Acute effect of scapular proprioceptive neuromuscular facilitation (PNF) techniques and classic exercises in adhesive capsulitis: a randomized controlled trial

Abstract

[Purpose] The aim of our study was to compare the initial effects of scapular proprioceptive neuromuscular facilitation techniques and classic exercise interventions with physiotherapy modalities on pain, scapular dyskinesis, range of motion, and function in adhesive capsulitis. [Subjects and Methods] Fifty-three subjects were allocated to 3 groups: scapular proprioceptive neuromuscular facilitation exercies and physiotherapy modalities, classic exercise and physiotherapy modalities, and only physiotherapy modalities. The intervention was applied in a single session. The Visual Analog Scale, Lateral Scapular Slide Test, range of motion and Simple Shoulder Test were evaluated before and just after the one-hour intervention in the same session (all in one session). [Results] All of the groups showed significant differences in shoulder flexion and abduction range of motion and Simple Shoulder Test scores. There were statistically significant differences in Visual Analog Scale scores in the proprioceptive neuromuscular facilitation and control groups, and no treatment method had significant effect on the Lateral Scapular Slide Test results. There were no statistically significant differences between the groups before and after the intervention. [Conclusion] Proprioceptive neuromuscular facilitation, classic exercise, and physiotherapy modalities had immediate effects on adhesive capsulitis in our study. However, there was no additional benefit of exercises in one session over physiotherapy modalities. Also, an effective treatment regimen for shoulder rehabilitation of adhesive capsulitis patients should include scapular exercises.

The Effectiveness of Physiotherapy in Idiopathic or Primary Frozen Shoulder: a Systematic Review and Meta-Analysis

“…After treatment there were better significant differences in experimental group in night and activity pain (VAS), pain in Shoulder Pain and Disability Index (SPADI) and mobility in flexion and abduction, not in external and internal rotation. Balci et al (31) recruited and randomly allocated fifty-three patients in three groups: control group had a one hour standard treatment (TENS, ultrasound and heat packs), then a PNF group had in addition some PNF exercises consisting in scapular "hold-relax" technique, while a classic exercise group had in addition supervised stretching and strengthening exercises. They evaluated results after just one session and no follow up was available.…”

“…We also used Jadad scale to assess the quality of included studies. Five articles had a Jadad score of two points (8,23,27,30,31), five had three points (9,22,24,28,29) and two had five points (25,26). The main problems of the articles who received a low score according to Jadad scale were the impossibility of a double blind study due to nature of treatment, inadequate description of dropout and withdraws and inadequate randomization method.…”

“…Another limit of some articles (8,24,(27)(28)(29)(30)(31) was the absence of follow-up, so it was not possible to assess long period effectiveness. Due to the physiotherapy intervention in many studies, double-blinding was not possible; only two studies (25,26) had maximum score according to Jadad scale.…”

Rotator Manşet Lezyonu Olan Olgularda Üst Ekstremi̇te Ve Skapular Propri̇osepti̇f Nöromusküler Fasi̇li̇tasyon Tekni̇ği̇ni̇n Etki̇si̇

“…PNF tekniğinde ise, üst ekstremite paternlerine skapular paternlerin eklenmesi ile skapulatorasik mobilizasyon ve skapulatorasik ritim sağlanmaktadır. Ancak son yıllarda özellikle skapular PNF patern ve tekniğinin etkinliği ile ilgili yapılan çalışmaların yeterli olmadığı görülmektedir (10)(11)(12). Bu nedenle çalışma, rotator manşet lezyonlu olgularda konservatif tedavinin yanında uygulanan üst ekstremite ve skapular PNF tekniğinin ağrı, fonksiyonellik ve yaşam kalitesi üzerindeki etkisini incelemek amacıyla planlandı.…”

Shoulder Pain and Disability Among Post Mastectomy Patients

“…Patients with shoulder pain experienced difficulty in dressing, personal hygiene and overhead activities [10]. Decrease range of motion worse the condition and in most cases they are dependent on others for simple activities of daily living [11][12][13]. It is pertinent to mention that majority of these pain can be prevented if proper preventative strategies such as physical therapy exercises etc.…”