An interventional study of Experimental Scapular Therapeutic Exercise Group in Shoulder Pain, sponsored by Polytechnic Institute of Porto. Completed at 1 site in Portugal. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-07-30.
Sponsored by Polytechnic Institute of Porto · Not applicable, Interventional, and Treatment
Shoulder pain is a prevalent and recurrent condition. After a period of shoulder pain, some adaptations could be found, as in scapular muscles and kinematics and/or in nervous system.
It seems important to assess several biomechanical and neurophysiological outcomes to better characterize shoulder pain conditions and to program an intervention plane.
Therapeutic exercise is one of the treatments used for shoulder pain, however there are still doubts and controversial findings regarding exercise focusing the scapular musculature. Thus, the present study aims to assess the effects of an intervention protocol based on scapular therapeutic exercise.
The study only started after approval of the protocol
725 studies on the registry are indexed under Shoulder Pain; 152 are open to participants now.
This study's enrollment of 20 is below the median of 60 across 577 interventional studies indexed under Shoulder Pain.
Browse Shoulder Pain studies →Polytechnic Institute of Porto is the lead sponsor of 14 studies on the registry; 6 are open to participants now.
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Exclusion Criteria:
Patients in this group will perform therapeutic exercises, recommended for subjects with shoulder pain and focusing the neuromuscular control, stretching and/or strengthening of the scapular muscles
Other: Experimental Scapular Therapeutic Exercise Group
All subjects will perform a program of scapular therapeutic exercises including: neuromuscular control/strength - scapular therapeutic exercises that leads to, at least, moderate muscular activity levels; and stretching exercises. The intervention period will be of 8 weeks, considering in-person and/or home sessions.
Change in shoulder pain
The intensity of pain will be measured with a self-reported 11-point scale (Numerical Rating Pain Scale), with scores ranging from 0 (no pain) to 10 (maximum pain)
Time frame: Baseline and one week after intervention
Change in shoulder function
Shoulder functional status will be measured with a self-reported 13 items scale (SPADI), which ranges from 0 (fully functional) to 100 (maximum degree of disability).
Time frame: Baseline and one week after intervention
Change in scapular muscles activity levels
Scapular muscles activity levels, during shoulder analytical movements and during a functional task, will be recorded superficially by a wireless electromyographic signal detector system
Time frame: Baseline and one week after intervention
Change in scapular muscles ratio
Ratio between scapular muscles activity levels, during shoulder analytical movements and during a functional task, will be calculated considered the superficially eletromyographic data measured by a wireless electromyographic signal detector system.
Time frame: Baseline and one week after intervention
Change in kinematics
Scapular kinematics and scapulohumeral rhythm, during shoulder analytical movements and during a functional task, will be measured by inertial sensors and described in degrees (°)
Time frame: Baseline and one week after intervention
Change in movement quality through time variables
Movement quality will be assessed considering time to peak acceleration and task completion time, calculated according to the data recorded with inertial sensors
Time frame: Baseline and one week after intervention
Change in movement quality through trunk compensation
Movement quality will be also assessed considering the trunk motion, calculated according to the data recorded with inertial sensors
Time frame: Baseline and one week after intervention
Change in movement quality through smoothness
Smoothness will be calculated by jerk logarithm of data recorded with inertial sensors
Time frame: Baseline and one week after intervention
Change in muscle stiffness
Scapular muscles stiffness will be assessed by myotonometry (using a digital palpation device)
Time frame: Baseline and one week after intervention
Change in pressure pain threshold
An assessment point in the shoulder area will be assessed by the application of a mechanical pressure by an algometer
Time frame: Baseline and one week after intervention
Change in pain-related fear
Assessed with self-reported scales - Tampa Scale for Kinesiophobia, which ranges from 13 (best) to 52 (worst)
Time frame: Baseline and one week after intervention
Change in pain catastrophization
Assessed with a self-reported scale - Pain Catastrophizing Scale, which ranges from 0 (better) to 52 (worst)
Time frame: Baseline and one week after intervention
Self-impression of change
The patient's individual perspective about his/her condition and changes felt considering the intervention received will be assessed by a self-reported scale - Patient global impression of change scale, which range from 0 \[no change (or condition has got worse)\] to 7 (a great deal better, and a considerable improvement that has made all the difference)
Time frame: One week after intervention
Plan to share: No
No publications or documents are linked to this record.
Ran from Apr 2023 to primary completion in Aug 2023, 4 months.
Of 327 non-industry interventional studies with no phase under Shoulder Pain, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 27. This study's 4 months is below that.
Counting every sponsor, half of 336 studies reached it within 11 months; a quarter within 5 and three quarters within 27.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.
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Polytechnic Institute of Porto