Ignite Creation Date:
2025-12-24 @ 9:46 PM
Ignite Modification Date:
2025-12-31 @ 2:40 PM
Study NCT ID:
NCT07123532
Status:
RECRUITING
Last Update Posted:
2025-08-14
First Post:
2025-08-08
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
PREVALENCE OF SCAPULAR DYSKINESIS
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D020069', 'term': 'Shoulder Pain'}, {'id': 'D018908', 'term': 'Muscle Weakness'}], 'ancestors': [{'id': 'D018771', 'term': 'Arthralgia'}, {'id': 'D007592', 'term': 'Joint Diseases'}, {'id': 'D009140', 'term': 'Musculoskeletal Diseases'}, {'id': 'D010146', 'term': 'Pain'}, {'id': 'D009461', 'term': 'Neurologic Manifestations'}, {'id': 'D012816', 'term': 'Signs and Symptoms'}, {'id': 'D013568', 'term': 'Pathological Conditions, Signs and Symptoms'}, {'id': 'D009135', 'term': 'Muscular Diseases'}, {'id': 'D020879', 'term': 'Neuromuscular Manifestations'}, {'id': 'D009422', 'term': 'Nervous System Diseases'}, {'id': 'D010335', 'term': 'Pathologic Processes'}]}}, 'protocolSection': {'designModule': {'studyType': 'OBSERVATIONAL', 'designInfo': {'timePerspective': 'CROSS_SECTIONAL', 'observationalModel': 'COHORT'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 121}, 'patientRegistry': False}, 'statusModule': {'overallStatus': 'RECRUITING', 'startDateStruct': {'date': '2025-08-01', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-08', 'completionDateStruct': {'date': '2025-12-15', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2025-08-08', 'studyFirstSubmitDate': '2025-08-08', 'studyFirstSubmitQcDate': '2025-08-08', 'lastUpdatePostDateStruct': {'date': '2025-08-14', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2025-08-14', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2025-11-28', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Prevalence of Scapular Dyskinesis', 'timeFrame': 'At baseline (single assessment session).', 'description': 'Determined by the proportion of participants diagnosed with abnormal scapular movement patterns using the Scapular Dyskinesis Test (SDT) and Lateral Scapular Slide Test (LSST).\n\nMeasurement Method:\n\nSDT: Observation of scapular motion during repeated shoulder flexion and abduction with light weights. Abnormal motion recorded as "Yes," normal as "No."\n\nLSST: Measurement of distance from scapular inferior angle to the nearest spinous process in different arm positions; \\>1.5 cm side-to-side difference indicates dyskinesis.'}], 'secondaryOutcomes': [{'measure': 'Shoulder Range of Motion (ROM)', 'timeFrame': 'At baseline.', 'description': 'Measurement of active and passive ROM of the shoulder joint in degrees.\n\nMeasurement Method: Digital goniometer aligned with anatomical landmarks (Norkin \\& White, 2016).'}, {'measure': 'Scapular Stabilizer Muscle Strength', 'timeFrame': 'At baseline.', 'description': 'Strength of the serratus anterior, middle trapezius, and lower trapezius.\n\nMeasurement Method: Manual Muscle Testing (MMT) using Oxford scale; grade 5 only included in statistical analysis.'}]}, 'oversightModule': {'oversightHasDmc': False, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['Muscle Weakness', 'Scapular Dyskinesis'], 'conditions': ['Shoulder Pain']}, 'descriptionModule': {'briefSummary': 'Objective:\n\nThis study will aim to determine the prevalence of scapular dyskinesis (SD) among Egyptian physical therapy practitioners and will explore associated epidemiological factors, including age, sex, BMI, shoulder and neck symptoms, and scapular stabilizer muscle strength.\n\nDesign:\n\nA cross-sectional observational study will be conducted, including 121 licensed Egyptian physical therapists aged 27 to 40 years. Participants will be divided into three age-based groups.