Effects of routine physiotherapy with and without neuromobilization in the management of internal shoulder impingement syndrome: A randomized controlled trial

Management of internal shoulder impingement syndrome

  • Muhammad Akhtar, Dr The University Of Lahore
  • Hossein Kirimi, Professor University Institute of Physiotherapy, The University of Lahore, Lahore, Pakistan
  • Syed Amir Gilani, Professor The University of Lahore, Lahore, Pakistan
  • Ashfaq Ahmad, Professor University Institute of Physiotherapy, The University of Lahore, Lahore, Pakistan
Keywords: Pain, Rotator cuff, Shoulder Impingement Syndrome

Abstract

Background & Objective: Routine physiotherapy has been advocated was an effective treatment for internal shoulder impingement syndrome. However, there is lack of best exercise treatment and lots of studies are under consideration. The objective of the study was to compare the effects of Neuromobilization and routine physiotherapy on pain in patients having shoulder internal impingement syndrome.

Methods: This is a single blinded randomized control clinical trial that was conducted at Social Security Hospital Gujranwala in which 80 patients with SIS were participated. The duration of study was from September 2016 to March 2018. Patients were recruited after giving an informed consent and were randomly assigned to either control or experimental group which was treated with routine physiotherapy and routine physiotherapy plus neuromobilization respectively; pain was assessed by Numeric Rating Scale at base line, 5th and 11th week.

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% (CI), -2.38 to -1.25; P < 0.001 and Partial ŋ2=0.33. These results show that pain score is much improved in experimental group.

Conclusion: Neuromobilization along with physical therapy is more effective as compared to physiotherapy alone.

doi: https://doi.org/10.12669/pjms.36.4.1545

How to cite this:
Akhtar M, Karimi H, Gilani SA, Ahmad A. Effects of routine physiotherapy with and without neuromobilization in the management of internal shoulder impingement syndrome: A randomized controlled trial. Pak J Med Sci. 2020;36(4):596-602.  doi: https://doi.org/10.12669/pjms.36.4.1545

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Muhammad Akhtar, Dr, The University Of Lahore

Head of Physiotherapy Department, Social Security Hospital, Gujranwala, Pakistan.

Hossein Kirimi, Professor, University Institute of Physiotherapy, The University of Lahore, Lahore, Pakistan

He is Supervisor of Ph.D Physical therapy programme at University of Lahore , Lahore, Pakistan

Syed Amir Gilani, Professor, The University of Lahore, Lahore, Pakistan

He is Dean Faculty of Allied health Sciences, University of Lahore, Lahore, Pakistan

Ashfaq Ahmad, Professor, University Institute of Physiotherapy, The University of Lahore, Lahore, Pakistan

He is associate dean faculty of Allied health Sciences University of Lahore Lahore, Pakistan.

Published
2020-05-12
How to Cite
Akhtar, M., Kirimi, H., Gilani, S., & Ahmad, A. (2020). Effects of routine physiotherapy with and without neuromobilization in the management of internal shoulder impingement syndrome: A randomized controlled trial. Pakistan Journal of Medical Sciences, 36(4). https://doi.org/10.12669/pjms.36.4.1545
Section
Original Articles