Effects of PNF on Shoulder Pain in Paraplegic Manual Wheel Chair Users
Condition: Shoulder Impingement
MeSH terms: Shoulder Pain; Shoulder Impingement Syndrome
Study type: Interventional

Summary: 
      This project was a Randomized control trial conducted to check the Effects of Proprioceptive
      Neuromuscular Facilitation on Shoulder Pain due to chronic impingement syndrome in paraplegic
      Manual Wheelchair users after Spinal Cord Injury so that we can have best treatment option
      for patients with shoulder pain due to manual wheelchair usage. duration was of
      6months,convenient sampling was done, subject following eligibility criteria from Spine
      welfare trust center, Nawaz Sharif social security Hospital were randomly allocated in two
      groups via lottery method, Group A participants were given baseline treatment along with PNF
      exercises , Group B participants were given baseline treatment upto 6 weeks and 3 sessions
      per, post intervention assessment was done after 6 weeks, by self-generated questionnaire
      (WUSPI) wheel chair users shoulder pain index, (SRQ) Shoulder rating questionnaire and
      physical assessment by 2 special test was done, data was analyzed by using SPSS version 25.
    

Detailed description: 
      In paraplegic manual wheelchair users Shoulder pain is most common problem after spinal cord
      injury. Due to wheelchair propulsion, weight relief task and other household activities
      repetitive load induced on upper limb and put substantial load in particular on shoulder.In
      spinal cord injured patients shoulder pain is because of over use of upper limb and shoulder
      during wheelchair related activities and personal care activities. less stability and slight
      muscle mass leads toward pain in their life at some point because of Muscular imbalance and
      later on shoulder secondary impingement syndrome. This study compared the rhythmic
      stabilization technique from PNF exercises with conventional treatment on experimental and
      control group to see the difference in reduction of pain and disability.
    

Intervention name(s): Rhythmic stabilization exercises; conventional treatment
Intervention type(s): Other; Other
Intervention description(s): PNF techniques and Conventional Treatment:
Experimental group received rhythmical Stabilization Technique on shoulder joint on all shoulder movements up to 1 minute in supine position For stability of joint ,re-establish dynamic rotator cuff stability and to enhance MS strength and decrease pain.
Conventional Treatment: heating pad for 15 minutes, TENS (Transcutaneous Electrical Nerve Stimulation) and after that shoulder stretching of upper trapezius muscle, pectorals and levator scapule and isometric exercises of rotator cuff muscles performed in supine .( 10 sec hold and 10 to 15 reps)..; Conventional Treatment: heating pad for 15 minutes, TENS (Transcutaneous Electrical Nerve Stimulation) and after that shoulder stretching of upper trapezius muscle, pectorals and levator scapule and isometric exercises of rotator cuff muscles performed in supine .( 10 sec hold and 10 to 15 reps)..
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Spinal cord injury, wheelchair users, Shoulder pain, PNF