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This randomized controlled trial is designed to evaluate the effects of scapular repositioning in individuals with neck pain and scapular dysfunction. The main questions it aims to answer are:
Participants will be randomly assigned to one of three groups:
All participants will undergo pre- and post-intervention assessments (immediately after the intervention and at 30 minutes post-intervention). The primary outcomes include neck pain intensity, cervical range of motion, cervical and shoulder proprioception, and pressure pain threshold. All outcomes will be compared between groups and across time points (pre- and post-intervention).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active scapular repositioning | Experimental | Self-active scapular repositioning exercise |
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| Passive scapular repositioning | Experimental | Therapist-assisted scapular repositioning |
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| Sham scapular repositioning | Sham Comparator | Sham scapular repositioning procedure |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Active scapular repositioning | Behavioral | The examiner will first passively position the participant's scapula in a neutral position on the posterior chest wall. The participant will then be instructed to actively maintain that position. |
| Measure | Description | Time Frame |
|---|---|---|
| Neck pain intensity | Neck pain intensity measured by the Visual Analog Scale (VAS; 0-100 mm, where higher scores indicate worse pain). | Baseline, immediately after the intervention and at 30 minutes post-intervention |
| Cervical range of motion | Cervical range of motion measured using a goniometer in flexion, extension, left and right lateral flexion, and left and right rotation (measured in degrees). | Baseline, immediately after the intervention and at 30 minutes post-intervention |
| Cervical and shoulder proprioception | Cervical joint position error (JPE) measured using a laser pointer mounted on a headband at the center of the head during blindfolded active extension and left/right rotation. Shoulder joint position error (JPE) measured using a laser pointer placed proximal to the lateral epicondyle during blindfolded active shoulder flexion and abduction. An absolute error between starting and return positions will be recorded in millimeters and converted to degrees. Higher values indicate greater impairment. | Baseline, immediately after the intervention and at 30 minutes post-intervention |
| Pressure pain threshold at upper trapezius and levator scapulae muscles | Pressure pain threshold (PPT) measured by algometer; values recorded in Newtons (N), with lower scores indicating greater pain sensitivity (worse outcome). | Baseline, immediately after the intervention and at 30 minutes post-intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| School of Allied Health Sciences, University of Phayao | Phayao | Changwat Phayao | 56000 | Thailand |
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Passive scapular repositioning | Procedure | The examiner will passively position and hold the participant's scapula in a neutral position. |
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| Sham scapular repositioning | Procedure | The examiner will perform gentle shoulder girdle movements that do not alter scapular positioning. |
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| D001519 | Behavior |