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Not yet recruitingNCT07932197Updated Nov 12, 2026

Progressive Scapular-Focused Exercises for Neck Pain Related to Scapular Dysfunction

An interventional study of Progressive Scapular-Focused Exercise Program and Routine Physical Therapy Treatment in Neck Pain and Scapular Dyskinesis, sponsored by University of Phayao. Not yet recruiting. Open to participants aged 18 Years to 59 Years. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by University of Phayao · Not applicable, Interventional, and Treatment

Updated Nov 12, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
18 Years to 59 Years
Sex
All
01

Study summary

Neck pain is often associated with scapular dysfunction. However, this relationship is not present in all cases. Previous studies on scapular-focused exercises have reported inconsistent findings, possibly due to limitations in identifying individuals with scapular-related neck pain and in the specificity and progression of exercise programs. This trial aims to investigate the effects of a Progressive Scapular-Focused Exercise Program (PSEP), compared with routine physical therapy, on neck pain intensity, neck disability, scapular muscle strength, scapular position, cervical range of motion, upper limb disability, and global perceived benefit in individuals with neck pain related to scapular dysfunction.

02

Conditions studied

  • Neck Pain
  • Scapular Dyskinesis

Keywords

  • Neck pain
  • Scapular dysfunction
  • Exercise
  • Rehabilitation
03

In context

Neck Pain

1,361 studies on the registry are indexed under Neck Pain; 300 are open to participants now.

This study's planned enrollment of 48 is close to the median of 50 across 1,117 interventional studies indexed under Neck Pain.

Browse Neck Pain studies →

Lead sponsor

University of Phayao is the lead sponsor of 12 studies on the registry; 5 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 59 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • nonspecific neck pain for at least 3 months
  • an average neck pain intensity over the past week ≥ 30 mm on a 100 mm visual analog scale (VAS)
  • a score of neck pain and disability ≥ 10/ 100 on the Neck Disability Index-Thai version
  • scapular dysfunction on the more painful side of neck pain
  • scapular dysfunction related to neck pain, based on improvements in cervical rotation range of motion and/or neck pain intensity following scapular repositioning test

Exclusion criteria

Exclusion Criteria:

  • a history of head, neck and shoulder injury, trauma, fracture, or surgery
  • any neurological or musculoskeletal conditions that may affect upper extremity function or study outcomes
  • current shoulder or arm pain
  • receiving physiotherapy treatment for their neck conditions in the past 12 months
  • receiving specific exercises for the neck, shoulder, or scapular muscles in the last 6 months
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
48 participants (estimated)

Study arms

  • Experimental
    Progressive Scapular-Focused Exercise Program

    Intervention group

    Other: Progressive Scapular-Focused Exercise Program

  • Active comparator
    Routine Physical Therapy Treatment

    Control

    Other: Routine Physical Therapy Treatment

Interventions

  • OtherProgressive Scapular-Focused Exercise Program

    The program includes axioscapular muscle stretching, axioscapular muscle control exercises, strengthening and endurance training of the axioscapular muscles, and postural correction during sitting, standing, walking, and upper-limb movements (approximately 45 minutes per session). Participants will attend 12 individual treatment sessions (2 visits per week for 6 weeks).

  • OtherRoutine Physical Therapy Treatment

    The treatment includes routine physical therapy (e.g., modalities, range of motion and/or gentle stretching exercise) (approximately 45 minutes per session). The participants will attend 12 individual treatment sessions (2 visits per week for 6 weeks).

06

What researchers measure

Primary outcomes

  1. Neck pain intensity

    The average intensity of neck pain will be assessed using a 0-10 cm visual analogue scale (VAS), where 0 indicates no pain and 10 indicates the worst imaginable pain.

    Time frame: At baseline, immediately post-intervention, and at 3-month follow-up.

  2. Neck disability

    The Neck Disability Index (NDI) will be used to assess the impact of neck pain on daily activities and self-reported disability. The questionnaire consists of 10 items, with a total score ranging from 0 to 50. Higher scores indicate greater neck-related disability.

    Time frame: At baseline, immediately post-intervention, and at 3-month follow-up.

  3. Scapular muscle strength

    Scapular muscle strength (lower trapezius and serratus anterior) will be assessed using a handheld dynamometer.

    Time frame: At baseline, immediately post-intervention, and at 3-month follow-up.

  4. Scapular position

    Scapular position will be assessed using the Lateral Scapular Slide Test.

    Time frame: At baseline, immediately post-intervention, and at 3-month follow-up.

Secondary outcomes

  1. Cervical range of motion

    Cervical range of motion will be measured in degrees during flexion, extension, left and right lateral flexion, and left and right rotation.

    Time frame: At baseline, immediately post-intervention, and at 3-month follow-up.

  2. Upper limb disability

    Upper limb disability will be assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. The questionnaire consists of 30 items assessing symptoms and functional limitations of the arm, shoulder, and hand. Scores range from 0 to 100, with higher scores indicating greater disability.

    Time frame: At baseline, immediately post-intervention, and at 3-month follow-up.

  3. Global perceived benefit of treatment

    Global perceived benefit of treatment will be assessed using a 7-point Likert scale, ranging from 1 (very dissatisfied) to 7 (very satisfied).

    Time frame: At baseline, immediately post-intervention, and at 3-month follow-up.

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jan 2027; primary completion for Dec 2027, 11 months later.

Of 763 non-industry interventional studies with no phase under Neck Pain, half reached primary completion within 7 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 15. This study's planned 11 months is above that.

Counting every sponsor, half of 772 studies reached it within 7 months; a quarter within 3 and three quarters within 15.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 4, 2026
First posted
Nov 12, 2026
StartEst.
Jan 2027
Primary completionEst.
Dec 2027
CompletionEst.
Mar 2028
Last update
Nov 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07932197
Lead sponsor
University of Phayao
Responsible party
Nipaporn Wannaprom (Principal Investigator, University of Phayao) — Principal investigator
First posted
Nov 12, 2026
Start date
Jan 2027 (estimated)
Primary completion
Dec 2027 (estimated)
Completion
Mar 2028 (estimated)
Last update
Nov 12, 2026

Study contacts

Nipaporn Wannaprom
Contact
nipaporn.wa@up.ac.th
+66 (0) 54 466 697

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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