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IRCT20230215057431N1 IRCT 2023-05-07 Tarbiat Modares University Comparison of the effects of forward and reverse therapeutic exercises of the serratus anterior muscle in the treatment of scapula dyskinesia Comparison of the effects of forward and reverse serratus anterior muscle therapeutic exercises on electromyographic activity and static and dynamic position of scapula in scapular dyskinesis 2023-06-10 anticipated 24 Complete https://irct.ir/trial/68677 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization method: Simple Randomization Unit: Individual Randomization tool: Concealed envelope This study is single-blind and individuals are not aware of the group they are in, Blinding description: Study participants are blinded. In this way, they are placed in one of the two groups through the selection of the concealed envelope, and they are not aware of which of the intervention groups they are in. N/A Scapular dyskinesis. Intervention 1: Intervention group: Participants in the first group are given reverse serratus anterior exercises. The exercises in the first group are performed without applying any external forces, such as weights, Thera bands, etc. The progress of the exercises in the first group will happen by increasing the repetition of the exercises and increasing the hold time. At the beginning of the exercises, the number of repetitions of each exercise is 6 times per session and hold for 2 seconds each time, which eventually reaches 10 times and holds for 10 seconds each time with the progress of the treatment program. Training sessions start with 3 sets, and in order to comply with the principle of overload, 2 sets are added to the number of previous sets at the beginning of each week. The number of training sessions is 3 times a day and the duration of the treatment period is 3 weeks. How to perform exercise 1: To perform this exercise, we ask the person to place the upper limb in 90 degrees of abduction and 45 degrees posterior to the frontal plane and take fixed surface. After ensuring the correct positioning of the upper limb, the person is taught to rotate the trunk to the involved side while keeping the head and neck stable and looking at a fixed point at eye level on the opposite wall. Move sternum upwards and do a deep inhale and exhale at the same time. How to perform exercise 2: To perform this exercise, while the upper limb is placed next to the body and in anatomical position, both upper limbs should be extended by 30 degrees and take a fixed surface, and at the same time, while the head and neck are fixed and He looks at the opposite wall at a fixed point at the level of the eyes, moves the sternum upwards and simultaneously inhales and exhales deeply. How to do exercise 3: To do this exercise, the person is taught to keep his head and neck fixed when the upper limb is at 130 degrees of abduction and take a fixed surface and look at a fixed point at the level of the eyes. Then while moving the sternum upwards and rotating the trunk to the affected side, inhale and exhale deeply at the same time. Intervention 2: Intervention group: Participants in the second group are given Forward Serratus Anterior exercises. The exercises in the second group are performed without applying any external forces, such as weights, Thera bands, etc. The progress of the exercises in the second group will happen by increasing the repetition of the exercises and increasing the hold time. At the beginning of the exercises, the number of repetitions of each exercise is 6 times per session and hold for 2 seconds each time, which eventually reaches 10 times and holds for 10 seconds each time with the progress of the treatment program. Training sessions start with 3 sets, and in order to comply with the principle of overload, 2 sets are added to the number of previous sets at the beginning of each week. The number of daily training sessions is 3 times and the duration of the treatment period is 3 weeks. How to perform the Dynamic hug plus exercise: To perform this exercise, the shoulders should be in 60 degrees of abduction and the elbows should be in 45 degrees of flexion. Then the arms are moved forward and inward. When the arms are straight in the midline, the person is asked to move their arms further forward with an additional force. How to perform Wall slide exercise: To perform this exercise, a person must stand facing the wall and put his forearm and elbow in contact with the wall while the upper limbs are shoulder width apart. Then the person is asked to raise his hands slowly with the help of the wall up to about 150 degrees and bring them back. How to perform Side-lying forward flexion: To perform this exercise, the person is side-lying and raises his arm from the side of the trunk to the end of the flexion range of motion. No - There is not a plan to make this available Justification or reason for not sharing IPD is "There is no further information"
public Omid Abouzari Rayhani
Block Five West, Noor One complex, Saadi street, Sarasiab, Malard
Malard Iran (Islamic Republic of) 3169918833 +98 21 6510 2951 omid.abouzari@modares.ac.ir Tarbiat Modares University scientific Omid Abouzari Rayhani
Block Five West, Noor One complex, Saadi street, Sarasiab, Malard
