An interventional study of Scapular clock exercises and Stretching and strengthening exercises in Scapular Dyskinesis, sponsored by University of Faisalabad. Status unknown at 1 site in Pakistan. Open to participants aged 35 Years to 65 Years. Per ClinicalTrials.gov, last updated 2022-06-22.
Sponsored by University of Faisalabad · Not applicable, Interventional, and Treatment
In patients after open-heart surgery, the complaint of scapular dyskinesia is very common. It occurs due to the weakness of the muscles surrounding the scapula. In this research, investigators checked the effectiveness of scapular clock exercises in scapular dyskinesia, in post-op open heart surgery patients. There were two groups, an intervention "Active group" and a 'control group'. The patients will be randomly assigned to each group equally. The treatment session was given for a period of 4 weeks, with 3 sessions each week. They were assessed before treatment, after 2 weeks and post-intervention.
Scapular dyskinesia is the malalignment of the scapula. It occurs when the pectoralis muscle (pectoralis minor) becomes tight and there is the weakness of the trapezius muscle (lower fibers). It can commonly occur after open-heart surgery due to incision and prolonged bed rest. In this research, the effectiveness of scapular clock exercises was checked. These exercises can strengthen the weak trapezius muscle and also stretch the tight pectoralis minor muscle. By adding these exercises in cardiac rehabilitation the occurrence of scapular dyskinesia can be reduced. Post-op open heart surgery patients mostly present with complain of shoulder pain. Most of their treatment is directed towards shoulder joint while the scapula is usually ignored. So it is important to add exercises directed towards the scapula along with shoulder.
In this study, The investigators will recruit 30 post-op cardiac surgery patients with complain of shoulder pain, with positive scapular dyskinesia. The sample size was calculated using formula and the values were taken from previous researches. Scapular assistance test and Scapular retraction test was used to find out patients with scapular dyskinesia. The subjects will then be randomly divided into two groups using online randomization generator. The interventional group was receive stretching and strengthening exercises with additional scapular clock exercises and the active control group will receive stretching and strengthening exercises. There was 3 sessions per week, for a period of 4 weeks. The patients was assessed prior to the treatment , then after 2 weeks and later after completion of 4 weeks. The tools for assessment include NPRS for pain, Quick-DASH for activity limitation of shoulder and goniometer for measuring range of motion of shoulder.
270 studies on the registry are indexed under Dyskinesias; 41 are open to participants now.
This study's planned enrollment of 30 is below the median of 44 across 192 interventional studies indexed under Dyskinesias.
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Exclusion Criteria:
Bilateral shoulder involvement
The interventional group received stretching and strengthening exercises along with scapular clock exercises. For the first two weeks, only scapular clock exercises were performed by the patient actively. After 2 weeks, the subjects performed scapular clock exercises by using the thera-band.
Other: Scapular clock exercises · Other: Stretching and strengthening exercises
The active control group received stretching and strengthening exercises only. The stretching and strengthening exercises include corner stretch, wall-washes and pectoralis minor muscle stretch.
Other: Stretching and strengthening exercises
In scapular clock exercises, the hand is placed on the wall in front of your body. Move the hand in direction of 12 and 6 o'clock to elevate and depress the scapula. Then move hands towards 9 o' clock and 3 o'clock direction to protract and retract the scapula. Hold each position for 10 seconds. From 3rd week and onward the patient will use thera-band and then perform clock exercises.
Also known as: Stretching and strengthening exercises (Physical Therapy)
Stretching and strengthening exercises of shoulder and scapular muscles was performed including wall washes, corner stretch, pectoral muscles stretch and wall push ups.
Shoulder pain
Shoulder pain was assessed by using the Numeric Pain Rating (NPRS) Scale. NPRS is an 11-item Likert scale having 0 as no pain and 10 as maximum pain
Time frame: 4 weeks
Level of Shoulder activity limitation
The level of shoulder activity limitation was assessed by using the Quick-DASH questionnaire. There were 11 questions that were rated by the Likert scale having 1 as no disability and 5 as maximum disability
Time frame: 4 weeks
Shoulder Range of Motion (ROM)
Shoulder ROM will be assessed by using a Goniometer
Time frame: 4 weeks
Plan to share: No
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University of Faisalabad