Background

Scapular focused exercise interventions are frequently used to treat individuals with shoulder pain. However, evidence for changes in scapular motion after intervention is limited.

Objective

To compare the effects of scapular movement training versus standardized exercises for individuals with shoulder pain.

Methods

This will be a single-blinded randomized controlled trial. Sixty-four individuals with shoulder pain for at least 3 months, scapular dyskinesis, and a positive scapular assistance test will be randomly allocated to one of two groups: Scapular Movement Training (group 1) and Standardized Exercises (group 2). Group 1 will receive education about scapular position and movement, and be trained to modify the scapular movement pattern. Group 2 will perform stretching and strengthening exercises. Both groups will be treated twice a week for eight weeks. Three-dimensional scapular kinematics and muscle activity of the serratus anterior and upper, middle, and lower trapezius during elevation and lowering of the arm will be assessed at baseline and after 8 weeks of treatment. Pain intensity, function, fear avoidance beliefs, and kinesiophobia will be assessed at baseline and after 4 and 8 weeks of treatment, and 4 weeks after the end of treatment.

Conclusions

The results of this study may contribute to a better understanding of the efficacy of scapular focused treatments for individuals with shoulder pain. Clinical trial registration: NCT03528499

中文翻译：

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慢性肩痛患者的肩胛运动训练与标准化练习：随机对照试验方案

 背景

肩胛骨集中运动干预经常用于治疗肩部疼痛的患者。然而，干预后肩胛运动变化的证据有限。

 客观的

比较肩胛运动训练与标准化训练对肩部疼痛患者的效果。

 方法

这将是一项单盲随机对照试验。 64 名患有肩部疼痛至少 3 个月、肩胛运动障碍且肩胛辅助测试呈阳性的个体将被随机分配到两组中的一组：肩胛运动训练（第 1 组）和标准化练习（第 2 组）。第 1 组将接受有关肩胛骨位置和运动的教育，并接受调整肩胛骨运动模式的培训。第2组将进行伸展和力量练习。两组患者每周接受两次治疗，持续八周。将在基线和治疗 8 周后评估在手臂抬高和降低过程中前锯肌和上、中、下斜方肌的三维肩胛运动学和肌肉活动。将在基线、治疗 4 周和 8 周以及治疗结束后 4 周后评估疼痛强度、功能、回避恐惧信念和运动恐惧症。

 结论

这项研究的结果可能有助于更好地了解肩胛骨集中治疗对肩痛患者的疗效。临床试验注册：NCT03528499