The Efficacy of Proprioceptive Neuromuscular Facilitation Stretching and Static Stretching on Range of Motion, Pain and Function in Elbow Limitation
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Istanbul University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Functional Status
Study Overview
Brief Summary
The aim of the study is to compare the efficacy of Proprioceptive Neuromuscular Facilitation (PNF) stretching and static stretching on range of motion (ROM), pain and function in elbow limitation.
Detailed Description
To compare the efficacy of PNF stretching and static stretching on ROM, pain and function in elbow limitation, forty voluntary patients with elbow limitation, aged between 18-55 years will be randomly divided into two groups: PNF Stretching group and Static Stretching group. PNF stretching will be combined with exercise and cold application in PNF Stretching group, static stretching will be combined with exercise and cold application in Static Stretching group, will be applied for 12 sessions. The patients will be assessed before and after six-week treatment. The pain on activity, at rest and at night will be assessed with Visual Analog Scale (VAS). ROM will be assesed with universal goniometer. The functional status will be evaluated by Disabilities Arm, Shoulder and Hand (DASH). Kinesiophobia and quality of life will be assessed with Tampa Scale for Kinesiophobia and Short Form-12, respectively. The Global Rating of Change will be used to evaluate patient satisfaction.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Subjectswill be included with
- •Aged between 18 and 65 years
- •Elbow fracture in the six months before the study
- •Elbow limitation in flexion or extension
- •Being volunteer to participate
- •Fractures should be managed with conservatively or surgically
Exclusion Criteria
- •Malunion or Nonunion Fracture
- •Occurrence of complex regional pain syndrome, peripheric nerve injury, heterotopic ossification, myositis ossification or post-traumatic ankylosing
- •Non-healing wound or infection
- •Previously received physiotherapy for elbow limitation
- •Having any cardiovascular diseases, neurological disorders, rheumatic diseases or psychiatric diseases
- •Could not adjust to treatment
Arms & Interventions
PNF Stretching group
Each subject in PNF Stretching group will receive a treatment protocol consisting of PNF stretching, cold therapy and exercise.
Intervention: Cold Therapy (Other)
Static Stretching group
Each subject in Static Stretching group will receive a treatment protocol consisting of static stretching, cold therapy and exercise.
Intervention: Cold Therapy (Other)
PNF Stretching group
Each subject in PNF Stretching group will receive a treatment protocol consisting of PNF stretching, cold therapy and exercise.
Intervention: PNF stretching (Other)
PNF Stretching group
Each subject in PNF Stretching group will receive a treatment protocol consisting of PNF stretching, cold therapy and exercise.
Intervention: Exercise (Other)
Static Stretching group
Each subject in Static Stretching group will receive a treatment protocol consisting of static stretching, cold therapy and exercise.
Intervention: Static Stretching (Other)
Static Stretching group
Each subject in Static Stretching group will receive a treatment protocol consisting of static stretching, cold therapy and exercise.
Intervention: Exercise (Other)
Outcomes
Primary Outcomes
Functional Status
Time Frame: After the six-week intervention
The functional status of the patients will be evaluated by The Disabilities of the Arm, Shoulder and Hand (DASH).
Secondary Outcomes
- Active Range of Motion (AROM) Assessment(1-month follow up)
- Functional Status(1-month follow up)
- Pain Intensity(1-month follow up)
- Active Range of Motion (AROM) Assessment(Baseline)
- Active Range of Motion (AROM) Assessment(After the six-week intervention)
- Functional Status(Baseline)
- Pain Intensity(Baseline)
- Pain Intensity(After the six-week intervention)
Investigators
Tansu Birinci
Research Assistant
Istanbul University