The Effect of Scapular Proprioceptive Neuromuscular Facilitation Techniques on Pain and Functionality in Subacromial Impingement Syndrome

Tuğba Akgüller

Status: Completed

Conditions: Shoulder Impingement Syndrome

Treatments: Other: Scapular PNF; Other: Exercise program

Study type: Interventional

Funder types: Other

Identifiers

NCT04273568

tugbaakguller

Details and patient eligibility

About

The aim of this study was to investigate the effects of scapular proprioceptive neuromuscular facilitation (PNF) techniques applied in addition to exercise therapy in patients with Subacromial impingement syndrome (SIS) on pain, pressure pain threshold (PPT), range of motion (ROM), functionality, scapular dyskinesis, active trigger points and emotional state.

Full description

32 patients between the ages of 20-60 diagnosed with SIS were included in the study.

The patients were randomly divided into two groups. The exercise group received an exercise program of 12 sessions. Scapular PNF techniques were applied to the PNF group with the same exercise program. Patients were evaluated twice; one before and one after 6 weeks of treatment; using Visual Analogue Scale (VAS) for pain, algometer for PPT, digital goniometer for range of motion (ROM), The Disabilities of Arm, Shoulder and Hand (DASH) for functional status, lateral scapular slide test (LSST) for scapular dyskinesis, Travell and Simons criteria for trigger point and Hospital Anxiety and Depression Scale (HADS) for emotional state. At the end of treatment patient satisfaction was evaluated with Global Change Scale.

Enrollment: 32 patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged between 20 and 60
• Diagnosed with SIS by MRI and clinical examination and a specialist physician
• Positive impingement tests (Hawkings, Neer and Jobe test) or painful motion arc (60 ° -120 °)
• Unilateral shoulder pain that has been going on for at least 3 months
• Signed voluntary consent form

Exclusion criteria

• Diagnosed with adhesive capsulitis or massive rotator cuff tear
• Having undergone upper limb surgery
• Presence of rheumatological systemic diseases
• Presence of Glenohumeral instability
• Having a neurological disease affecting the upper extremity
• Diagnosed with cervical radiculopathy
• Degenerative joint disorders
• Having communication problems
• Steroid injection therapy or physiotherapy in the past 6 months have been rehabilitated

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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32 participants in 2 patient groups

Group1 (PNF group)

Experimental group

Description:

Scapular PNF and exercise program was applied to the PNF group.

Treatment:

Other: Exercise program

Other: Scapular PNF

Group 2 (Exercise group)

Active Comparator group

Description:

Exercise program was applied to the exercise group

Treatment:

Other: Exercise program