Efficacy of proprioceptive neuromuscular facilitation on shoulder function in subjects with secondary shoulder impingement in males and females.


Nishtha Nakra, Suraj Kumar, Sohrab. A. Khan, VP Sharma, Sunil Kumar

Study design was Pretest -Posttest experimental group study. The study determines The Efficacy of Proprioceptive Neuromuscular Facilitation on Shoulder Function in subjects with secondary shoulder impingement. Previous researches have established relationship between shoulder muscle weakness and its relation to causation of secondary shoulder impingement. Recent evidences showed that proprioceptive neuromuscular facilitation was effective in relieving pain and increase in overhead reach. None of the studies have measured shoulder function after PNF application. 30 subjects (15 male and 15 female) with a diagnosis of secondary shoulder impingement were recruited from hospital setting and were divided into 4 groups. Group 1 (males) and Group 2 (females) received both PNF and conventional protocol while Group 3 (males) and Group 4 (females) received only conventional protocol. All groups received intervention for a period of 3 weeks. Shoulder pain and disability index score (SPADI Score) and Overhead Reach were analysed in all groups. Group 1 and 2 showed significant improvement over Group 3 and 4 in terms of SPADI Score and Overhead Reach. The Experimental Groups showed significant improvement in reduction of SPADI Score over Control Groups (23.8 + 4.88) at a significance level of p<0.0001. Experimental Groups showed significant difference over Control Groups for Overhead Reach (3.63 + 1.85) at a significance level of p< 0 .030. Addition of Proprioceptive Neuromuscular Facilitation to conventional treatment brings significant improvement in Shoulder Function in comparison to conventional treatment only in subjects with secondary Shoulder impingement


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