The Effect of Scapular Proprioceptive Neuromuscular Facilitation Techniques on Pain and Functionality in Patients with Subacromial Impingement Syndrome: A Randomized Controlled Trial

Objective To determine the effectiveness of scapular proprioceptive neuromuscular facilitation (PNF) techniques in patients with subacromial impingement syndrome (SIS). Methods 36 patients were randomized and a 6-week exercise program was applied to both groups 2 days a week. PNF group also received rhythmic initiation and repeated stretch PNF techniques in 2 scapula diagonals. Pain and function were primary outcomes. Active range of motion (ROM), pain pressure threshold (PPT), active myofascial trigger points (MTrPs), scapular dyskinesis, anxiety and depression status were secondary outcomes. Results The improvement in function, internal rotation ROM, PPT, active MTrPs and patient satisfaction was significantly greater in PNF group than exercise group (p<0.05). Scapular dyskinesis improved only in PNF group (p<0.05). Significant improvement in pain, function, ROM, PPT, active MTrPs, anxiety and depression was found in both groups (p<0.05). Conclusions Both scapular PNF techniques and standard exercise program are effective in the treatment of SIS. However, scapular PNF techniques can be added to the exercise program to further improve function, ROM, PPT, active MTrPs, scapular dyskinesis, and patient satisfaction

Does the patients' expectations on kinesiotape affect the outcomes of patients with a rotator cuff tear? A randomized controlled clinical trial

Objective: To investigate the effect of setting expectations verbally on the effectiveness of kinesiotape application in patients with a rotator cuff tear. Design: Randomized controlled, double-blind study. Setting: Department of Physiotherapy and Rehabilitation. Subjects: Eighty-nine patients with rotator cuff tear. Intervention: Patients were randomized according to the verbal input given to patients about the effectiveness of kinesiotaping; Group 1 (there is no evidence that kinesiotaping is effective), Group 2 (there is limited evidence that kinesiotaping is effective), and Group 3 (there is evidence that kinesiotaping has an excellent effect). Main measures: Resting pain, activity pain, and night pain were assessed by visual analog scale. Range of motion was assessed by a universal goniometer. Function was evaluated by the Disabilities of the Arm, Shoulder and Hand Questionnaire and the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form before and 24 hours after kinesiotape application. Only resting pain and activity pain were assessed after 30 minutes. Results: There were no statistically significant differences (ANOVA) between any groups at the three assessment points. The intragroup assessment showed that in Group 2, only resting pain after 30 minutes improved (3.2 +/- 2.9 to 2.6 +/- 2.8; P = 0.02). An improvement in resting pain both after 30 minutes and after 24 hours was found in the third group (4.1 +/- 2.4 to 2.3 +/- 2.3, P = 0.001; 4.1 +/- 2.4 to 2.2 +/- 2.3, P = 0.001, respectively). Activity pain and night pain were improved in all groups after 24 hours. Conclusion: Setting positive expectations verbally about kinesiotaping might be effective in reducing pain in patients with rotator cuff tear

Comparison of the effect of low back pain on their daily life activities in sedentary women and mothers with physically handicapped children Sedanter kadinlar ve bedensel engelli̇ çocuǧa sahi̇p annelerde bel aǧrisinin günlük yaşam akti̇vi̇teleri̇ne etki̇si̇ni̇n karşilaş tirilmasi

Ama&ccedil;: &Ccedil;alışmamızın amacı, yaşamını sedanter olarak s&uuml;rd&uuml;ren kadınlar ve bedensel engelli &ccedil;ocuğa sahip annelerde bel ağrısı şikayetlerinin g&uuml;nl&uuml;k yaşamlarını ne kadar kısıtladığını karşılaştırmaktı. Materyal ve Metod: &Ccedil;alışmaya 65 sedanter (Grup 1), 45 bedensel engelli &ccedil;ocuğa sahip (Grup 2) toplam 110 bel ağrısı şikayeti olan kadın olgu dahil edildi. Olguların bel ağrılarının g&uuml;nl&uuml;k yaşam aktivitelerini yapmalarını ne kadar etkilediğini araştırmak i&ccedil;in G&ouml;zden Ge&ccedil;irilmiş Oswestry Ağrı Skalası kullanıldı. Bulgular: Grup 1&#39;deki olguların yaş ortalaması 41,77&plusmn;11,67 yıl, Grup 2&#39;dekilerin ise 37,49&plusmn;9,59 yıl idi. Grupların yaşları arasındaki fark istatistiksel olarak anlamlı değildi (p&gt; 0,05). Oswestry toplam skoru Grup 1&#39;de 13,16 &plusmn;8,81, Grup 2&#39;de 14,00&plusmn;7,48 olarak bulundu. İki grup arası fark istatistiksel olarak anlamlı değildi (p&gt; 0,05). Ancak ağrı şiddeti, y&uuml;k kaldırma ve uyuma sırasında ağrı değerleri Grup 2&#39;de istatistiksel anlamlı olarak y&uuml;ksekti (p&lt;0.05). Kişisel bakım, y&uuml;r&uuml;me, oturma, ayakta durma, sosyal yaşam, seyahat ve ağrı değişme derecesi alt maddelerinde ise iki grup arasında anlamlı fark bulunmadı (p&gt; 0,05). Sonu&ccedil;: &Ccedil;alışmamızın sonucu hem sedanter kadınlarda hem de bedensel engelli &ccedil;ocuğa sahip annelerde &ccedil;eşitli fiziksel aktivitelerin s&uuml;rekli tekrarlaması nedeniyle bel ağrısı şikayetinin olduğunu, ancak sedanter kadınlarda ağrının g&uuml;nl&uuml;k yaşam aktivitelerine etkisinin olmadığını g&ouml;stermiştir. &Ccedil;alışma sonunda bedensel engelli &ccedil;ocuğa sahip annelerin g&uuml;nl&uuml;k yaşamda uygun v&uuml;cut mekaniklerini kullanmaları konusunda eğitilmeleri gerektiği g&ouml;r&uuml;ş&uuml;ne varılmıştır