Global Postural Reeducation and Segmental Exercises in Patients With Scapular Dyskinesis and Cervicalgia

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Cinthia Santos Miotto de Amorim, Irmandade da Santa Casa de Misericordia de Sao Paulo
ClinicalTrials.gov Identifier:
NCT01568840
First received: March 26, 2012
Last updated: March 29, 2012
Last verified: March 2012
  Purpose

The purpose of this study is to assess the effectiveness of global postural reeducation relative to segmental exercises in the treatment of scapular dyskinesis with cervicalgia.


Condition Intervention Phase
Scapular Dyskinesis
Cervicalgia
Other: Global Postural Reeducation Group
Other: Segmental Exercises Group
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Effectiveness of Global Postural Reeducation and Segmental Exercises on Function, Pain, and Quality of Life of Patients With Scapular Dyskinesis and Cervicalgia: A Randomized Clinical Study

Resource links provided by NLM:


Further study details as provided by Irmandade da Santa Casa de Misericordia de Sao Paulo:

Primary Outcome Measures:
  • Function of the upper extremity [ Time Frame: 10 weeks ] [ Designated as safety issue: Yes ]
    The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was used to measure function of the upper extremity, where 0 corresponded to "no disability" and 100 corresponded to "most severe disability".


Secondary Outcome Measures:
  • Pain severity [ Time Frame: 10 weeks ] [ Designated as safety issue: Yes ]
    The Visual Analogical Scale (VAS) was used to measure pain, where the left extremity corresponded to"no pain" and the right extremity, corresponded to"maximum pain".

  • Health-related quality of life (HRQoL) [ Time Frame: 10 weeks ] [ Designated as safety issue: Yes ]
    The HRQoL was assessed using the Short Form (SF)-12, the abbreviated version of the SF-36, whose score ranges from 0 to 100, and higher scores reflect better quality of life.

  • Function of the neck [ Time Frame: 10 weeks ] [ Designated as safety issue: Yes ]
    The Neck Disability Index (NDI) was used to measure fuction of the neck, whose score ranges from 0 to 50: disability (0-5); mild disability (5-14); moderate disability (15-24); severe disability (25-34) and totally disabled (35-50).


Estimated Enrollment: 30
Study Start Date: July 2010
Estimated Study Completion Date: February 2011
Primary Completion Date: January 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Global Postural Reeducation Group
Global Postural Reeducation
Other: Global Postural Reeducation Group
Sessions happened once a week for 10 weeks, lasting 60 minutes each and consisted in manual therapy maneuvers and global postural reeducation treatment.
Other Names:
  • Global Postural Reeducation
  • Stretching Exercises
Active Comparator: Segmental Exercises Group
Segmental Exercises
Other: Segmental Exercises Group
Sessions happened once a week for 10 weeks, lasting 60 minutes each and consisted in segmental exercises (stretching and strengthening) treatment.
Other Names:
  • Segmental Exercises
  • Stretching and Strengthening Exercises

Detailed Description:

Purpose: To assess the effectiveness of global postural reeducation relative to segmental exercises in the treatment of scapular dyskinesis with cervicalgia.

Methods: Participants with scapular dyskinesis and cervicalgia (n = 30) aged 18 to 65 years were randomly assigned to one of two groups: Global Postural Reeducation and Segmental Exercises(stretching and strengthening). Upper extremity was assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Function of the neck was estimated using the Neck Disability Index (NDI). Pain severity was measured using a Visual Analogical Scale. Health-related quality of life (HRQoL) was assessed using the Short Form (SF)-12. Assessments were conducted at baseline and after 10 weekly sessions (60 minutes each). Significance level was established at 5%.

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Scapular Dyskinesis as per the SICK Scapula Rating Scale
  • Chronic Cervicalgia (pain for at least three months)

Exclusion Criteria:

  • Cervical Stenosis
  • Myelopathy
  • Prolapsed Inter-Vertebral Disk (as confirmed by magnetic resonance imaging),
  • Winged Scapula due to lesions of the long thoracic nerve or spinal accessory nerve, (as documented by electromyography)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01568840

Locations
Brazil
Irmandade da Santa Casa de Misericordia de Sao Paulo
Sao Paulo, SP, Brazil, 01221-010
Sponsors and Collaborators
Irmandade da Santa Casa de Misericordia de Sao Paulo
  More Information

No publications provided

Responsible Party: Cinthia Santos Miotto de Amorim, Effectiveness of Global Postural Reeducation and Segmental Exercises on Function, Pain, and Quality of Life of Patients with Scapular Dyskinesis and Cervicalgia: A Randomized Clinical Study, Irmandade da Santa Casa de Misericordia de Sao Paulo
ClinicalTrials.gov Identifier: NCT01568840     History of Changes
Other Study ID Numbers: 192/10
Study First Received: March 26, 2012
Last Updated: March 29, 2012
Health Authority: Brazil: Ethics Committee

Keywords provided by Irmandade da Santa Casa de Misericordia de Sao Paulo:
Physical Therapy Modalities
Posture
Muscle Stretching Exercises
Dyskinesias
Neck pain

Additional relevant MeSH terms:
Neck Pain
Dyskinesias
Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms
Movement Disorders
Central Nervous System Diseases

ClinicalTrials.gov processed this record on April 14, 2014