Clinical trial NCT04273568: The Effect of Scapular Proprioceptive Neuromuscular Facilitation Techniques on Pain and Functionality in Subacromial Impingement Syndrome
Official title: The Effect of Scapular Proprioceptive Neuromuscular Facilitation Techniques on Pain and Functionality in Subacromial Impingement Syndrome
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Shoulder Impingement Syndrome
Keywords: Proprioceptive Neuromuscular Facilitation
Shoulder pain
Lead sponsor: Istanbul Arel University
Sponsor class: OTHER
First posted: 2020-02-18
Enrollment: 32
Sex: ALL
Minimum age (years): 20
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.

Detailed 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.

Eligibility criteria: 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

Primary outcomes:
measure: Change from Baseline Pain intensity of the patients at 6 weeks
timeFrame: Baseline and 6 weeks
measure: Change from Baseline Functional Status of the patients at 6 weeks
timeFrame: Baseline and 6 weeks
Secondary outcomes:
measure: Shoulder Range of Motion (ROM)
timeFrame: Baseline and 6 weeks
measure: Pain Pressure Threshold (PPT)
timeFrame: Baseline and 6 weeks
measure: Scapular dyskinesis
timeFrame: Baseline and 6 weeks
measure: Active trigger points
timeFrame: Baseline and 6 weeks
measure: Emotional state
timeFrame: Baseline and 6 weeks
Other outcomes:
measure: Patient Satisfaction: Global Rating of Change (GRC) scale
timeFrame: At the end of the 6-weeks treatment
Locations:
city: Istanbul
country: Turkey
facility: Istanbul Aydin University
Study officials:
References: