Clinical trial · Interventional
Early vs. Late Referral for Scapular Exercises in Shoulder Function After Neck Dissection
Comparison of Early Versus Late Referral for Scapular-Focused Exercise on Shoulder Function in Head and Neck Cancer Patients Following Neck Dissection
NCT06852261CI-TRIAL-00118745active not recruitingN/AClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This study aims to investigate the effects of comparing early versus late referrals for scapular-focused exercise on shoulder function in head and neck cancer patients following neck dissection.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Rehabilitation | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Scapular-focused exercise | Behavioral | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- early (within 2 months post-surgery) referral groups.
- interventionNames
- Behavioral: Scapular-focused exercise
- type
- ACTIVE_COMPARATOR
- label
- late (after 2 months post-surgery) referral groups
- interventionNames
- Behavioral: Scapular-focused exercise
Primary outcomes (2)
- measure
- Active range of motion (AROM) of shoulder abduction
- timeFrame
- Baseline (before the first exercise intervention), 12 weeks of exercise intervention
- description
- Shoulder abduction AROM is measured in degrees three times using a universal goniometer and full-circle manual protractor, with the subject supine, shoulder in lateral rotation, and palm facing anteriorly. The protractor fulcrum is placed on the anterior acromial process, one arm aligned with the midline of the sternum, and the other with the anterior midline of the humerus, while keeping the thorax immobile to prevent vertebral lateral flexion.
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 20 Years
- Maximum age
- 65 Years
Show eligibility criteria text
Inclusion Criteria 1. Age between 20 and 65 years. 2. Newly diagnosed with head and neck cancer and experiencing clinical symptoms of accessory nerve dysfunction after unilateral neck dissection, such as shoulder drooping, restricted active range of motion in shoulder abduction, or insufficient muscle strength against gravity in shoulder abduction. 3. Scapular dyskinesia, such as asymmetrical scapular movement in multiple planes. 4. Scapular asymmetry, defined as a bilateral difference of more than 1.5 cm between the inferior angle of the scapula and the spinous process of the seventh thoracic vertebra when performing 90° shoulder abduction in the scapular plane under a 1 kg load. Exclusion Criteria： 1. Presence of distant metastasis or cancer recurrence. 2. Inability to communicate or comprehend the questionnaire. 3. History of shoulder pain within one year before neck dissection. 4. Any condition that may affect motor performance. 5. History of neuromuscular disorders or tendon pathology in the affected shoulder, other than accessory nerve dysfunction.
References
Publications (0)
Data not yet available
No reference posted for this study.