Effectiveness of Posterior Capsule Stretching and Posterior Mobilization on Subacromial Impingement Syndrome
Condition: Subacromial Impingement Syndrome
MeSH terms: Shoulder Impingement Syndrome; Syndrome; Rotator Cuff Injuries
Study type: Interventional

Summary: 
      Subacromial Impingement Syndrome is one of the most common shoulder pathologies causing
      shoulder pain, functional disability and reduced quality of life. This study was designed to
      investigate the effectiveness of posterior capsule stretching and posterior mobilization on
      shoulder joint functions in Subacromial Impingement Syndrome.
    

Detailed description: 
      Subacromial Impingement Syndrome is one of the most common shoulder pathologies causing
      shoulder pain, functional disability, and reduced quality of life. This study investigated
      the effectiveness of posterior capsule stretching and posterior mobilization on shoulder
      joint functions in Subacromial Impingement Syndrome.

      74 patients with SIS were enrolled, 58 were included, but 50 completed the study. Also, 30
      healthy individuals were included and completed the study. The introductory characteristics
      of cases with the sociodemographic survey, pain intensity with VAS, upper extremity function
      with American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form and Modified
      Constant Murley Score, upper extremity disability and health situation with Quick Disability
      Arm, Shoulder and Hand Score, the evaluation of musculoskeletal symptoms with Cornell
      Musculoskeletal Discomfort Questionnaire, range of motion with a goniometer, shoulder muscle
      strength with myometer, grip strength with dynamometer and pinch meter and posterior capsule
      tightness with a tapeline. Individuals were divided into three different groups posterior
      mobilisation, posterior capsule, and control group. While participants included in the
      mobilization group were given classical stretching and strengthening and home exercise
      programs in addition to posterior mobilization, for the capsule stretching group, classical
      stretching and strengthening and home exercise program were given in addition to posterior
      capsule stretching exercise, and no exercise program was given to the control group and only
      posterior capsule tightness evaluation was applied.

      In this study, while there was found a statistically significant difference between both
      groups in the Constant score and involved part External Rotation range of motion (p<0,05), a
      statistically significant difference was not observed in the evaluation of muscle strength,
      grip strength and posterior capsule tightness (p>0,05). In the participants who applied
      mobilization, the functional capacity of the shoulder joint was increased more than those of
      the capsule stretching.
    

Intervention name(s): Posterior mobilisation technique; Posterior capsule stretching
Intervention type(s): Other; Other
Intervention description(s): Posterior mobilisation technique were applied; Posterior capsule stretching were applied
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Individuals were randomly divided into 3 different groups as posterior mobilisation, posterior capsule stretching and control group
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: subacromial impingement syndrome; posterior capsule; mobilisation