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| Name | Class |
|---|---|
| Gulhane School of Medicine | OTHER |
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The contribution of the scapula to shoulder joint movement is great. The contribution of the scapula bone is more prominent, especially in overhead activities. Therefore, the position and movement of the scapula are generally examined in people with shoulder disease. Scapula-focused exercises are used in patients with shoulder problems. However, some studies focused on the effectiveness of scapula-focused exercises on shoulder problems. Thes studies fundings are controversial. Scapular dyskinesis has not been evaluated in these studies. No study has set the condition of having scapular dyskinesis as an inclusion criterion. Scapular-focused exercises are expected to have a greater effect especially on patients with scapular dyskinesis. Therefore, the aim of this study is to examine the effectiveness of scapula-focused exercises on patients with shoulder pain and obvious scapular dyskinesis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Scapular Exercises | Experimental | Scapular exercise includes scapular clock exercise, rowing exercise, resisted external rotation, resisted punching exercise. The group program also includes conventional treatment. |
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| Conventional Treatment | Active Comparator | Conventional treatment includes TENS, hotpack, Stretching exercises (posterior capsule and pectoral muscle), resisted flexion and abduction exercises |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Scapular Exercise | Other | Scapular exercise includes scapular clock exercise (3 sets of 10 repetitions), rowing exercise (3 sets of 10 repetitions), resisted external rotation (3 sets of 10 repetitions), resisted punching exercise (3 sets of 10 repetitions). The rowing, external rotation and punching exercises will do with theraband. When participants complete the elastic band exercises easily and do not report any muscle fatigue, they will move on to the next level of difficulty. The color order of the bands is yellow, red, green and blue. The exercises will begin with the yellow elastic band, which provides the least resistance. The intervention will last for 6 weeks, with 2 training sessions per week and each training session lasting 15-20 minutes. |
| Measure | Description | Time Frame |
|---|---|---|
| shoulder pain and disability index (SPADI) | SPADI is a self reported outcome for shoulder disorders. SPADI includes 13 questions. Scores range from 0 to 100. The higher a patient scores on the SPADI, the greater the level of pain/disability. | Baseline and at 6 week |
| Measure | Description | Time Frame |
|---|---|---|
| Global Rate of Change | GRoC is a reliable assessment method with 11 levels, frequently used to track changes in a participant's condition. Participants who selected the top two categories (much better and very much better) were considered recovered. | Baseline and at 6 week |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mehmet DELEN, PhD | Contact | +905548258720 | mehmetdelen@aybu.edu.tr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universtiy of Health Sciences - Gülhane Faculty of Physiotherapy and Rehabilitation | Recruiting | Ankara | 06010 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27422595 | Background | Bury J, West M, Chamorro-Moriana G, Littlewood C. Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis. Man Ther. 2016 Sep;25:35-42. doi: 10.1016/j.math.2016.05.337. Epub 2016 Jun 4. |
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Data will not be shared due to data protection rules
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| ID | Term |
|---|---|
| D020069 | Shoulder Pain |
| ID | Term |
|---|---|
| D018771 | Arthralgia |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D010146 | Pain |
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| Control (Standard treatment) | Other | Conventional Treatment includes TENS (100 Hz) with hotpack (20 minutes), Stretching exercises (posterior capsule and pectoral muscle), resisted flexion and abduction exercises. The rowing, external rotation and punching exercises will do with theraband. When participants complete the elastic band exercises easily and do not report any muscle fatigue, they will move on to the next level of difficulty. The color order of the bands is yellow, red, green and blue. The exercises will begin with the yellow elastic band, which provides the least resistance. The intervention will last for 6 weeks, with 2 training sessions per week and each training session lasting 30-45 minutes. |
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| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |