Global Postural Reeducation and Segmental Exercises in Patients With Scapular Dyskinesis and Cervicalgia
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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 |
- 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".
- 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:
|
|
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:
|
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 |
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)
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| 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 May 16, 2013