Comparison of Dynamic Ultrasound Visual Feedback to Manual Feedback on Scapular Stabilizer Activation and Change in the Subacromial Space in Persons With Pain During Shoulder Elevation
NCT07464639 · Status: ENROLLING_BY_INVITATION · Phase: NA · Type: INTERVENTIONAL · Enrollment: 26
Last updated 2026-03-11
Summary
Purpose of the Study This study looks at whether using real-time ultrasound images as feedback can help people better activate two important shoulder muscles-the serratus anterior and lower trapezius-compared to standard verbal or visual feedback from a clinician. The study also examines whether this training carries over to everyday arm movements and whether it helps create more space inside the shoulder joint.
Why This Matters Shoulder pain is very common. One possible cause is poor movement or poor muscle control of the shoulder blade, which can reduce the space under the shoulder and lead to pain. The serratus anterior and lower trapezius muscles help the shoulder blade move correctly when lifting the arm. Improving how these muscles work may reduce pain and improve shoulder function.
How the Study Is Done
People with shoulder pain will take part in the study in a university laboratory. They will be randomly placed into one of two groups:
One group will receive muscle training with ultrasound images that show their muscles working in real time.
The other group will receive standard feedback without ultrasound.
Participants will perform specific shoulder exercises targeting the two muscles. Muscle activity will be measured before and after training using specialized sensors. The researchers will also see if the muscle training improves muscle use during a more functional movement, such as lifting the arm to shoulder height. In addition, ultrasound will be used to measure the space inside the shoulder joint before and after training.
Why This Is Important for Care If ultrasound feedback is shown to be effective, it could give physical therapists and other clinicians a new tool to help patients better activate key shoulder muscles. This may improve treatment options for people with shoulder pain, especially pain at the top of the shoulder.
Conditions
- Subacromial Impingement Syndrome
- Apical Shoulder Pain
- Rotator Cuff Syndrome
Interventions
- OTHER
-
Verbal and tactile feedback with exercise
Verbal and tactile feedback are provided to the subject to improve the quality of the exercise being performed.
Sponsors & Collaborators
-
California State University, Long Beach
lead OTHER
Principal Investigators
-
George J Beneck, PT, PhD · California State University, Long Beach
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-01-30
- Primary Completion
- 2027-10-15
- Completion
- 2028-02-29
Countries
- United States
Study Locations
More Related Trials
-
sEmg Biofeedback Training in Individuals With Subacromial Pain Syndrome
NCT04043884 ·Status: UNKNOWN ·Phase: NA
-
Effects of Corrective External Support and Regional Vibration Applications in Subacromial Pain Syndrome
NCT06409442 ·Status: RECRUITING ·Phase: NA
-
Rehabilitative Ultrasound Imaging: Measurements of Articular Movement of the Shoulder
NCT02338791 ·Status: COMPLETED ·Phase: NA
-
Effect of Thoracic Mobility Exercises Combined With Scapular Stabilization Exercises in Individuals With Subacromial Pain Syndrome
NCT07043842 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Therapeutic Approaches for Subjects With Scapula Dyskinesis
NCT03252444 ·Status: COMPLETED ·Phase: NA
-
The Effectiveness of Therapeutic Ultrasound in the Treatment of Calcific Tendinitis of the Shoulder
NCT04822779 ·Status: UNKNOWN ·Phase: NA
-
Exercise Application in the Treatment of Patients With Subacromial Pain Syndrome
NCT02695524 ·Status: COMPLETED ·Phase: NA
-
Extra Corporeal Shock Wave Versus Phonophoresis in Sub Acromial Impingement Syndrome.
NCT05951322 ·Status: COMPLETED ·Phase: PHASE3
-
Effects of a Scapular-focused Exercise Protocol
NCT05516186 ·Status: COMPLETED ·Phase: NA
-
Rigid Taping Versus Scapular Stabilizing Exercises in Subacromial Impingement Syndrome
NCT04468594 ·Status: COMPLETED ·Phase: NA
-
Scapular Mobilization Versus Capsular Stretch
NCT06705426 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Ultrasound Versus Kinesiotaping in Shoulder Impingement Syndrome
NCT05779033 ·Status: COMPLETED ·Phase: NA
-
Effect of Extracorporeal Shock Wave Therapy After Arthroscopic Rotator Cuff Repair
NCT04848103 ·Status: COMPLETED ·Phase: NA
-
Structure and Function of the Upper Trapezius and Its Role in Chronic Shoulder Pain: an Investigation of Kinematics, Morphology, Muscle Quality and Activation Distribution
NCT06472349 ·Status: RECRUITING
-
Effects of Scapular Therapeutic Exercise on Essential Biomechanical and Neurophysiological Parameters in Shoulder Pain Conditions With Scapular Impairments
NCT05814978 ·Status: COMPLETED ·Phase: NA
-
Automatic Multimodal Assessment of Occurrence and Intensity of Pain for Research and Clinical Use
NCT04833244 ·Status: COMPLETED ·Phase: NA
-
Scapular Movement Training Versus General Exercises for Individuals With Shoulder Pain
NCT03528499 ·Status: COMPLETED ·Phase: NA
-
Thoracic Spine Thrust Manipulation Compared to Sham Manipulation in Individuals With Subacromial Pain Syndrome
NCT03109704 ·Status: COMPLETED ·Phase: NA
-
The Effect of Scapular Proprioceptive Neuromuscular Facilitation Techniques on Pain and Functionality in Subacromial Impingement Syndrome
NCT04273568 ·Status: COMPLETED ·Phase: NA
-
Validity and Reliability in Measuring the Subacromial Space by Using Ultrasound
NCT00174018 ·Status: COMPLETED
-
Effects of Exercise Trainings on Pain, Function and AHD in Patients With SPS
NCT03494192 ·Status: COMPLETED ·Phase: NA
-
Influence of Interferential Current Therapy in the Treatment of Individuals With Shoulder Impact Syndrome: A Randomized, Placebo Controlled Clinical Trial.
NCT02964819 ·Status: COMPLETED ·Phase: NA
-
Cervical Unilateral Antero-posterior Mobilization and Thoracic Central Postro-anterior Mobilization in Treatment of Shoulder Impingement Syndrome
NCT06349746 ·Status: COMPLETED ·Phase: NA
-
Ultrasound-guided Anterior Hydrodilatation in Shoulder Adhesive Capsulitis
NCT05194852 ·Status: COMPLETED ·Phase: NA
-
Adding Vertical Correction to Scapular Recognition on Patients With Frozen Shoulder
NCT04369144 ·Status: COMPLETED ·Phase: NA