia, muscle strength, functional limitation and participants' wellbeing will be recorded. Group A will receive the modified robbery exercises three days a week for six weeks, group B will receive the conventional physical therapy protocol three days a week for six weeks. Outcomes will be assessed at baseline, after week three, and after week six.

Data will be recorded using questionnaires, proforma and the other listed outcome measurement tools. on the base of normality of the data appropriate parametric test or non-parametric test will be applied for intra and inter group comparison.

Inclusion Criteria:

• Patients of both genders
• Patients of age 35 to 55 years
• Modified Lateral Scapular Slide Test score > 1.4 cm
• Pain on VAS ≥4 out of 10.
• Pain in the shoulder for at least 3 months
• Diagnosed unilateral frozen shoulder
• Limited Scapular upward rotation, Capsular pattern (more limited external rotation than abduction),
• Scapular dispositioning and visible Inferior medial border prominence.

Exclusion Criteria:

• Patients with frozen shoulders having less than 90 degrees of flexion and abduction.
• Participants with cervical radicular pain
• Pregnant females
• Presence of red flags to the treatment
• History of recent trauma to the spine or the shoulder complex.
• History of recent shoulder surgery
• Any neurological deficit i.e winged scapula
• Other pathologies like cervical myelopathy and prolapsed cervical disc.
• Known cases of neurological, radiculopathy, and inflammatory diseases.
• Having spinal deformities such as scoliosis or kyphosis.
• Vestibular or respiratory disorder, Auditory or cognitive impairment
• Taking medication that may affect the balance and coordination.