\n\nMethods:\n\nEach participant will undergo a clinical examination for SD using the Scapular Dyskinesis Test (SDT) and the Lateral Scapular Slide Test (LSST). Pain intensity will be assessed using the Visual Analog Scale (VAS), and musculoskeletal symptoms will be recorded using the Nordic Musculoskeletal Questionnaire (NMQ). Shoulder range of motion and the strength of scapular stabilizer muscles (serratus anterior, middle, and lower trapezius) will also be evaluated. Statistical analysis will include Chi-square tests and one-way ANOVA at a significance level of p \\< 0.05.', 'detailedDescription': 'This study will be a cross-sectional observational study designed to investigate the prevalence of scapular dyskinesis (SD) among physical therapy practitioners and to explore associated epidemiological factors. The study will be conducted between October 2024 and January 2025. Ethical approval will be obtained from the Research Ethics Committee of the Faculty of Physical Therapy, Cairo University (P.T.REC/012/005755).\n\nParticipants\n\nSample Size: The sample size will be calculated using SPSS for Windows, version 25, with 80% power at α = 0.05 level using a one-sample t-test. The generated sample size will be 121 physical therapy practitioners.\n\nSelection Criteria:\n\nInclusion Criteria:\n\nLicensed physical therapy practitioners actively working in clinical settings (Soliño et al., 2024).\n\nAge between 27 and 40 years (Jeong \\& Kim, 2023).\n\nMinimum of one year of clinical experience or exposure to physical activity (Jeong \\& Kim, 2023).\n\nNo current shoulder pain or symptoms at the time of assessment (Soliño et al., 2024).\n\nWillingness to participate and provide informed consent.\n\nExclusion Criteria:\n\nAcute shoulder or neck injury within the last month (Jeong \\& Kim, 2023).\n\nHistory of upper body orthopedic surgery (Jeong \\& Kim, 2023).\n\nKnown neurological or musculoskeletal disorders affecting shoulder mechanics (Burn et al., 2016).\n\nParticipation in overhead or collision sports with high scapular loading (Burn et al., 2016).\n\nInability to complete assessment procedures due to physical limitations (Soliño et al., 2024).\n\nSubgroups: Participants will be divided into three age-based groups:\n\nGroup A: 27-31 years\n\nGroup B: Above 31-36 years\n\nGroup C: Above 36-40 years\n\nInstrumentation\n\nBody Mass Index (BMI): Weight and height will be measured using calibrated scales, and BMI will be calculated as body mass (kg) / height² (m²). A cutoff of ≥30 kg/m² will be considered obese (Romero et al., 2008).\n\nScapular Dyskinesis Test (SDT): Will be used to visually assess scapular movement patterns during repeated shoulder flexion and abduction with light weights (Plummer et al., 2017).\n\nLateral Scapular Slide Test (LSST): Will assess scapular position by measuring the distance from the scapula\'s inferior angle to the nearest spinous process in different arm positions. A side-to-side difference \\>1.5 cm will indicate asymmetry (Curtis et al., 2006).\n\nDigital Goniometer: Will be used to assess shoulder range of motion (ROM) with alignment to anatomical landmarks (Correll et al., 2018; Norkin \\& White, 2016).\n\nVisual Analog Scale (VAS): Will be used to measure pain intensity on a 10 cm line from 0 (no pain) to 10 (worst pain) (Begum et al., 2019).\n\nNordic Musculoskeletal Questionnaire (NMQ): An Arabic-adapted version will be used to assess musculoskeletal symptoms in specific body regions (Aldhabi et al., 2024).\n\nManual Muscle Testing (MMT): Strength testing of middle trapezius, lower trapezius, and serratus anterior will be conducted using the Oxford scale (Vijian et al., 2023).\n\nAssessment Procedures\n\nPersonal Data: Name, age, sex, weight, and height will be recorded. Informed consent will be obtained from all participants.\n\nBMI Calculation: Weight and height will be measured, and BMI will be computed using the standard formula (Abrantes et al., 2002).\n\nPain Assessment (VAS): Participants will mark their pain level on a 10 cm visual analog scale.\n\nSDT: Participants will perform repeated shoulder flexion and abduction; abnormal scapular motion will be recorded as "yes" and normal as "no" (Jayasinghe, 2018).\n\nLSST: Bilateral measurements will be taken in different arm positions; \\>1.5 cm difference will be considered abnormal (Jayasinghe, 2018).\n\nShoulder ROM Measurement: A digital goniometer will be used; the joint will be positioned and stabilized before measurement (Norkin \\& White, 2016).