FULL DETAILS (Read-only)  -> Click Here to Create PDF for Current Dataset of Trial
CTRI Number  CTRI/2025/02/081313 [Registered on: 25/02/2025] Trial Registered Prospectively
Last Modified On: 25/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Effectiveness of Shoulder Blade Stabilization Exercises With and Without Muscle Energy Technique (MET) on Pain, Neck Disability, and Shoulder Blade Position in People With Non-Specific Neck Pain and Scapular Dyskinesis 
Scientific Title of Study   Comparative effectiveness of Scapular Stabilization Exercises with and without muscle energy technique (MET) on pain, neck disability, and position of the scapula among Non-specific neck pain subjects with Scapular Dyskinesis 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr. Gowthami S 
Designation  PG student 
Affiliation  RV College of Physiotherapy 
Address  RV College of Physiotherapy Department of Musculoskeletal Sciences Room No 03

Bangalore
KARNATAKA
560011
India 
Phone  8105269201  
Fax    
Email  gowthamisriram09@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr Paul Daniel V K 
Designation  Professor 
Affiliation  RV College of Physiotherapy 
Address  RV College of Physiotherapy Department of Musculoskeletal Sciences Room No 03

Bangalore
KARNATAKA
560011
India 
Phone  9008173167  
Fax    
Email  pauldanielvk.rvcp@rvei.edu.in  
 
Details of Contact Person
Public Query  
Name  Dr Paul Daniel V K 
Designation  Professor 
Affiliation  RV College of Physiotherapy 
Address  RV College of Physiotherapy Department of Musculoskeletal Sciences Room No 03

Bangalore
KARNATAKA
560011
India 
Phone  9008173167  
Fax    
Email  pauldanielvk.rvcp@rvei.edu.in  
 
Source of Monetary or Material Support  
RV College of Physiotherapy No.CA 2 83 3,9th Main, 4th Block Jayanagar Bengaluru Karnataka India 560011 
 
Primary Sponsor  
Name  NIL 
Address  NIL 
Type of Sponsor  Other [NIL] 
 
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 Paul Daniel V K  RV College of Physiotherapy  Department of Musculoskeletal Sciences Room number 03
Bangalore
KARNATAKA 		 9008173167

pauldanielvk.rvcp@evei.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
RV Institute 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 
Comparator Agent  Muscle Energy Technique  Muscle Energy Technique (MET) involves the patient initiating voluntary muscle contractions against resistance from the therapist, promoting muscle stretching, strengthening, and relaxation to improve joint mobility and reduce pain. Treatment Plan: Administered 3 times a week for 4 weeks for Trapezius, Levator Scapulae, and Pectoralis Minor. Techniques: 1. Trapezius - Patient Position:Supine, arm off the couch, neck bent away from the treatment side. -Therapist Position:One hand stabilizes the shoulder; the other supports the cervical spine. -Technique: Perform a submaximal contraction (10-20%) for 5-10 seconds against resistance. After relaxing, apply a gentle stretch to the new barrier. Repeat 3-5 times. 2.Levator Scapulae -Patient Position: Supine, neck in side rotation and flexion on the treated side. -Therapist Position: Supports the head and stabilizes the shoulder. -Technique: Same as Trapezius. 3.Pectoralis Minor -Patient Position: Supine at the couch edge, arm in 90° shoulder abduction and elbow flexion. -Therapist Position: Stabilizes the opposite shoulder while supporting the treated arm. -Technique: Same as Trapezius. 
Intervention  scapular stabilization exercises  Scapular Stabilization Exercises: The axioscapular muscles, including the trapezius, serratus anterior, rhomboid major and minor, and levator scapulae, are linked to the scapula and play a crucial role in the movement of the neck and shoulder complex. Research indicates that tightness or weakness in these muscles can lead to scapular dyskinesis. To address this issue, it is important to strengthen the weak muscles while also stretching the tense ones. The following exercises focus on strengthening the middle and lower trapezius, serratus anterior, and rhomboids major (MT & LT, SA, RM), as well as stretching the pectoralis minor, levator scapulae, upper trapezius, and teres major (PM, LS, UT, TM). These exercises are essential for the dynamic stabilization of the scapula. Duration and Protocol for Scapular Stabilization Exercises: Frequency: 3 times a week for 4 weeks Weeks 1 & 2 Exercises: - Stretching for upper trapezius (UT), levator scapulae (LS), teres major (TM), and pectoralis minor (PM) - Standing T, Y, and I exercises - Dynamic hugging - Side-lying external rotation - Low rowing - Prone extension Protocol: - Hold each stretch for 20 seconds, repeating 3 times. - Perform 3 sets of each exercise with 10 repetitions per set, resting between each set. Weeks 3 & 4 Exercises: - Blackburn exercises - Standing boxer punch - Dynamic hugging - Standing external rotation with resistance - Rowing exercise with resistance - Scapular push-ups Protocol: - Perform 3 sets of each exercise with 10 repetitions per set, resting between each set. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  1. Subjects willing to participate as volunteers and sign the written informed consent form.
2. Subjects diagnosed with non-specific neck pain by Orthopedician with scapular dyskinesis.
3. Subjects of age between 18-45 years
 
 
ExclusionCriteria 
Details  1. Subjects with specific cervical neck pathologies like degenerative or inflammatory conditions.
2. Subjects with recent/previous neck or shoulder surgeries
3. Subjects with neurological symptoms
4. Subjects with severe comorbidities
5. Subjects who are unable to follow commands or instructions
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
NPRS for pain
NDI for a neck disability
Lateral scapular slide test
 		 Baseline and after 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/03/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

This study investigates the comparative effectiveness of scapular stabilization exercises with and without Muscle Energy Technique (MET) on pain, neck disability, and scapula position in individuals with non-specific neck pain (NNP) and scapular dyskinesis. NNP is a common musculoskeletal condition affecting a significant portion of the population, often associated with altered scapular function. Scapular stabilization exercises improve muscle balance and movement patterns, while MET is a manual therapy technique that enhances muscle flexibility and joint mobility. This non-randomized comparative study will be conducted over six months with 100 participants and assesses pain reduction, neck disability, and scapular position improvement using the Numerical Pain Rating Scale (NPRS), Neck Disability Index (NDI), and Lateral Scapular Slide Test (LSST). Participants are divided into two groups—one receiving scapular stabilization exercises alone and the other receiving exercises combined with MET. This study aims to determine whether incorporating MET provides superior therapeutic benefits in managing NNP and scapular dyskinesis, potentially offering a more effective rehabilitation approach for physiotherapists and healthcare practitioners

 
Close