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Trial registered on ANZCTR
Registration number
ACTRN12619000755134
Ethics application status
Approved
Date submitted
9/05/2019
Date registered
21/05/2019
Date last updated
18/09/2019
Date data sharing statement initially provided
21/05/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of load and exercise speed on activation pattern of middle trapezius and posterior deltoid muscles in prone fly position.
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Scientific title
The Effect of Load and Repetition Velocity on Recruitment Timing of Middle Trapezius and Posterior Deltoid Muscles in Prone Shoulder Horizontal Abduction with External Rotation.
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Secondary ID [1]
298197
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Shoulder movement dysfunction
312786
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Condition category
Condition code
Musculoskeletal
311281
311281
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
After Maximum Voluntary Isometric Contraction (MVIC) Testing, there should be a five-minute rest for each subject before proceeding. In the starting position, subjects lay prone on the treatment table with neutral shoulders resting in 90° forward flexion (to confirm with goniometer measurements). Prone Horizontal Abduction in External Rotation (PHAER) is performed by extending elbows and horizontally abducting shoulders to a horizontal position, adding external rotation of the shoulder towards the end of the movement.
Subjects will undergo a dynamic warm-up of shoulder movements in all directions within their available range. Skin impedance will be reduced by shaving any hair on the skin and thorough cleaning with an alcohol swab. Proper electrode placement will be confirmed by monitoring EMG signals during specific muscle testing.
First, subjects will complete 3 trials of 5 PHAER exercises (progressive load from 0.5 to 2 kg), with a 2-minute rest between exercises. Repetition velocity will be kept consistent at two seconds concentric to two seconds eccentric using a metronome.
Second, subjects will complete 3 trials of 5 PHAER exercise (progressive velocity from 4 to 0.5 seconds), with a 2-minute rest between exercises.
The study will be administered by the Principal Investigator and Co-Investigators approved by the ethics committee.
The trial is conducted through direct participant engagement.
Each participant is expected to spend 2 hours in the trial and will be remunerated with cash vouchers.
The trial is conducted in the Singapore Institute of Technology and opened to the public. Each participant is involved in 1 session.
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Intervention code [1]
314433
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Rehabilitation
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Comparator / control treatment
None
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
320026
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Maximum Voluntary Isometric Contraction of middle trapezius muscle using EMG measurement.
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Assessment method [1]
320026
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Timepoint [1]
320026
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Baseline
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Secondary outcome [1]
370280
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Maximum Voluntary Isometric Contraction of posterior deltoid muscle using EMG measurement.
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Assessment method [1]
370280
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Timepoint [1]
370280
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Baseline
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Eligibility
Key inclusion criteria
- 21 to 30 years of age
- Able to perform PHAER in a pain-free range of motion
- Males with a bodyweight of 50kg to 85kg
- Females with a bodyweight of 50kg to 75kg
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Minimum age
21
Years
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Maximum age
30
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
- History of shoulder dislocation or surgery
- Current symptoms related to the cervical spine
- Documented structural injuries to the shoulder complex
- Participation in competitive overhead sports or high-level upper extremity strength training on a regular basis
- On-going orthopaedic follow-up appointment
- Body weight that does not fall within the inclusion criteria
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
First, mean recruitment timings (in milliseconds) and standard deviations will be calculated for each muscle in each exercise. The activation timing of MT relative to PD will be determined by subtracting the mean recruitment time of PD from that of MT. Negative values reflect MT muscle recruitment before PD while positive values reflect MT muscle recruitment after PD. Data will be assessed for normality using the Shapiro-Wilk test on SPSS v25. To investigate the relationship between MT to PD recruitment timing against (1) load and (2) repetition velocity variation, regression modelling of analysis of variance (ANOVA) will be used. Timing differences between the dominant and non-dominant arm will be analysed through a paired t-test.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
17/06/2019
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Actual
26/08/2019
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Date of last participant enrolment
Anticipated
16/12/2019
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Actual
30/08/2019
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Date of last data collection
Anticipated
31/12/2019
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Actual
31/08/2019
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Sample size
Target
24
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Accrual to date
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Final
24
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Recruitment outside Australia
Country [1]
21462
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Singapore
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State/province [1]
21462
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Funding & Sponsors
Funding source category [1]
302739
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University
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Name [1]
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Singapore Institute of Technology
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Address [1]
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10 Dover Dr Singapore 138683
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Country [1]
302739
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Singapore
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Primary sponsor type
University
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Name
Singapore Institute of Technology
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Address
10 Dover Dr Singapore 138683
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Country
Singapore
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Secondary sponsor category [1]
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Commercial sector/Industry
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Name [1]
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Clinical Pilates Family Physiotherapy
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Address [1]
302671
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2 Venture Dr #02-04 Singapore 608526
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Country [1]
302671
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Singapore
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
303341
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SIT Institutional Review Board
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Ethics committee address [1]
303341
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10 Dover Dr Singapore 138683
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Ethics committee country [1]
303341
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Singapore
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Date submitted for ethics approval [1]
303341
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Approval date [1]
303341
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08/05/2019
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Ethics approval number [1]
303341
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2019104
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Summary
Brief summary
Studies have shown that individuals experiencing shoulder pain display delayed recruitment of the trapezius muscle in relation to the deltoid muscle during arm movements. Prone shoulder horizontal abduction with external rotation is a commonly prescribed shoulder rehabilitation exercise that may be beneficial in the treatment of timing disorders of the trapezius muscle. Our research team would like to better understand how variations in dumbbell weight and repetition speed impact activity of selected back and shoulder muscles in healthy adults during this exercise. Our goal is to contribute to developing safer and more effective exercises for individuals suffering from various shoulder injuries.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mr Kwok Boon Chong
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Address
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Clinical Pilates Family Physiotherapy
2 Venture Dr #02-04 Singapore 608526
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Country
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Singapore
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Phone
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+65-69048298
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Fax
93338
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Email
93338
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[email protected]
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Contact person for public queries
Name
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Kwok Boon Chong
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Address
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Clinical Pilates Family Physiotherapy
2 Venture Dr #02-04 Singapore 608526
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Country
93339
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Singapore
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Phone
93339
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+65-69048298
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Fax
93339
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Email
93339
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[email protected]
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Contact person for scientific queries
Name
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Kwok Boon Chong
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Address
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Clinical Pilates Family Physiotherapy
2 Venture Dr #02-04 Singapore 608526
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Country
93340
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Singapore
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Phone
93340
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+65-69048298
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Fax
93340
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Email
93340
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
This is to protect the privacy and confidentiality of each participant.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
2039
Ethical approval
377570-(Uploaded-09-05-2019-12-26-15)-Study-related document.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF