Routine rehab vs shock wave therapy for scapular dyskinesis

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

In this prospective, double-blind, placebo-controlled trial, participants with scapular dyskinesis are randomized to receive either active radial extracorporeal shock wave therapy (rESWT) once weekly for four weeks plus standard stretching, or sham rESWT plus standard stretching. The randomization uses closed envelopes, and participants are blinded to their group. Outcomes focus on scapular movement and related symptoms to determine if rESWT provides additional benefit over routine rehab. Exclusion criteria rule out recent shoulder or thorax trauma, neurologic deficits, inflammatory conditions, and certain contraindications to shock wave therapy. The trial is conducted at Tanta University, with 100 enrolled adults.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* This study included 100 patients with scapular dyskinesis. The patients were divided into 2 groups: one group was treated with ESWT and routine rehabilitation, and the second group was treated with routine rehabilitation only. Adult patients with scapular dyskinesia who exhibited signs of dyskinesia for at least 6 months before enrolment in the study will be selected.

Exclusion Criteria:

1. History of shoulder or thorax trauma or surgery.
2. The back pain involved the cervical spine and thoracic spine.
3. Participants with neurologic deficits
4. history of inflammatory conditions such as ankylosing spondylitis

4- Certain situations where shockwave therapy is not recommended. These include:

Absolute contraindications:

* Active infection (i.e., osteomyelitis)
* Malignant tumors, particularly at the treatment site (focused shockwave)
* Pregnancy

Relative Contraindications:

* The brain or nerve in the treatment focus
* Treatment focused on the lungs or pleura
* Significant coagulopathy (increased risk of bleeding, such as haemophilia)
* Epiphyseal plate in treatment focus

Important considerations:

* Cardiac pacemakers or other implantable devices
* Current nonsteroidal anti-inflammatory drug use
* Current anticoagulation use
* Recent corticosteroid injections (receiving a steroid injection into the area to be treated within the previous 12 weeks).

Where it's running

• Tanta University
  Tanta, Egypt Recruiting

Study contacts

• Study coordinator: Aliaa Mamdouh Abdelaziz Farag, MD
• Email: aliaa.mamdouh@med.tanta.edu.eg
• Phone: 01069468486

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Other studies for the same condition or treatment. Recruiting studies are listed first.

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• How the core and shoulder function relate in people with chronic low back pain

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.