Comparison Of Scapular Proprioceptive Neuromuscular Facilitation and Myofascial Release Techniques on Pain and Function in Scapular Dyskinesia Associated with Adhesive Capsulitis
Scapular Dyskinesia Associated with Adhesive Capsulitis
Keywords:Adhesive Capsulitis, Frozen Shoulder, Scapular Dyskinesia
Adhesive capsulitis is frequently recognized as ‘Frozen Shoulder’, which is characterized by primarily painful joint range of motions and later progressively restricted range of motion of the glenohumeral joint. Other common names used for adhesive capsulitis includes ‘Periarthritis and Painful stiff shoulder’ and ‘Shoulder arthrofibrosis’. Objective: To compare the effects of scapular proprioceptive neuromuscular facilitation and Myofascial release techniques on pain and function in scapular dyskinesia associated with adhesive capsulitis. Methods: Quasi Experimental study was conducted on 34 patients of Scapular dyskinesia associated with Adhesive Capsulitis. Subjects were allocated to either to PNF technique group and Myofascial release technique groups. Both were treated for 12 sessions in 6 weeks. NPRS and SPADI scale were used to evaluate the treatment effects at baseline, 2 weeks, 4 weeks and 6 weeks. Results: The mean age of Group A was 43.12± 5.25. The mean age of Group B was 43.0±5.95. There was a significant difference between the mean value of baseline, 2 weeks, 4 week and 6-week NPRS score and baseline, 2-week, 4 week and 6-week SPADI score with P value <0.05 in both study groups. There was more significant mean difference of 6.23 between baseline and week 6 NPRS in Group A but there was less significant mean difference of 4.00 between baseline and week 6 NPRS in Group B. There was more significant mean difference of 70.70 between baseline and week 6 SPADI in Group A but there was less significant mean difference of 46.17 between baseline and week 6 SPADI in Group B. Conclusions: The study concluded that PNF technique and Myofascial release techniques were led to significant difference in NPRS and SPADI score, but PNF technique had shown more significant results than myofascial release technique to improve pain and function in scapular dyskinesia associated with Adhesive capsulitis.
Hsu JE, Anakwenze OA, Warrender WJ, Abboud JA. Current review of adhesive capsulitis. J Shoulder Elbow Surg. 2011,20(3):502-14. doi: 10.1016/j.jse.2010.08.023.
Le HV, Lee SJ, Nazarian A, Rodriguez EK. Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder Elbow. 2017,9(2):75-84. doi: 10.1177/1758573216676786.
Luime JJ, Koes BW, Hendriksen IJ, Burdorf A, Verhagen AP, et al. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004,33(2):73-81. doi: 10.1080/03009740310004667.
Thomas SJ, McDougall C, Brown ID, Jaberoo MC, Stearns A, et al. Prevalence of symptoms and signs of shoulder problems in people with diabetes mellitus. J Shoulder Elbow Surg. 2007,16(6):748-51. doi: 10.1016/j.jse.2007.02.133.
Inayat F, Ali NS, Shahid H, Younus F. Prevalence and Determinants of Frozen Shoulder in Patients with Diabetes: A Single Center Experience from Pakistan. Cureus. 2017,9(8):e1544. doi: 10.7759/cureus.1544.
Ryan V, Brown H, Minns Lowe CJ, Lewis JS. The pathophysiology associated with primary (idiopathic) frozen shoulder: A systematic review. BMC Musculoskelet Disord. 2016,17(1):340. doi: 10.1186/s12891-016-1190-9.
Jürgel J, Rannama L, Gapeyeva H, Ereline J, Kolts I, et al. Shoulder function in patients with frozen shoulder before and after 4-week rehabilitation. Medicina (Kaunas). 2005,41(1):30-8.
Cools AM, Ellenbecker TS, Michener LA. Rehabilitation of scapular dyskinesis. Disorders of the Scapula and Their Role in Shoulder Injury: Springer; 2017. p. 179-92. doi.org/10.1007/978-3-319-53584-5_16
Alvado A, Pelissier J, Benaim C, Petiot S, Herisson C, editors. Physical therapy of frozen shoulder: literature review. Annales de Readaptation et de Medecine Physique: Revue Scientifique de la Societe Francaise de Reeducation Fonctionnelle de Readaptation et de Medecine Physique; 2001.
Peteraitis T, Smedes F. Scapula motor control training with Proprioceptive Neuromuscular Facilitation in chronic subacromial impingement syndrome: A case report. J Bodyw Mov Ther. 2020,24(3):165-171. doi: 10.1016/j.jbmt.2020.03.005.
Meneghini GO, Adamatti FS, Dhein W. Immediate effect of proprioceptive neuromuscular facilitation on scapular dyskinesia of volleyball players. Manual Therapy, Posturology & Rehabilitation Journal. 2020,18:1-9. doi.org/10.17784/mtprehabjournal.2020.18.791
Kim Y, Hong Y, Park H-S. A soft massage tool is advantageous for compressing deep soft tissue with low muscle tension: Therapeutic evidence for self-myofascial release. Complementary therapies in medicine. 2019,43:312-8.doi.org/10.1016/j.ctim.2019.01.001
Mauntel TC, Clark MA, Padua DA. Effectiveness of myofascial release therapies on physical performance measurements: A systematic review. Athletic Training & Sports Health Care. 2014,6(4):189-96. doi.org/10.3928/19425864-20140717-02
Balcı NC, Yuruk ZO, Zeybek A, Gulsen M, Tekindal MA. Acute effect of scapular proprioceptive neuromuscular facilitation (PNF) techniques and classic exercises in adhesive capsulitis: a randomized controlled trial. Journal of physical therapy science. 2016,28(4):1219-27. doi.org/10.1589/jpts.28.1219
Shih Y-F, Liao P-W, Lee C-S. The immediate effect of muscle release intervention on muscle activity and shoulder kinematics in patients with frozen shoulder: a cross-sectional, exploratory study. BMC musculoskeletal disorders. 2017,18(1):1-10.doi.org/10.1186/s12891-017-1867-8
Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. Journal of pain research. 2018,11:851.doi.org/10.2147/JPR.S158847
Roy JS, MacDermid JC, Woodhouse LJ. Measuring shoulder function: a systematic review of four questionnaires. Arthritis Care & Research: Official Journal of the American College of Rheumatology. 2009,61(5):623-32. doi.org/10.1002/art.24396
Tedla JS, Sangadala DR. Proprioceptive neuromuscular facilitation techniques in adhesive capsulitis: a systematic review and meta-analysis. Journal of musculoskeletal & neuronal interactions. 2019,19(4):482.
Celik D. Comparison of the outcomes of two different exercise programs on frozen shoulder. Acta orthopaedica et traumatologica turcica. 2010,44(4):285-92. doi.org/10.3944/AOTT.2010.2367
Akbaş E, Güneri S, Taş S, Erdem EU, Yüksel İ. The effects of additional proprioceptive neuromuscular facilitation over conventional therapy in patients with adhesive capsulitis. Türk Fizyoterapi ve Rehabilitasyon Dergisi/Turkish Journal of Physiotherapy and Rehabilitation. 2015,26(2):1-8.doi.org/10.7603/s40680-015-0012-6
Lim W-S, Shin H-S, Kim I-S, Hur S-G, Bae S-S. The effects of scapular pattern and hold-relax technique of PNF on the ROM and VAS in frozen shoulder patients. The Journal of Korean Physical Therapy. 2002,14(1):15-26.
How to Cite
Copyright (c) 2022 Pakistan BioMedical Journal
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments email@example.com