Comparison of the Proprioceptive Neuromuscular Facilitation and Mobilization In Subacromial Impingement Syndrome

Sevgi Medical Center

Status: Completed

Conditions: Subacromial Impingement; Subacromial Impingement Syndrome

Treatments: Other: Shoulder Mobilization; Other: Proprioceptive Neuromuscular Facilitation; Other: Conventional Physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT03735485

SevgiMC

Details and patient eligibility

About

Aim of the study was to compare the effectiveness of Proprioceptive Neuromuscular Facilitation (PNF) exercises and Shoulder Mobilization (SM) on pain, range of motion (ROM), functionality, and muscle strength in patients with Subacromial Impingement Syndrome (SIS). Patients received 20 sessions (for 4 weeks) under the supervision of a physiotherapist. Patients were evaluated at baseline, at week two, at week four, and at week sixteen.

Full description

Aim of the study was to compare the effectiveness of Proprioceptive Neuromuscular Facilitation (PNF) exercises and Shoulder Mobilization (SM) on pain, range of motion (ROM), functionality, and muscle strength in patients with Subacromial Impingement Syndrome (SIS). Forty-four patients were divided into three groups as Group I: Conventional physiotherapy receiving group (control group; n=14), Group II: Conventional physiotherapy + PNF exercises receiving group (PNF group; n=15), and Group III: conventional physiotherapy + SM receiving group (SM group; n=15). Pain, ROM, muscle strength, and functionality were evaluated by using visual analog scale (VAS), goniometer, push-pull dynamometer, Constant-Murley score and The Disabilities of the Arm, Shoulder and Hand (DASH) Score respectively. Patients received 20 sessions in total under supervision of a physiotherapist. Patients were evaluated at baseline, at week two, at week four, and at week sixteen.

Enrollment: 44 patients

Sex: All

Ages: 25 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged between 25-65 years old,
• Having the diagnosis of Subacromial Impingement Syndrome (SIS),
• Having shoulder pain at least for four weeks

Exclusion criteria

• Having a neuromuscular disease,
• Pregnancy,
• History of cancer,
• Unstable angina,
• Having pulmonary and/or vascular problems,
• History of surgery at neck, shoulder, elbow or/and hand,
• Having communication problems
• Having systemic anti-inflammatory joint diseases
• Being contraindicated for electrical stimulation and/or exercise
• Having cervical disc herniation or radiculopathy
• History of physiotherapy on the same shoulder due to SIS,
• A history of corticosteroid injection in the last three months,
• Any orthopedic, rheumatologic, or congenital condition that effects the targeted shoulder

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Single Blind

---

44 participants in 3 patient groups

Group I

Experimental group

Description:

The control group. Participants in this group received only conventional physiotherapy. Number of the participants were 14.

Treatment:

Other: Conventional Physiotherapy

Group II

Experimental group

Description:

The shoulder mobilization group. Participants in this group received conventional physiotherapy and shoulder joint mobilization techniques. Number of the participants were 15.

Treatment:

Other: Conventional Physiotherapy

Other: Shoulder Mobilization

Group III

Experimental group

Description:

The Proprioceptive Neuromuscular Facilitation (PNF) group. Participants in this group received conventional physiotherapy and PNF exercises. Number of the participants were 15.

Treatment:

Other: Proprioceptive Neuromuscular Facilitation

Other: Conventional Physiotherapy