\n\nNMQ Administration: A self-administered questionnaire will address demographic, biomechanical, psychological, and environmental factors (Smith et al., 2006).\n\nMMT: Strength of scapular stabilizers will be graded on the Oxford scale; only grade 5 will be included in analysis to avoid confounding.\n\nGlenohumeral Joint Assessment: Passive ROM will be evaluated for pain response and end-feel categorization (Norkin \\& White, 2016).\n\nStatistical Analysis Data will be expressed as mean ± SD. The Shapiro-Wilk test will be used for normality testing. ANOVA will be applied to compare characteristics among the three subgroups, and the Chi-square test will be used to compare categorical variables. Statistical analysis will be performed using SPSS version 20 (SPSS Inc., Chicago, IL, USA), with significance set at p ≤ 0.05.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT'], 'maximumAge': '40 Years', 'minimumAge': '27 Years', 'samplingMethod': 'PROBABILITY_SAMPLE', 'studyPopulation': 'This cross-sectional observational study will investigate the prevalence of scapular dyskinesis (SD) among licensed physical therapy practitioners in Egypt and will explore associated epidemiological factors. The study will be conducted between October 2024 and January 2025 after obtaining ethical approval from the Research Ethics Committee, Faculty of Physical Therapy, Cairo University (P.T.REC/012/005755).\n\nA total of 121 participants will be recruited based on a sample size calculation with 80% power at α = 0.05 (one-sample t-test). Eligible participants will be aged 27-40 years, actively working in clinical settings, with at least one year of clinical experience or exposure to physical activity, and free from current shoulder symptoms. Exclusion criteria will include recent acute shoulder/neck injury, history of upper body orthopedic surgery, neurological or musculoskeletal disorders affecting shoulder mechanics, high scapular-loading sports participation, and inability to complete', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\nLicensed physical therapy practitioners actively working in clinical settings (Soliño et al., 2024).\n\nAge between 27 and 40 years (Jeong \\& Kim, 2023).\n\nMinimum of one year of clinical experience or exposure to physical activity (Jeong \\& Kim, 2023).\n\nNo current shoulder pain or symptoms at the time of assessment (Soliño et al., 2024).\n\nWillingness to participate and provide informed consent.\n\nExclusion Criteria:\n\nAcute shoulder or neck injury within the last month (Jeong \\& Kim, 2023).\n\nHistory of upper body orthopedic surgery (Jeong \\& Kim, 2023).\n\nKnown neurological or musculoskeletal disorders affecting shoulder mechanics (Burn et al., 2016).\n\nParticipation in overhead or collision sports with high scapular loading (Burn et al., 2016).\n\nInability to complete assessment procedures due to physical limitations (Soliño et al., 2024).'}, 'identificationModule': {'nctId': 'NCT07123532', 'briefTitle': 'PREVALENCE OF SCAPULAR DYSKINESIS', 'organization': {'class': 'OTHER', 'fullName': 'Cairo University'}, 'officialTitle': 'PREVALENCE OF SCAPULAR DYSKINESIS AMONG PHYSICAL THERAPY PRACTITIONERS AN EPIDEMIOLOGICAL STUDY', 'orgStudyIdInfo': {'id': 'P.T.REC/012/005755'}}, 'armsInterventionsModule': {'armGroups': [{'label': 'o Group A:', 'description': '27-31 years'}, {'label': 'o Group B:', 'description': 'Above 31-36 years'}, {'label': 'o Group C:', 'description': 'Above 36-40 years'}]}, 'contactsLocationsModule': {'locations': [{'city': 'Cairo', 'status': 'RECRUITING', 'country': 'Egypt', 'contacts': [{'name': 'Cairo university', 'role': 'CONTACT', 'email': 'eth.com@pt.cu.edu.eg', 'phone': '+20 37617691'}], 'facility': 'Faculty of Physical Therapy', 'geoPoint': {'lat': 30.06263, 'lon': 31.24967}}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Cairo University', 'class': 'OTHER'}, 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'general preactitioner', 'investigatorFullName': 'Reda Abd Elaziz Ibrahim Abdo', 'investigatorAffiliation': 'Cairo University'}}}}