Trial Outcomes & Findings for The Effect of Biomechanical Scapular Mobilization With Movement and Motor Learning (NCT NCT04701814)

Last Updated: 2022-05-18

Results Overview

1\. Visual Analogue Scale: was used to evaluate the intensity of pain, which The pain VAS is a continuous scale comprised of a horizontal (HVAS) or vertical (VVAS) line, usually, 10 centimetres in length, anchored by 2 verbal descriptors, one for each symptom extreme. For pain intensity, the scale is most commonly anchored by "no pain" (score of 0) and "pain as bad as it could be" or "worst imaginable pain" (score of 10 centimetres).

Recruitment status

COMPLETED

Study phase

Target enrollment

38 participants

Primary outcome timeframe

3 weeks

Results posted on

2022-05-18

Participant Flow

Participant milestones

Participant milestones
Measure	Group A (Controlled Group) received passive range of motion (PROM)/ active assisted range of motion (AAROM)/ active range of motion (AROM) exercises, strengthen of rotator cuff, biceps, shoulder and scapular muscles, ultrasound (5 min. - 1.5 W/c.m2 - 1 MHZ), electrical stimulation ( interferential bipolar technique for 20 min. on shoulder joint). This treatment was repeated three times per weeks with 24 hours rest for 3 weeks.	Group B(Study Group) All patients in group B received same treatment as group A with adding biomechanical scapular mobilization with movement and motor learning. biomechanical scapular mobilization with movement and motor learning: the therapist applied posterior tilt and exteral rotation with upward rotation mobilization to scapula and therapist also warp bilt around GH joint to applied inferior and posterior glid then ask patient to elevate his arm. then we applied motor learning approach by asking patient to elevate his arm with maintaining of external rotation with posterior glid of scapula.
Overall Study STARTED	20	18
Overall Study COMPLETED	15	15
Overall Study NOT COMPLETED	5	3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Group A (Controlled Group) n=15 Participants received passive range of motion (PROM)/ active assisted range of motion (AAROM)/ active range of motion (AROM) exercises, strengthen of rotator cuff, biceps, shoulder and scapular muscles, ultrasound (5 min. - 1.5 W/c.m2 - 1 MHZ), electrical stimulation ( interferential bipolar technique for 20 min. on shoulder joint). This treatment was repeated three times per weeks with 24 hours rest for 3 weeks.	Group B(Study Group) n=15 Participants All patients in group B received same treatment as group A with biomechanical scapular mobilization with movement and motor learning. biomechanical scapular mobilization with movement and motor learning: the therapist applied posterior tilt and exteral rotation with upward rotation mobilization to scapula and therapist also warp bilt around GH joint to applied inferior and posterior glid then ask patient to elevate his arm. then we applied motor learning approach by asking patient to elevate his arm with maintaining of external rotation with posterior glid of scapula.	Total n=30 Participants Total of all reporting groups
Age, Categorical <=18 years	0 Participants n=15 Participants	0 Participants n=15 Participants	0 Participants n=30 Participants
Age, Categorical Between 18 and 65 years	15 Participants n=15 Participants	15 Participants n=15 Participants	30 Participants n=30 Participants
Age, Categorical >=65 years	0 Participants n=15 Participants	0 Participants n=15 Participants	0 Participants n=30 Participants
Age, Continuous	35.1 weeks STANDARD_DEVIATION 8.123 • n=15 Participants	35.3 weeks STANDARD_DEVIATION 7.943 • n=15 Participants	35.2 weeks STANDARD_DEVIATION 8 • n=30 Participants
Sex: Female, Male Female	10 Participants n=15 Participants	10 Participants n=15 Participants	20 Participants n=30 Participants
Sex: Female, Male Male	5 Participants n=15 Participants	5 Participants n=15 Participants	10 Participants n=30 Participants
Race and Ethnicity Not Collected	—	—	0 Participants Race and Ethnicity were not collected from any participant.
Region of Enrollment Egypt	15 Participants n=15 Participants	15 Participants n=15 Participants	30 Participants n=30 Participants

