September 2024 CME Activity: Efficacy of Targeted Scapular Stabilization Exercise Versus Conventional Exercise for Patients With Shoulder Pain A Randomized Clinical Trial-Efficacy of Targeted Scapular Stabilization Exercise Versus Conventional Exercise for Patients With Shoulder Pain A Randomized Clinical Trial

Efficacy of Targeted Scapular Stabilization Exercise Versus Conventional Exercise for Patients With Shoulder Pain A Randomized Clinical Trial

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This randomized clinical trial aimed to compare the efficacy of targeted scapular stabilization exercises versus conventional exercises in patients with shoulder pain. The study involved 90 participants, divided into two groups: one receiving scapular stabilization exercises based on the type of scapular dyskinesis (SD) for 6 weeks, and the other undergoing conventional exercise routines such as pendulum, wall climbing, and stick exercises for the same duration. The participants' outcomes were assessed using the Constant-Murley score (CMS), numerical rating scale (NRS), range of motion (ROM), lateral scapular sliding test (LSST), pectoralis minor index (PMI), scapular index (SI), and satisfaction surveys at different intervals.<br /><br />Results indicated that the scapular stabilization exercise group showed significantly greater improvement in the Constant-Murley score, NRS during activity, LSST, PMI, SI, and satisfaction, both after the 6-week intervention and during the follow-up period. Notably, 31.71% of participants in the stabilization group achieved normal scapula status (type IV SD), whereas no participants in the conventional group did.<br /><br />The study concluded that targeted scapular stabilization exercises effectively improve shoulder function, reduce pain, and enhance scapular stability more than conventional exercises. This suggests that incorporating specific scapular stabilization exercises based on the type of SD can be beneficial in the rehabilitation of patients with shoulder pain.

Keywords

randomized clinical trial

scapular stabilization exercises

conventional exercises

shoulder pain

scapular dyskinesis

Constant-Murley score

numerical rating scale

range of motion

rehabilitation

shoulder function