The effectiveness of routine physiotherapy with and without neuromobilization in patients with shoulder impingement syndrome

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Akhtar M., Karimi H., Gilani S. A., Ahmad A., Raza A.

Journal of the Pakistan Medical Association, vol.70, no.12 B, pp.2322-2327, 2020 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 70 Issue: 12 B
  • Publication Date: 2020
  • Doi Number: 10.47391/jpma.918
  • Journal Name: Journal of the Pakistan Medical Association
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
  • Page Numbers: pp.2322-2327
  • Keywords: Pain, Rotator cuff, Shoulder impingement syndrome
  • Istanbul Gelisim University Affiliated: No

Abstract

Objective: The purpose of this study was to evaluate the effectiveness of neuromobilization (NM) on the pain and active forward flexion in participants with shoulder impingement syndrome (SIS). Methods: A randomized control trial was conducted in Social Security Hospital, Gujranwala. The duration of study was September 2016 to March 2018. A sample of 80 participants was selected and allocated in to two groups using computer generator method in simple random sampling technique. Consent was taken from patients with SIS for this trial. At the first session, participants were randomly assigned to either control group (n=40) or experimental group (n=40). After the baseline assessment routine physiotherapy was executed for both groups, while NM was provided to experimental group. Pain and active forward flexion (AFF) were evaluated at baseline, 5th week and 11th week. The data were entered and analyzed using SPSS (version 22.0). Results: The experimental group compared with control group at 11th week had lower mean pain score 2.15 (1.66-2.64) vs 4.90 (4.41-5.40); between group difference, 1.82; 95% confidence interval (CI), -2.38 to -1.25; P <0.001 and Partial η2=0.33, similarly with AFF 147.13 (142.46-151.79) vs 123.45(118.79-128.11); between group difference,19.35; 95% CI, (12.86-25.83); P < 0.001 and Partial η2=0.30. Over all pain and AFF were improved among experimental group relative to control group at 11th week. Conclusion: In an experimental setting, the delivery of neuromobilization led to significantly different outcomes in participants of SIS than in control group.