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CTRI Number  CTRI/2024/11/076653 [Registered on: 12/11/2024] Trial Registered Prospectively
Last Modified On: 07/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing the Effects of Scapula Stability and diagonal pattern Movement Exercises on functional Performance and Throwing Accuracy in overhead Athletes with Scapular Dysfunction 
Scientific Title of Study   The Impact of Scapular Stabilization versus Proprioceptive Neuromuscular Facilitation Exercises On Functional Performance and Throwing Accuracy in Overhead Throwers With Scapular Dyskinesia 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Akshata Dayal  
Designation  PG Student MPT Sports 
Affiliation  Indian Spinal Injuries Centre - Institute Of Rehabilitation Sciences 
Address  2nd Floor - Indian Spinal Injuries Centre - Institute Of Rehabilitation Sciences,Sector C, Vasant Kunj

South
DELHI
110070
India 
Phone  9958282727  
Fax    
Email  dayalakshata@yahoo.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Piyush Singh PT 
Designation  Associate Professor 
Affiliation  Indian Spinal Injuries Centre - Institute Of Rehabilitation Sciences 
Address  2nd Floor - Indian Spinal Injuries Centre - Institute Of Rehabilitation Sciences, Sector C, Vasant Kunj

South
DELHI
110070
India 
Phone  9971009811  
Fax    
Email  piyushphysio@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Akshata Dayal  
Designation  PG Student MPT Sports 
Affiliation  Indian Spinal Injuries Centre - Institute Of Rehabilitation Sciences 
Address  2nd Floor - Indian Spinal Injuries Centre - Institute Of Rehabilitation Sciences, Sector C, Vasant Kunj

South
DELHI
110070
India 
Phone  9958282727  
Fax    
Email  dayalakshata@yahoo.in  
 
Source of Monetary or Material Support  
Indian Spinal Injuries Center- Institute of Rehabilitation Sciences (ISIC-IRS),sector C, Vasant Kunj, New Delhi- 110070 
 
Primary Sponsor  
Name  Indian Spinal Injuries Center Institute of Rehabilitation Sciences ISICIRS 
Address  2nd Floor Indian Spinal Injuries Centre -Institute Of Rehabilitation Sciences, Sector C, Vasant Kunj 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Akshata Dayal PT  SU block volleyball coaching centre pitampura   SU-9, Block SU, Uttari Pitampura, Pitampura, Delhi, 110034
New Delhi
DELHI 
9958282727

dayalakshata@yahoo.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INDIAN SPINAL INJURIES CENTER - INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M629||Disorder of muscle, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Proprioceptive Neuromuscular Facilitation   GROUP B (Conventional plus PNF group )Diagonal pattern movements of upper limb and scapula(12 sessions in 6 weeks) 
Comparator Agent  Scapula stabilization exercises   GROUP A (Conventional plus Scapular stabilization) Strengthening and stretching exercises of muscles around the scapula (12 sessions in 6 weeks) 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  1. Lateral Scapular Slide Test (LSST) scapular asymmetry greater than 1.5cm
2. Players must have been consistently involved in overhead throwing sports for a minimum of 3 years.
3. All types of scapular dyskinesia  
 
ExclusionCriteria 
Details  1. Any history of upper limb injury such as dislocations or fractures.
2. Any neurological disease
3. Any musculoskeletal injury of the shoulder joint in the last 6 months.
4. Any major or minor surgery of the upper limb, lower limb and abdomen in the last 6 months.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
1. Range of motion of the shoulder joint
2. Throw Accuracy by Functional Throw Performance Index
3. Functional Performance Test
 
At end of 3rd and 6th week 
 
Secondary Outcome  
Outcome  TimePoints 
shoulder flexion and extension range of motion  at end of 3rd and 6th week 
 
Target Sample Size   Total Sample Size="28"
Sample Size from India="28" 
Final Enrollment numbers achieved (Total)= "28"
Final Enrollment numbers achieved (India)="28" 
Phase of Trial   N/A 
Date of First Enrollment (India)   22/11/2024 
Date of Study Completion (India) 26/05/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  

Scapular dyskinesis is common in overhead athletes and contributes to shoulder dysfunction due to poor neuromuscular control and repetitive stress. This study compared Proprioceptive Neuromuscular Facilitation (PNF) and Scapular Stabilization Exercises (SSE) in 28 overhead athletes aged 18–25. Participants were randomly assigned to 6 weeks of SSE or PNF training. Both groups improved, but PNF produced significantly greater gains in Functional Throwing Performance Index (p = 0.003), Seated Single Arm Shot Put Test (p = 0.008), Lateral Scapular Slide Test (p < 0.001), and Prone Medicine Ball Drop Test (p < 0.001). PNF was more effective than SSE for enhancing shoulder function and throwing accuracy.

 
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