The Effects of Additional Proprioceptive Neuromuscular Facilitation Over Conventional Therapy In Patients With Adhesive Capsulitis

Authors : Eda Akbaş, Sinem Güneri, Serkan Tas, Emin Ulaş Erdem, İnci Yüksel

Pages : 78-85

Doi:10.21653/tfrd.280068

View : 18 | Download : 14

Publication Date : 2015-08-16

Article Type : Research Paper

Abstract :Purpose: This study is performed to investigate the effectiveness of upper extremity and scapula Proprioceptive Neuromuscular Facilitation insert ignore into journalissuearticles values(PNF); techniques in adhesive capsulitis insert ignore into journalissuearticles values(AC);. Methods: Thirty-six subjects were randomized into two groups. Control group insert ignore into journalissuearticles values(n=18); was treated with conventional physiotherapy applications consisting of hot-pack and ultrasound, and wall and wand exercises instructed as a home program; study group insert ignore into journalissuearticles values(n=18); was treated with upper ext remity and scapula PNF patterns besides conventional physiotherapy. Patients were treated five times a week, for a total of 15 sessions. Pain intensity was assessed on a visual analogue scale; postural deformities were evaluated by inspection. Range of shoulder movements insert ignore into journalissuearticles values(ROM); were measured by a universal goniometer. “Lateral Scapular Slide Test” and assessment of scapular po sition were used for evaluation of the scapula. Functional performance was assessed by Shoulder Pain and Disability Index insert ignore into journalissuearticles values(SPADI);. Results: Intensity of pain during activity significantly decreased and ROM increased in both groups insert ignore into journalissuearticles values(p<0.05);. While increase amounts of shoulder flexion and abduction ROMs were higher in the PNF group insert ignore into journalissuearticles values(p<0.05);, there was no difference between groups in internal and external rotation move ments. Although, night pain significantly decreased in the study group insert ignore into journalissuearticles values(p<0.05);, it remained unc hanged in the control group insert ignore into journalissuearticles values(p>0.05);. Scapula position didn’t change after therapy in both groups insert ignore into journalissuearticles values(p>0.05);. SPADI scores decreased in both groups insert ignore into journalissuearticles values(p<0.05);. Discussion: This study showed that PNF patterns provide significant contribution to night pain and range of flexion and abduction movements in patients with AC. Including PNF applications in AC treatment program may provide better outcomes. 
Keywords : Adhesive Capsulitis, Frozen Shoulder, Scapula, Proprioceptive Neuromuscular Facilitation PNF, , SPADI Shoulder Pain and Disability Index,