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The Effect of Scapulothoracic Mobilization on Cervical Pain and Range of Motion in Patients With Neck Pain and Scapular Dyskinesia

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ClinicalTrials.gov Identifier: NCT03046160
Recruitment Status : Recruiting
First Posted : February 8, 2017
Last Update Posted : February 8, 2017
Sponsor:
Information provided by (Responsible Party):
Abrar AlSadiq, Dammam University

Brief Summary:
Background: Dyskinesia has been referred to as a major manifestation of affected muscle performance and neuromuscular control of the scapular stabilizers. Alterations around the scapula with muscular imbalances could facilitate or emphasize dysfunction in its surrounding structures through compressive and shear stresses created by abnormal pull through attachments. No studies have investigated the effect of scapular mobilization with movement on neck mobility and pain. Objective: To quantify the effects of utilizing a scapular mobilization with movement on cervical pain and range of motion as compared to conventional treatment under the presence of scapular dyskinesia. Design: an experimental case-control study. Setting: Dammam Medical Complex. Methods: thirty-four patients with chronic non-specific neck pain. Participants will be allocated to one of two groups: experimental group where treatment will involve conventional and manual interventions or the control group where treatment will consist of the conventional approach only. The manual intervention will consist of a sustained corrective scapular glide during neck movement in all directions. Measurements will include: Visual Analog Scale, pressure pain threshold, neck range of motion, scapular rotation measure and Neck Disability Index. Statistical analysis: all will be done using SPSS version 22.0 for Mac. Means and standard deviations will be given as descriptive statistics. Paired t-test will be used to study the effects of scapulothoracic mobilization and exercises on neck range of motion and pain intensity. Independent t-test will be used to compare the effects of the two interventions on pain intensity Key words: Pressure pain threshold; Scapula; Intervention, Manual therapy, mobilization.

Condition or disease Intervention/treatment Phase
Neck Pain Other: Manual therapy (Mobilization with movement) Other: neck and scapular exercises. Other: corrective tape Not Applicable

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 34 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Study Start Date : April 2016
Estimated Primary Completion Date : April 2017
Estimated Study Completion Date : June 2017

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: experimental group

where treatment will involve conventional and Manual therapy (Mobilization with movement)+ tape (postural correction of scapular anterior tilt)

  1. The Manual therapy (Mobilization with movement)intervention was of grade III mobilizations with movement performed in sitting for 6-10 repetitions for 3 sets
  2. tape (postural correction of scapular anterior tilt)
  3. A program of 12 neck and scapular exercises.
Other: Manual therapy (Mobilization with movement)
grade III mobilizations with movement, performed in sitting for 6-10 repetitions for 3 sets
Other Name: MWM

Other: neck and scapular exercises.
A program of 12 neck and scapular exercises.

Other: corrective tape
elastic tape used to correct the anterior tilt of the scapula

Active Comparator: control group

treatment will consist of the conventional approach+ tape (postural correction of scapular anterior tilt)

  1. tape (postural correction of scapular anterior tilt)
  2. A program of 12 neck and scapular exercises.
Other: neck and scapular exercises.
A program of 12 neck and scapular exercises.

Other: corrective tape
elastic tape used to correct the anterior tilt of the scapula




Primary Outcome Measures :
  1. Neck pain ( centimeters on visual analog scale) [ Time Frame: up to 12 months ]

Secondary Outcome Measures :
  1. Scapular rotatory range of motion (degrees) [ Time Frame: up to 12 months ]
  2. neck disability index (percentage) [ Time Frame: up to 12 months ]
  3. neck range of motion (degrees) [ Time Frame: up to 12 months ]
  4. pressure pain threshold (k pascal) [ Time Frame: up to 12 months ]


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Ages Eligible for Study:   25 Years to 50 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Age of 25- 50 years.
  2. A history of neck pain lasting 3 months or more prior to study start.
  3. A score of greater than or equal to 5/50 on the Neck Disability Index (NDI)(Vernon 2008, Vernon 2008)
  4. Presence of scapular dyskinesia.

Exclusion Criteria:

  1. Previous cervical spine or shoulder surgery
  2. Cervical radiculopathy (compressed cervical nerve root on its way out of the spine, mainly could be manifested by pain, weakness, and sensory deficits (Corey and Comeau 2014)
  3. Presence of a severe systemic disease (as fibromyalgia, Chronic fatigue syndrome, Diabetes mellitus, Hypertension, Grave's disease, Systemic lupus erythematous, Rheumatoid arthritis, Sickle cell disease) or any other widespread musculoskeletal pain syndromes.
  4. Participation in an exercise program for the neck or scapular muscles in the 6 months preceding the study.
  5. Consumption of stimulants (caffeine and nicotine) or analgesic drugs for at least 8 hours before the study.
  6. Manual therapy contraindications (e.g., inflammatory joint disease, spinal cord pathology, infections, severe osteoporosis, cancer).
  7. Whiplash injury/fracture.

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): NCT03046160


Contacts
Contact: ABRAR I ALSADIQ, MASTER STUDENT 00966566115689 challen1319@me.com
Contact: ALI M ALSHAMI, PHD 00966552225548 alshami@uod.edu.sa

Locations
Saudi Arabia
Dammam Medical Complex Recruiting
Dammam, Eastern Province, Saudi Arabia, 31433
Contact: Mohammad A AlSenni, bachelor    00966506912312      
Sponsors and Collaborators
Dammam University

Responsible Party: Abrar AlSadiq, Master Student, Dammam University
ClinicalTrials.gov Identifier: NCT03046160     History of Changes
Other Study ID Numbers: IRB-PGS-2015-03-219
First Posted: February 8, 2017    Key Record Dates
Last Update Posted: February 8, 2017
Last Verified: February 2017

Keywords provided by Abrar AlSadiq, Dammam University:
PPT
Scapula
Intervention
Manual therapy
mobilization

Additional relevant MeSH terms:
Neck Pain
Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms