Investigation Of The Effect Of Proprioceptive Neuromuscular Fasilitation Tecniques in Scapular Dyskinesis

Study Overview
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Brief Summary
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Scapular dyskinesis is defined as the loss of strength around the scapular muscle, tightness of the pectoralis minor and disruption of scapular movements. Scapular patterns of proprioceptive neuromuscular fasilition (PNF) techniques are often preferred in the rehabilitation of scapular dyskinesis. The main principals of PNF applications are defined as the autogenous inhibition, reciprocal inhibition, stress relaxation and gate control theory.The aim of this study was to investigate the effect of scapular PNF patterns on muscular strength and pectoralis minor tightness among individuals with unilateral scapular dyskinesis.

Detailed Description
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In order to standardize the measurements while evaluating individuals, the evaluation order will be as follows; The evaluation of minor pectoralis shortness, scapular dyskinesia by video analysis, scapular side shift test and then muscle strength evaluation will be done. The evaluation will be repeated before and 6 weeks after treatment and 12 weeks after treatment. Proprioceptive Neuromuscular Facilitation Application: Anterior elevation / posterior depression will be performed in the form of repetitive contractions using anterior depression / posterior elevation patterns. There will be 10 repetitions, with a 2-minute rest break between each technique. The treatment will be continued twice a week for a total of 6 weeks. Perceived Effort Scale, which is graded between 0-10, will be used to determine the level of perceived resistance to individuals before each treatment. In order to ensure standardization, the perceived effort level will be set to 5-6 (moderate).

Official Title
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Investigation Of The Effect Of Proprioceptive Neuromuscular Fasilitation Tecniques On Muscle Strenght And Pectoralis Minor Muscle Tightness In Individuals With Scapular Dyskinesis

Conditions
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Scapular Dyskinesis

Intervention / Treatment
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* Other: Exercise, proprioceptive neuromuscular fasilition (PNF) techniques


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: To be in the age range of 18-30, Being a sedentary, Having type 1 or type 2 scapular dyskinesia. Exclusion Criteria: Has shoulder pain, Acute orthopedic injuries in the last 3 weeks, involving the upper extremity, Having had upper extremity surgery.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Sequential Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Individuals applied with proprioceptive neuromuscular fasilition techniques<br>No exercise intervention was made. | Other: Exercise, proprioceptive neuromuscular fasilition (PNF) techniques<br>* PNF applications are defined as the autogenous inhibition, reciprocal inhibition, stress relaxation and gate control theory. Anterior elevation / posterior depression will be performed in the form of repetitive contractions using anterior depression / posterior elevation patterns. There will be 10 repetitions, with a 2-minute rest break between each technique. The treatment will continue twice a week for a total of 6 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Upper trapez and serratus anterior muscle strength ratio and upper trapez and lower trapez muscle strength ratio | UT and SA muscle strength ratio (UT/SA) and UT and LT muscle strength ratio (UT/LT) were calculated. | 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Scapular Dyskinesis