PRIMARY outcome

Timeframe: 3 weeks

Outcome measures

Outcome measures
Measure	Group A (Controlled Group) n=15 Participants received passive range of motion (PROM)/ active assisted range of motion (AAROM)/ active range of motion (AROM) exercises, strengthen of rotator cuff, biceps, shoulder and scapular muscles, ultrasound (5 min. - 1.5 W/c.m2 - 1 MHZ), electrical stimulation ( interferential bipolar technique for 20 min. on shoulder joint). This treatment was repeated three times per weeks with 24 hours rest for 3 weeks.	Group B(Study Group) n=15 Participants All patients in group B received same treatment as group A but adding biomechanical scapular mobilization with movement and motor learning to treatment. biomechanical scapular mobilization with movement and motor learning: the therapist applied posterior tilt and exteral rotation with upward rotation mobilization to scapula and therapist also warp bilt around GH joint to applied inferior and posterior glid then ask patient to elevate his arm. then we applied motor learning approach by asking patient to elevate his arm with maintaining of external rotation with posterior glid of scapula.
Visual Analogue Scale	4.2 score on a scale Standard Deviation 1.474	0.9 score on a scale Standard Deviation 1.280

PRIMARY outcome

Timeframe: 3 weeks

Universal goniometer: was used to measure the available range of motion at a joint. where used to measure an available range of motion of abduction and flexion of the shoulder joint.

Outcome measures

Outcome measures
Measure	Group A (Controlled Group) n=15 Participants received passive range of motion (PROM)/ active assisted range of motion (AAROM)/ active range of motion (AROM) exercises, strengthen of rotator cuff, biceps, shoulder and scapular muscles, ultrasound (5 min. - 1.5 W/c.m2 - 1 MHZ), electrical stimulation ( interferential bipolar technique for 20 min. on shoulder joint). This treatment was repeated three times per weeks with 24 hours rest for 3 weeks.	Group B(Study Group) n=15 Participants All patients in group B received same treatment as group A but adding biomechanical scapular mobilization with movement and motor learning to treatment. biomechanical scapular mobilization with movement and motor learning: the therapist applied posterior tilt and exteral rotation with upward rotation mobilization to scapula and therapist also warp bilt around GH joint to applied inferior and posterior glid then ask patient to elevate his arm. then we applied motor learning approach by asking patient to elevate his arm with maintaining of external rotation with posterior glid of scapula.
Universal Goniometer Abduction	85.7 Degree Standard Deviation 9.083	130.9 Degree Standard Deviation 8.302
Universal Goniometer Flexion	131.7 Degree Standard Deviation 10.761	173.4 Degree Standard Deviation 6.544

Adverse Events

Group A (Controlled Group)

Serious events: 0 serious events

Other events: 1 other events

Deaths: 0 deaths

Group B(Study Group)

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure	Group A (Controlled Group) n=2 participants at risk received passive range of motion (PROM)/ active assisted range of motion (AAROM)/ active range of motion (AROM) exercises, strengthen of rotator cuff, biceps, shoulder and scapular muscles, ultrasound (5 min. - 1.5 W/c.m2 - 1 MHZ), electrical stimulation ( interferential bipolar technique for 20 min. on shoulder joint). This treatment was repeated three times per weeks with 24 hours rest for 3 weeks.	Group B(Study Group) n=1 participants at risk All patients in group B received same treatment as group A but adding biomechanical scapular mobilization with movement and motor learning to treatment. biomechanical scapular mobilization with movement and motor learning: the therapist applied posterior tilt and exteral rotation with upward rotation mobilization to scapula and therapist also warp bilt around GH joint to applied inferior and posterior glid then ask patient to elevate his arm. then we applied motor learning approach by asking patient to elevate his arm with maintaining of external rotation with posterior glid of scapula.
Musculoskeletal and connective tissue disorders Shoulder Pain	50.0% 1/2 • Number of events 1 • 5 months The study isn't including serious adverse events: Adverse events that are not Serious Adverse Events. the study is depend on manual therapy that its evidence base to occur any adverse effect is very low may be occur with manipulation technique more than mobilization. when we check the patients after technique to record any adverse events, we found nothing so there is no any adverse event. Also, we have not found any study recorded adverse event due to using mobilization technique in shoulder.	0.00% 0/1 • 5 months The study isn't including serious adverse events: Adverse events that are not Serious Adverse Events. the study is depend on manual therapy that its evidence base to occur any adverse effect is very low may be occur with manipulation technique more than mobilization. when we check the patients after technique to record any adverse events, we found nothing so there is no any adverse event. Also, we have not found any study recorded adverse event due to using mobilization technique in shoulder.

Additional Information

P.T Moataz Abdelaal

Pharos university in Alexandria

Phone: 1060081213

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place