Clinical trial NCT03735485: Comparison of the Proprioceptive Neuromuscular Facilitation and Mobilization In Subacromial Impingement Syndrome
Official title: Comparison of the Effectiveness of Proprioceptive Neuromuscular Facilitation Exercises and Shoulder Mobilization Patients With Subacromial Impingement Syndrome: A Randomised Clinical Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Subacromial Impingement
Subacromial Impingement Syndrome
Keywords: proprioceptive neuromuscular facilitation
functionality
mobilization
pnf
Lead sponsor: Sevgi Medical Center
Sponsor class: OTHER
First posted: 2018-11-08
Enrollment: 44
Sex: ALL
Minimum age (years): 25
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: FACTORIAL
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.
Primary purpose: TREATMENT

Brief 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.

Eligibility criteria: Inclusion Criteria:

* Aged between 25-65 years old,
* Having the diagnosis of Subacromial Impingement Syndrome (SIS),
* Having shoulder pain at least for four weeks

Exclusion Criteria:

* Having a neuromuscular disease,
* Pregnancy,
* History of cancer,
* Unstable angina,
* Having pulmonary and/or vascular problems,
* History of surgery at neck, shoulder, elbow or/and hand,
* Having communication problems
* Having systemic anti-inflammatory joint diseases
* Being contraindicated for electrical stimulation and/or exercise
* Having cervical disc herniation or radiculopathy
* History of physiotherapy on the same shoulder due to SIS,
* A history of corticosteroid injection in the last three months,
* Any orthopedic, rheumatologic, or congenital condition that effects the targeted shoulder

Primary outcomes:
measure: Shoulder pain: VAS
timeFrame: Change from baseline pain scale of shoulder at week 2, 4 and 16.
measure: Disability of the shoulder
timeFrame: Change from baseline Disabilities of the Arm, Shoulder and Hand (DASH) Score at week 2, 4 and 16.
measure: Function of the shoulder
timeFrame: Change from baseline Constant-Murley score at week 2, 4 and 16.
measure: Range of motion
timeFrame: Change from baseline active range of motion at week 2, 4 and 16.
measure: Muscle Strength
timeFrame: Change from baseline muscle strength of shoulder flexion, shoulder abduction, shoulder adduction, shoulder external rotation, and shoulder internal rotation at week 2, 4 and 16.
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Sevgi Medical Center
state: Arnavutkoy
Study officials:
affiliation: Marmara University Institute of Health Sciences
name: Tugba Kuru Colak, Asst. Prof.
role: STUDY_DIRECTOR
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