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Scapular Stabilization Versus Proprioceptive Neuromuscular Facilitation Technique in Scapular Dyskinesis
Sponsor: University of Lahore
Summary
Office workers, typically engaged in administrative or professional roles, are increasingly susceptible to scapular dyskinesis (SD). Poor ergonomic setups at workstations have been identified as a major contributing factor to musculoskeletal discomfort in this population. Scapular stabilization and neuromuscular training have shown efficacy in improving scapular mechanics. However, direct comparisons of these interventions in office worker populations remain limited. To address this knowledge gap, a randomized clinical trial was conducted to directly compare the two treatment approaches. Outcome measures included the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, Numeric Pain Rating Scale (NPRS), Scapular Assistance Test (SAT), Visual Scapular Dyskinesis Test, digital inclinometer, and digital vernier caliper to determine which method is more effective in reducing pain, disability, and improving ROM, and scapular kinematic and neuromuscular control in office workers with Scapular Dyskinesis.
Official title: Scapular Stabilization Exercises Versus Proprioceptive Neuromuscular Facilitation Technique in Scapular Dyskinesis Among Office Workers
Key Details
Gender
All
Age Range
20 Years - 55 Years
Study Type
INTERVENTIONAL
Enrollment
86
Start Date
2025-11-15
Completion Date
2026-11-20
Last Updated
2026-10-19
Healthy Volunteers
No
Conditions
Interventions
Scapular Stabilization Exercises+ Proprioceptive Neuromuscular Facilitation
The group received standard conventional treatment consisting of a moist heating pad applied for 10 minutes, followed by 25 minutes of scapular stabilization exercises and 20 minutes of proprioceptive neuromuscular facilitation. Treatment was administered three times per week for six weeks. The scapular stabilization component included prone Y, T, and W raises performed in a prone position, with the arms elevated approximately 10-15 cm while maintaining scapular retraction and depression. Participants performed 3 sets of 10-12 repetitions with a 2-second pause. Scapular push-ups were performed from a prone plank position with active scapular protraction for 3 sets of 8-10 repetitions. Wall-slide elevation with mirror feedback was performed for 3 sets of 12-15 repetitions while maintaining scapular control. Resistance-band rows were performed for 12-15 repetitions. Scapular D1 and D2 PNF patterns were performed with light manual resistance, 3 sets of 8-10 reps with 5-second holds.
Patient engagement through warm-up and Scapular Stabilization exercises
Patients performed low-intensity engagement exercises to improve adherence, relaxation, and patient comfort during rehabilitation sessions. These activities included wall climbing (finger ladder/wall stair exercises), pendulum exercises, shoulder rolls, active shoulder range-of-motion exercises, pectoralis stretching, and thoracic mobility exercises performed within a pain-free range. Application of moist heating pad for 10 minutes. , 20 minutes of patient engagement+25 min scapular stabilization. 3 sessions per week for 6 weeks. The scapular stabilization exercises included Prone Y/T/W raises performed in prone position, with the arms raised 10-15 cm to create T, Y (thumbs up), and W positions while maintaining scapular retraction and depression. Participants performed 3 sets of 10-12 repetitions, with a 2-second pause. Scapular push-ups were performed from a prone plank position with engaged scapular protraction for 3 sets of 8-10 reps. Wall-slide elevation with mirror feedback.
Locations (1)
University of Lahore Teaching Hospital
Lahore, Punjab Province, Pakistan