The Effect of Scapular Proprioceptive Neuromuscular Facilitation Techniques on Pain and Functionality in Subacromial Impingement Syndrome

NCT04273568 | Completed

• 1 other identifier: tugbaakguller
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

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.

Conditions

Shoulder Impingement Syndrome

Keywords

Proprioceptive Neuromuscular Facilitation; Shoulder pain

Outcome Measures

Primary Outcomes (2)

• Change from Baseline Pain intensity of the patients at 6 weeks

  Pain intensity of the patients at rest, during activity and at night was assessed using the VAS; Visual Analog Scale. In this evaluation, individuals were told that the number "0" on the 10 cm long horizontal line expresses "no pain", and the number "10" indicates "unbearable pain" and that individuals should mark their intensity of pain on this line.

  Baseline and 6 weeks

• Change from Baseline Functional Status of the patients at 6 weeks

  The functional status of the patients were evaluated by The Disabilities of the Arm, Shoulder and Hand (DASH). DASH is a scale consisting of 30 questions that question the functional status and symptoms used in musculoskeletal disorders of the upper extremity.The number of Likert scale (1: no difficulty, 5: I can not do at all) is used in answering the questions and the total score obtained is between 0 and 100.

  Baseline and 6 weeks

Secondary Outcomes (5)

• Shoulder Range of Motion (ROM)

  Baseline and 6 weeks

• Pain Pressure Threshold (PPT)

  Baseline and 6 weeks

• Scapular dyskinesis

  Baseline and 6 weeks

• Active trigger points

  Baseline and 6 weeks

• Emotional state

  Baseline and 6 weeks

Other Outcomes (1)

• Patient Satisfaction: Global Rating of Change (GRC) scale

  At the end of the 6-weeks treatment

Study Arms (2)

Group1 (PNF group)

EXPERIMENTAL

Scapular PNF and exercise program was applied to the PNF group.

Other: Scapular PNF; Other: Exercise program

Group 2 (Exercise group)

ACTIVE COMPARATOR

Exercise program was applied to the exercise group

Other: Exercise program

Interventions

Scapular PNF OTHER

Rhythmic initiation and repetitive stretching techniques in scapula anterior elevation-posterior depression and anterior depression-posterior elevation patterns were applied twice a week for 6 weeks.

Group1 (PNF group)

Exercise program OTHER

An exercise program consisting of exercises used in the conservative treatment of shoulder impingement syndrome for both groups was applied twice a week for 6 weeks.

Group 2 (Exercise group); Group1 (PNF group)

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Tuğba Akgüller: lead

Study Sites (1)

Istanbul Aydin University

Istanbul, 34295, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Shoulder Impingement Syndrome; Shoulder Pain

Interventions

Resistance Training

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Wounds and Injuries; Arthralgia; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Physical Conditioning, Human; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: February 11, 2020
• First Posted: February 18, 2020
• Study Start: March 1, 2019
• Primary Completion: August 30, 2019
• Study Completion: August 30, 2019
• Last Updated: February 18, 2020

Record last verified: 2020-02

Locations

TU (1)