Comparison of the Proprioceptive Neuromuscular Facilitation and Mobilization In Subacromial Impingement Syndrome
Condition: Subacromial Impingement; Subacromial Impingement Syndrome
MeSH terms: Shoulder Impingement Syndrome; Syndrome; Rotator Cuff Injuries
Study type: Interventional

Summary: 
      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.
    

Detailed 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.
    

Intervention name(s): Conventional Physiotherapy; Shoulder Mobilization; Proprioceptive Neuromuscular Facilitation
Intervention type(s): Other; Other; Other
Intervention description(s): The conventional physiotherapy program consisted of electrotherapy and exercise approaches. The electrotherapy program consisted of infrared (for 15 minutes, from 70 cm distance), conventional Transcutaneous Electrical Nerve Stimulation (TENS) in an encircled region (for 20 minutes; with 4 electrodes, 100 Hz, 100 msec), and therapeutic Ultrasound (for 3 minutes; 1 megahertz (MHz), power: 1,5 W/cm²).
A physiotherapist supervised exercise program was performed following the electrotherapy program. Elastic resistive exercises were added at the week three. While, the first set of wand exercises and elastic resistive exercises was performed under supervision, two sets of the showed exercises were given as the home exercise program.; In shoulder mobilization technique while the shoulder joint was placed in the traction, anterior, posterior, and inferior gliding and circumduction were applied to the humerus for 2-3 minutes. All mobilization applications were performed in painless range of motion (ROM) limits. The degree of traction and gliding were increased as the relaxing obtained in the tissues.; In the Proprioceptive Neuromuscular Facilitation (PNF) program participants received PNF exercises with contract-relax technique, in the patterns of "flexion-abduction-external rotation", "extension-adduction-internal rotation", "flexion-adduction-external rotation" and "extension-abduction-internal rotation" along with the verbal and manual facilitation of the physiotherapist.
Allocation: Randomized
Intervention model: Factorial Assignment
Intervention model description: There were three study groups: 1. The control group: Participants in this group received only conventional physiotherapy treatment. 2. The shoulder mobilization group: Participants in this group received conventional physiotherapy and shoulder joint mobilization techniques as treatment. The Proprioceptive Neuromuscular Facilitation (PNF) group. Participants in this group received conventional physiotherapy and PNF exercises as treatment.
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: proprioceptive neuromuscular facilitation; functionality; mobilization; pnf