The Effect of Scapular Proprioceptive Neuromuscular Facilitation Techniques on Pain and Functionality in Subacromial Impingement Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 32
- 试验地点
- 2
- 主要终点
- Change from Baseline Functional Status of the patients at 6 weeks
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Change from Baseline Functional Status of the patients at 6 weeks
时间窗: Baseline and 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.
Change from Baseline Pain intensity of the patients at 6 weeks
时间窗: Baseline and 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.
次要结局
- Scapular dyskinesis(Baseline and 6 weeks)
- Active trigger points(Baseline and 6 weeks)
- Shoulder Range of Motion (ROM)(Baseline and 6 weeks)
- Pain Pressure Threshold (PPT)(Baseline and 6 weeks)
- Emotional state(Baseline and 6 weeks)
研究者
Tuğba Akgüller
Lecturer
Istanbul Arel University