| CTRI Number |
CTRI/2025/09/094568 [Registered on: 11/09/2025] Trial Registered Prospectively |
| Last Modified On: |
11/09/2025 |
| 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 proprioceptive neuromuscular facilitation and scapular cueing exercises to improve back bone of shoulder imbalance and reduce chest muscle tightness in young adults |
|
Scientific Title of Study
|
Effectiveness of proprioceptive neuromuscular facilitation (PNF) versus scapular cueing exercise on scapular dyskinesis and pectoralis minor muscle tightness among young adults - A COMPARATIVE STUDY |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Riddhi Shah |
| Designation |
Post graduate student |
| Affiliation |
Parul institute of physiotherapy |
| Address |
18 , parul sevashram hospital , department of physiotherapy , , Post Limda , Waghodia,
Vadodara GUJARAT 391760 India |
| Phone |
8511994942 |
| Fax |
|
| Email |
riddhi2642@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Dwija Yagnik |
| Designation |
Assistant professor |
| Affiliation |
Parul institute of physiotherapy |
| Address |
18 , parul sevashram hospital , department of physiotherapy , , Post Limda , Waghodia,
Vadodara GUJARAT 391760 India |
| Phone |
9909021553 |
| Fax |
|
| Email |
dwija.yagnik74008@paruluniversity.ac.in |
|
Details of Contact Person Public Query
|
| Name |
Riddhi Shah |
| Designation |
Post graduate student |
| Affiliation |
Parul institute of physiotherapy |
| Address |
18 , parul sevashram hospital , department of physiotherapy , , Post Limda , Waghodia,
Vadodara GUJARAT 391760 India |
| Phone |
8511994942 |
| Fax |
|
| Email |
riddhi2642@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
NA |
| Address |
NA |
| Type of Sponsor |
Other [NA] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Riddhi Shah |
Parul sevashram hospital |
18 , parul sevashram hospital , department of physiotherapy , , Post Limda , Waghodia, Vadodara GUJARAT |
8511994942
riddhi2642@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Parul University Institutional Ethics Committee for Human Research |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
subjects with scapular dyskinesis and pectoralis muscle tightness |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
proprioceptive neuromuscular facilitation technique |
scapular PNF patterns :
1) Anterior elevation
2) Posterior depression
3) Anterior depression
4) Posterior elevation
first 3 weeks stabilizing reversals
other 3 weeks Dynamic reversals
total 6 week intervention
given bilaterally 10 repetitions 3 sets.
given 3 days in a week
|
| Comparator Agent |
scapular cueing exercise |
1) Scapular retraction (3 sets )
2) Resisted shoulder external rotation (3 sets )
3) Horizontal rows (3 sets )
4) Angle wings (3 sets )
5) Push up (2 sets )
6) Physioball scapular exercise (3 sets )
given 3 days in a week for 6 weeks |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
25.00 Year(s) |
| Gender |
Both |
| Details |
1. Asymptomatic individuals aged 18-25 year.
2. Both male and female.
3. Individuals who are willing to participate in the study.
4. Subject diagnosed with type 2 and 3 scapular dyskinesis and pectoralis minor muscle tightness.
5. Subject who has not participated for any other study in past year.
|
|
| ExclusionCriteria |
| Details |
1. Any injury or surgery around shoulder complex.
2. Neuromuscular or musculoskeletal condition around shoulder complex.
3. Individuals who have had shoulder or upper back surgery within the past six months.
|
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Lateral scapular slide test (LSST). |
1. at baseline
2. at 6 weeks |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Pectoralis minor muscle tightness test |
1. at baseline
2. at 6 weeks |
|
|
Target Sample Size
|
Total Sample Size="70" Sample Size from India="70"
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)
|
01/10/2025 |
| 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="1" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| 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
|
The scapula plays a vital role in shoulder kinematics through scapulohumeral rhythm and is closely associated with several clinical shoulder problems. Any alteration in scapular positioning or movement is termed scapular dyskinesis (SD), which can present as abnormal scapular elevation, rotation, or winging. SD is often linked with muscle imbalances, particularly involving the pectoralis minor (PM), trapezius, and serratus anterior, contributing to shoulder impingement, rotator cuff pathology, and postural issues. PM tightness has been shown to alter scapular motion, reducing posterior tilt and external rotation, thereby mimicking impingement patterns. Proprioceptive neuromuscular facilitation (PNF) techniques, using diagonal and rotational movement patterns with manual resistance, aim to improve coordination, flexibility, and muscle activation. PNF has demonstrated benefits in pain reduction, mobility, and functional performance. Scapular cueing exercises, which incorporate tactile, visual, or verbal feedback, also help retrain scapular orientation and enhance selective muscle activation. Both methods are effective , but comparative evidence is limited. Thus, this study aims to evaluate the effectiveness of PNF versus scapular cueing on SD and PM tightness in young adults. The study will see that effect of which technique is beneficial in this condition after the exercise session is completed .This study follows asymptomatic participants aged 18–25 years, randomly allocated into two groups: PNF training (Group A) and scapular cueing exercises (Group B). The intervention lasts six weeks, three sessions per week. Outcome measures include the Lateral Scapular Slide Test (LSST) and PM tightness test, assessed pre- and post-intervention. Data will be analyzed statistically to determine the relative effectiveness of each intervention. |