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NCT Number: NCT05973682

Effects of Post Isometric Relaxation With Scapular Stabilization Exercises

The levator scapulae is an important postural muscle that tends to shorten or become tight because of overactivity and bad posture, leading to neck and shoulder pain. Levator scapulae syndrome is usually caused by the poor shoulders posture as rounded shoulders as sitting at a computer hunched. It is exacerbated by sustained neck postures, neck movements or levator scapulae muscle palpation. The aim of study will be to determine the effects of post isometric relaxation with scapular stabilization exercises on pain, disability and range of motion in patients with levator scapulae syndrome.

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Key information

Conditions

Upper Cross Syndrome Neck Pain Neurologic Manifestations Oculocerebral hypopigmentation syndrome type Preus Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Tehsil Headquarter Hospital Sharqpur Shareef

Sheikhupura, Punjab Province, 39460, Pakistan

About this study

A Randomized Controlled Trial will be conducted at Tehsil Headquarter Hospital Sharqpur Shareef, Sheikhupura through consecutive sampling technique on 30 patients with levator scapulae syndrome which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with post isometric relaxation, scapular stabilization exercises along with baseline treatment. Group B will be treated with post isometric relaxation along with baseline treatment. Baseline treatment includes hot pack, TENS, upper trapezius stretch, levator scapular stretch and pectoralis major stretch. Both groups will come thrice per week for a total of 4 weeks. Outcome measures are NPRS, universal goniometer and NDI. Data will be analysed during SPSS software version 25. After assessing normality of data by Shapiro-Wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Keywords: Disability, Levator Scapulae, Range of Motion, Pain

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Both Males and females
  • Age range of 18-40 years
  • Neck and medial border scapular pain for at least 3months
  • Examination - Increased muscle tone and tenderness at neck
  • Reduced Side flexion and Rotation of neck
  • Positive Levator Scapular length Test

Exclusion criteria

  • Neuropathies
  • Vertebral fractures
  • Pregnancy
  • Previous cognitive and functional disorders
  • Traumatic neck injury
  • Fibromyalgia
  • cancer

Treatment and study plan

Post-isometric relaxation and Conventional treatment

Other

The term refers to the effect of subsequent relaxation experienced by a muscle or group of muscles, after brief periods during which an isometric contraction has been performed. Post isometric relaxation technique was applied to levator scapulae for 5 repetition using 20% of maximal isometric contraction for 7-10 sec. with complete relaxation of all element, the stretch is maintained for 30 sec.

+ hot pack and TENS at neck area for 10 mint upper trapezius, levator scapulae and pectoralis stretching 3 times with 30 second hold. static stretching exercises two sessions per week for 3 weeks were given to each patient

Conventional physical therapy

Other

Conventional Physical Therapy; hot pack and TENS at neck area for 10 mint upper trapezius, levator scapulae and pectoralis stretching 3 times with 30-second hold. static stretching exercises, two sessions per week for 3 weeks were given to each patient

Primary outcomes

  1. Universal Goniometer (UG)

    Time frame: upto 4 weeks

    Universal Goniometer (UG) used to measure ROM of cervical Spine

    A goniometer is an instrument that measures the available range of motion at a joint. Physical therapists commonly use a goniometer to measure the range of motion. The therapist can use a goniometer to assess the range of motion at the initial assessment. In this study range of motion of the neck will be measured.

    The cervical spine's range of motion is approximately 80° to 90° of flexion, 70° of extension, 20° to 45° of lateral flexion, and up to 90° of rotation to both sides.

  2. Numeric pain rate scale (NPRS)

    Time frame: upto 4 weeks

    The numeric pain rate scale (NPRS) measures the pain at the neck region in patients with mechanical neck pain.

    The patient's level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain", and 10 indicates "worst pain. NPRS is categorized into mild, moderate and severe pain.

    Mild pain value 1 to 3 Moderate pain value 4 to 7 Severe pain value 8 to 10

  3. Neck Disability index (NDI)

    Time frame: upto 4 weeks

    Neck Disability index (NDI) measures the disability of the neck region in patients with mechanical pain.

    NDI questionnaire will be used to assess disability. It comprises 10 items; 7 related to daily living activities, 2 related to pain and 1 to concentration. Each item is scored from 0 to 5. The total score is a percentage, with higher scores related to more significant disability.

    0 to 4 = no disability 5 to 14 = mild 15 to 24 = moderate 25 to 34 = severe Above 34 = complete

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effects of Post Isometric Relaxation With Scapular Stabilization Exercises on Pain, Range of Motion and Disability With Levator Scapulae Syndrome

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Aug 3, 2023
Registry last updated
Apr 30, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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