Malard Iran (Islamic Republic of) 3169918833 +98 21 6510 2951 omid.abouzari@modares.ac.ir Tarbiat Modares University Iran (Islamic Republic of) Men between the ages of 20 and 40 Body mass index between 18.5 and 24.9 Presence of pain between 3 and 5 based on VAS in the scapula region Muscle strength of at least 4 for the serratus anterior, upper trapezius, middle trapezius, lower trapezius and deltoid muscles based on Kendall's criteria Positive lateral scapular slide test Diagnosis of type 1 and 2 scapular dyskinesis based on Kibler's division (inferior angle prominence - medial border prominence) 20 years 40 years Male Missing one of the inclusion criteria Patients with rheumatoid arthritis Patients with neurological disorders Patients with scoliosis History of surgery and traumatic events of shoulder girdle in the last 6 months Rotator cuff tear Received scapula or shoulder treatment in the past 6 months Individuals with pectoralis minor shortness Other serious musculoskeletal disorders such as cervical disc herniation Reluctance of people to participate and continue treatment for any reasons Rehabilitation Rehabilitation Intervention group: Participants in the first group are given reverse serratus anterior exercises. The exercises in the first group are performed without applying any external forces, such as weights, Thera bands, etc. The progress of the exercises in the first group will happen by increasing the repetition of the exercises and increasing the hold time. At the beginning of the exercises, the number of repetitions of each exercise is 6 times per session and hold for 2 seconds each time, which eventually reaches 10 times and holds for 10 seconds each time with the progress of the treatment program. Training sessions start with 3 sets, and in order to comply with the principle of overload, 2 sets are added to the number of previous sets at the beginning of each week. The number of training sessions is 3 times a day and the duration of the treatment period is 3 weeks. How to perform exercise 1: To perform this exercise, we ask the person to place the upper limb in 90 degrees of abduction and 45 degrees posterior to the frontal plane and take fixed surface. After ensuring the correct positioning of the upper limb, the person is taught to rotate the trunk to the involved side while keeping the head and neck stable and looking at a fixed point at eye level on the opposite wall. Move sternum upwards and do a deep inhale and exhale at the same time. How to perform exercise 2: To perform this exercise, while the upper limb is placed next to the body and in anatomical position, both upper limbs should be extended by 30 degrees and take a fixed surface, and at the same time, while the head and neck are fixed and He looks at the opposite wall at a fixed point at the level of the eyes, moves the sternum upwards and simultaneously inhales and exhales deeply. How to do exercise 3: To do this exercise, the person is taught to keep his head and neck fixed when the upper limb is at 130 degrees of abduction and take a fixed surface and look at a fixed point at the level of the eyes. Then while moving the sternum upwards and rotating the trunk to the affected side, inhale and exhale deeply at the same time. Intervention group: Participants in the second group are given Forward Serratus Anterior exercises. The exercises in the second group are performed without applying any external forces, such as weights, Thera bands, etc. The progress of the exercises in the second group will happen by increasing the repetition of the exercises and increasing the hold time. At the beginning of the exercises, the number of repetitions of each exercise is 6 times per session and hold for 2 seconds each time, which eventually reaches 10 times and holds for 10 seconds each time with the progress of the treatment program. Training sessions start with 3 sets, and in order to comply with the principle of overload, 2 sets are added to the number of previous sets at the beginning of each week. The number of daily training sessions is 3 times and the duration of the treatment period is 3 weeks. How to perform the Dynamic hug plus exercise: To perform this exercise, the shoulders should be in 60 degrees of abduction and the elbows should be in 45 degrees of flexion. Then the arms are moved forward and inward. When the arms are straight in the midline, the person is asked to move their arms further forward with an additional force. How to perform Wall slide exercise: To perform this exercise, a person must stand facing the wall and put his forearm and elbow in contact with the wall while the upper limbs are shoulder width apart. Then the person is asked to raise his hands slowly with the help of the wall up to about 150 degrees and bring them back. How to perform Side-lying forward flexion: To perform this exercise, the person is side-lying and raises his arm from the side of the trunk to the end of the flexion range of motion. Internal rotation of the scapula in degrees. Timepoint: Before the start of the intervention and 2 days after the end of the intervention. Method of measurement: Vicon motion analysis device. Pain based on Visual Analog Scale. Timepoint: Before the intervention and 2 days after the intervention. Method of measurement: Visual Analogue Scale. Anterior tilt of the scapula in degrees. Timepoint: Before the intervention and 2 days after the intervention. Method of measurement: Vicon motion analysis device. Electromyographic activity of the serratus anterior muscle in terms of RMS and Peak RMS. Timepoint: Before the intervention and 2 days after the intervention. Method of measurement: Mayon electromyography device. Tarbiat Modares University Approved 2023-04-29 Ethics Committee in Biomedical Research, Tarbiat Modares University Tehran, Jalale Alahmad, Nasr bridge Tehran Tehran Iran (Islamic Republic of)