Soft Tissue Mobilization and PNF Improve Range of Motion and Minimize Pain Level in Shoulder Impingement

Abstract

[Purpose] The aim of this study was to evaluate the effects of soft tissue mobilization and PNF on pain level, and shoulder ROM in patients with shoulder impingement syndrome. [Subjects and Methods] Thirty patients with painful and limited glenohumeral ROM activities were selected. The subjects were randomly assigned to an experimental group (n=15), which received treatment consisting of soft tissues mobilization and the PNF technique. The control group received an ultrasound treatment. Pain level, glenohumeral external rotation and overhead reach were measured before and after the intervention in groups. [Results] The experimental group showed a significant reduction in pain level in comparison with the control group. The values for Shoulder external rotation showed a significant improvement. The mean value for overhead reach in the experimental group significantly increased. [Conclusion] The combination of soft tissue mobilization for the subscapularis for 7 minutes and 5 repetitions of the contract-relax PNF technique for the shoulder internal rotator muscles followed by 5 repetitions of a PNF facilitated abduction and external rotation diagonal pattern was found to be effective in reducing pain and improving glenohumeral external rotation and overhead reach during a single intervention session.

Keywords: PNF; Shoulder pain; Soft tissue mobilization.