Wos İndeksli Açık & Kapalı Erişimli Yayınlar

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Author: search.filters.author.Gulsen, MustafaSubject: search.filters.subject.Pain

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    Effects Of Subscapularis Muscle Soft Tissue Mobilization On Pain And Functionality In Shoulder Dysfunction
    (2021) Gulsen, Mustafa
    Purpose: Tightness of the subscapularis muscle causes glenohumeral external rotation limitation and difficulties in over-head activities. This study aimed to determine the effects of soft tissue mobilization applied to the subscapularis muscle on pain and functionality in shoulder dysfunctions. Methods: The 48 patients with shoulder pain and limitation were included in the study. They were randomly divided into conventional physiotherapy program (CPP) group (n=25) and soft tissue mobilization (STM) group (n=23). The first group received CPP and the second group received STM. All patients had treatment at a physiotherapy clinic for 15 sessions. The pain was evaluated using Visual Analogue Scale (VAS), shoulder joint movements were measured using a goniometer and overhead reach test, and functionality was evaluated using the Shoulder Pain and Disability Index (SPADI). The patients were assessed before, immediately after, and three weeks after the treatment. Results: Statistically significant improvements were found in VAS, shoulder flexion and extemal rotation range of motion, and overhead reach test in both groups immediately after treatment and at the end of the 3rd week (p<0.05). When groups were compared after three weeks, statistically significant improvements were found in VAS, external rotation range of motion, and overhead reach test in the STM group (p<0.05). There was a statistically significant improvement in SPADI in both groups after the treatment (p<0.05). There was no significant difference in SPADI score between the groups (p>0.05). Conclusion: The STM was more effective on pain, range of motion, and functionality than CPP. STM of subscapularis muscle might be an alternative treatment of the shoulder dysfunction.
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    Acute effect of scapular proprioceptive neuromuscular facilitation (PNF) techniques and classic exercises in adhesive capsulitis: a randomized controlled trial
    (2016) Balci, Nilay Comuk; Yuruk, Zeliha Ozlem; Zeybek, Aslican; Gulsen, Mustafa; Tekindal, Mustafa Agah; 27190456
    [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.