title: 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.
authors.affiliation: Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Baskent University, Turkey.
authors.forename: Nilay Comuk
authors.initials: NC
authors.lastname: Balcı
authors.affiliation: Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Baskent University, Turkey.
authors.forename: Zeliha Ozlem
authors.initials: ZO
authors.lastname: Yuruk
authors.affiliation: Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Baskent University, Turkey.
authors.forename: Aslican
authors.initials: A
authors.lastname: Zeybek
authors.affiliation: Physiotherapy Program, Vocational School of Health Sciences, Baskent University, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Gulsen
authors.affiliation: Department of Biostatistics and Medical Informatics, Izmir University, Turkey.
authors.forename: Mustafa Agah
authors.initials: MA
authors.lastname: Tekindal
keywords: Exercise; Pain; Shoulder