Scapular Stabilization vs Functional Exercises on Chronic Neck Pain

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ClinicalTrials.gov Identifier: NCT06049316

Recruitment Status : Completed

First Posted : September 22, 2023

Last Update Posted : January 30, 2024

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Sponsor:

Information provided by (Responsible Party):

Riphah International University

Study Description

Brief Summary:

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.

Condition or disease	Intervention/treatment	Phase
Neck Pain	Other: Scapular stabilization exercises Other: Scapular functional exercises	Not Applicable

Detailed Description:

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.

Study Design

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Study Type :	Interventional (Clinical Trial)
Actual Enrollment :	42 participants
Allocation:	Randomized
Intervention Model:	Parallel Assignment
Masking:	Single (Outcomes Assessor)
Primary Purpose:	Treatment
Official Title:	Comparative Effects of Scapular Stabilization Versus Scapular Functional Exercises on Chronic Neck Pain.
Actual Study Start Date :	September 25, 2023
Actual Primary Completion Date :	January 10, 2024
Actual Study Completion Date :	January 15, 2024

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Neck Injuries and Disorders

Genetic and Rare Diseases Information Center resources: Chronic Graft Versus Host Disease

U.S. FDA Resources

Arms and Interventions

Arm	Intervention/treatment
Experimental: Scapular stabilization exercises Scapular stabilization exercises	Other: Scapular stabilization exercises In Scapular stabilization exercise, following treatment protocol will involve. In supine position, for the relaxation of body, patient will take a deep breath. In sitting position, patient will sit on the chair, placed both feet on the floor while bending knee at 90 degree. After this patient will raise his hand overhead with 90 degree flexion and elbow extension and also perform scapular retraction. (10 sec hold, 10 reps, 20 sec break). In quadrupled position with 120 degree flexion and shoulder abduction patient will lifted his hands. (10 sec hold, 10 reps, 20 sec break) TYI exercises will be administered T shape: Place both arms horizontal with thumbs up. (10 times, 5 sec hold, 3 sets) Y-shape: In prone lying place arms in 45 degree. (10 times, 5 sec hold, 3 sets) I-shape: In prone position patients will place his both arms overhead. (10 times, 5 sec hold, 3 sets). These above exercises will perform 3 times a week for eight weeks.
Active Comparator: Scapular functional exercises Scapular functional exercises	Other: Scapular functional exercises In Scapular functional exercises, following treatment protocol will involve Press-up (in a chair). Push-up plus, Grade 1, in oblique position exercise will be performed with the support of a table. After progression perform this in horizontal plane. Lateral pull down Horizontal pull apart Prone flexion: in prone position on plinth. Both arms placed overhead, and then raise arms towards ceiling. Prone rows: in prone position, with elbow straight, slowly raise arms towards ceiling while bending the elbows. 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.

Arm

Intervention/treatment

Experimental: Scapular stabilization exercises

Scapular stabilization exercises

Other: Scapular stabilization exercises

In Scapular stabilization exercise, following treatment protocol will involve.

In supine position, for the relaxation of body, patient will take a deep breath.
In sitting position, patient will sit on the chair, placed both feet on the floor while bending knee at 90 degree. After this patient will raise his hand overhead with 90 degree flexion and elbow extension and also perform scapular retraction. (10 sec hold, 10 reps, 20 sec break).
In quadrupled position with 120 degree flexion and shoulder abduction patient will lifted his hands. (10 sec hold, 10 reps, 20 sec break) TYI exercises will be administered
T shape: Place both arms horizontal with thumbs up. (10 times, 5 sec hold, 3 sets)
Y-shape: In prone lying place arms in 45 degree. (10 times, 5 sec hold, 3 sets)
I-shape: In prone position patients will place his both arms overhead. (10 times, 5 sec hold, 3 sets).

These above exercises will perform 3 times a week for eight weeks.

Active Comparator: Scapular functional exercises

Scapular functional exercises

Other: Scapular functional exercises

In Scapular functional exercises, following treatment protocol will involve

Press-up (in a chair).
Push-up plus, Grade 1, in oblique position exercise will be performed with the support of a table. After progression perform this in horizontal plane.
Lateral pull down
Horizontal pull apart
Prone flexion: in prone position on plinth. Both arms placed overhead, and then raise arms towards ceiling.
Prone rows: in prone position, with elbow straight, slowly raise arms towards ceiling while bending the elbows.

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.

Outcome Measures

Primary Outcome Measures :

VAS [ Time Frame: 8th Week ]
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).
NDI [ Time Frame: 8th Week ]
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.
Inclinometer [ Time Frame: 8th Week ]
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

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:	18 Years to 35 Years (Adult)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Patients of both genders.(18-35 years of age)
Patients having chronic neck pain(>3 months duration)
Patient with restricted ROM of cervical.
VAS≥4(16)
NDI ≥10

Exclusion Criteria:

History of Head, Neck, cervical spine and shoulder injury.
History of cervical radiculopathy
History of malignancy, scoliosis, torticollis
Diagnosed cases of disc prolapse, stenosis, herniation, spondylolisthesis, osteoporosis, and those with current use of any medication or physical therapy treatment were excluded.

Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06049316

Locations

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Pakistan
Amina Physical Therapy and Rehab Centre, Lahore, Pakistan
Lahore, Punjab, Pakistan, 54000

Sponsors and Collaborators

Riphah International University

Investigators

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Principal Investigator:	Syed Shakil ur Rehman	Riphah International University, Lahore, Pakistan
Principal Investigator:	Noor Ul Huda	Riphah International University, Lahore, Pakistan

More Information

Publications:

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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Responsible Party:	Riphah International University
ClinicalTrials.gov Identifier:	NCT06049316
Other Study ID Numbers:	REC/RCR&AHS/23/0135NoorUlHuda
First Posted:	September 22, 2023 Key Record Dates
Last Update Posted:	January 30, 2024
Last Verified:	January 2024
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD:	No

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Studies a U.S. FDA-regulated Drug Product:	No
Studies a U.S. FDA-regulated Device Product:	No

Keywords provided by Riphah International University:


Neck pain Scapular exercises Range of motion Disability

Additional relevant MeSH terms:

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Neck Pain Pain Neurologic Manifestations

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