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NCT Number: NCT06943131

YWTL Exercises and Close Kinetic Chain Exercises in Children With Scapular Dyskinesis.

Scapular dyskinesia is defined by abnormal movement or placement of the scapula, the shoulder blade, during arm movements. Physical treatment aimed at regaining appropriate scapular mechanics through strengthening exercises, postural correction, and functional movement training is typically part of management. A randomized clinical trial will be conducted. The study will be conducted at Unique school and on school going children in a total duration of 10 months. Sample size will be 22.There will be two study groups. A convenient sampling technique will be used. The sample which will have following characteristics will be included children with age group 9 to 12 years, positive scapular test, positive scapular assistance test, athletes who practice one hour three days a week. The sample with the following characteristics will be excluded. Any muscular or joint deformity, scoliosis, shoulder dislocation. The tools that will be included in the study are modified lateral scapular test, shoulder flexion test, shoulder and pain disability index, upper extremity functional use scale, posture and posture assessment scale, shoulder and scapular ranges.

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Key information

Conditions

Scapular Dyskinesis

Age range

9 year–12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Mishal Farwa

Lahore, Punjab Province, 01234, Pakistan

Location status: Recruiting

Location contact

Mishal Farwa, MS-PT

CONTACT

[email protected]

03024038228

About this study

Scapular dyskinesia is defined by abnormal movement or placement of the scapula, the shoulder blade, during arm movements. Changes in scapular kinematics, such as tipping (forward or backward tilting), winging (medial border protrusion), or general prominence during shoulder movements, are usually involved. Physical treatment aimed at regaining appropriate scapular mechanics through strengthening exercises, postural correction, and functional movement training is typically part of management. From the shoulders to the hands, proper upper limb posture is essential for both biomechanical effectiveness and the avoidance of injuries when performing tasks. In addition to maximizing mobility for daily tasks, work, sports, and leisure activities, proper posture relieves tension on muscles and joints, assuring effective performance and lowering the chance of injury. A randomized clinical trial will be conducted. The study will be conducted at Unique School Wapda Town and The Punjab School in a total duration of 10 months. Sample size will be 22.

There will be two study groups. A convenient sampling technique will be used. The sample which will have following characteristics will be included children with age group 9 to 12 years, positive scapular test, positive scapular assistance test, normal shoulder ranges, normal scapular ranges, athletes who practice one hour three days a week. The sample with the following characteristics will be excluded. Any muscular or joint deformity, scoliosis, shoulder dislocation, previous surgery of shoulder and cervicobrachialgia. The tools that will be included in the study are modified lateral scapular test, scapular dyskinesis test, shoulder flexion test, scapular assistance test, shoulder and pain disability index, upper extremity functional use scale, posture and posture assessment scale, shoulder and scapular ranges. SPSS version 27 will be used for data analysis.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Children with an age group of 9 to 12 years.

  • Both genders.
  • Engage in overhead sports.
  • Minimum play time is 1 hour 3 times in a week.
  • Positive Modified lateral scapular test
  • Positive scapular dyskinesis shoulder flexion test
  • Positive scapular assistance test
  • Shoulder and pain disabilty index (score 1 to 20 )
  • Upper extremity functional use scale (score 60 to 80).

Exclusion criteria

Any muscular or joint deformity.

  • Scoliosis.
  • Shoulder dislocation
  • Post fracture.
  • Neurological deficits
  • Cervicobrachialgia

Treatment and study plan

YWTL EXERCISES

Other

YWTL exercises are shoulder and upper back exercises to improve posture, strengthen upper back. Each letter represents different arm position that copies shape of letter.

Closed kinetic chain exercises

Other

Closed kinetic chain exercises include corner stretch hold, sleeper stretch hold - lawn mover and robbery maneuver, Scapula clock exercises, wall wash. Low row exercise maneuver, Scapular stabilization of Black burn exercises, press up, push up.

Primary outcomes

  1. modified lateral scapular test

    Time frame: pre reading(1st week) post reading (6th week)

    The Modified Lateral Scapular Slide Test assesses scapular asymmetry and stability by measuring the distance between the inferior angle of the scapula and the spine in various arm positions.

  2. scapular dyskinesis test

    Time frame: pre reading(1st week) post reading (6th week)

    The Scapular Dyskinesis Test evaluates abnormal scapular movement patterns during shoulder motion to identify dysfunction.

  3. shoulder flexion test

    Time frame: pre reading(1st week) post reading (6th week)

    The Shoulder Flexion Test assesses the range of motion and flexibility of the shoulder joint as the arm is raised overhead.

  4. scapular assistance test

    Time frame: pre reading(1st week) post reading (6th week)

    The Scapular Assistance Test evaluates the effect of manually assisting scapular motion on shoulder pain and function during arm elevation.

  5. shoulder and pain disability index

    Time frame: pre reading(1st week) post reading (6th week)

    The Shoulder Pain and Disability Index (SPADI) is a self-reported questionnaire that measures the pain and functional impairment associated with shoulder disorders.

  6. upper extremity functional use scale

    Time frame: pre reading(1st week) post reading (6th week)

    The Upper Extremity Functional Use Scale assesses the frequency and quality of functional use of the affected upper limb in daily activities.

  7. posture and posture assessment scale

    Time frame: pre reading(1st week) , post reading (6th week)

    The Posture and Postural Ability Scale includes items for measuring posture as well as a 7-point ordinal scale for postural ability in supine, prone, sitting, and standing

  8. shoulder ranges

    Time frame: pre reading(1st week) , post reading (6th week)

    Shoulder ranges refer to the degrees of motion the shoulder joint can achieve in various directions, including flexion, extension, abduction, adduction, and rotation.

  9. scapular ranges

    Time frame: pre reading(1st week), post reading (6th week)

    Scapular ranges are the measurable degrees of movement the scapula performs during shoulder motions, including elevation, depression, protraction, retraction, and rotation.

Study contacts

Contact information is provided by the study sponsor or research team.

Imran Amjad, PHD

CONTACT

[email protected]

9233224390125

Muhammad Asif Javed, MS-PT

CONTACT

[email protected]

923224209422

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Comparison of YWTL Exercises and Closed Kinetic Chain Exercises on Shoulder Pain, Disability, Upper Limb Mobility and Posture in Children With Scapular Dyskinesis.

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Apr 24, 2025
Registry last updated
Apr 24, 2025

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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