Investigation of the Effects of Manual Therapy Techniques on Pain and Functionality in Individuals with Shoulder Subacromial Impingement Syndrome.

This study was carried out with 34 patients with subacromial impingement syndrome (SIS) to investigate the effect of manual therapy techniques on pain and functionality in individuals with shoulder subacromial impingement syndrome.

Patients were divided into two groups as conservative treatment (CT) group and mulligan mobilization (MM) group. Hot pack, TENS, Codman exercises, range of motion and strengthening exercises were applied to 17 patients to be included in the conservative treatment group. Mulligan mobilization (mobilization with movement / MWM) was applied to 17 patients to be included in the mulligan mobilization (MM) group in addition to the treatment applied in the conservative treatment group. Patients were included in physical therapy and rehabilitation program for a total of 14 sessions 3 times a week. Patients were evaluated for pain (Visual Analog Scale), range of motion (goniometer), muscle strength (manual muscle test) and functionality (DASH) immediately before and after treatment. The data were analyzed by using statistical version 22.0 SPSS.

As a result of the evaluations, it was determined that both treatment methods were effective in decreasing the symptoms of patients. There was a significant difference in favor of MM group who applied MWM in postoperative night pain, shoulder flexion, abduction, internal rotation, external rotation muscle strength assessments (p<0.05). There were no statistically significant differences between the two groups in terms of other pain, range of motion, and DASH score assessments (p>0.05). When the difference between the values before and after treatment is examined night pain, activity pain, passive flexion and active internal rotation parameters have been found significant difference in favor of MM group applied MWM (p<0.05).

In conclusion, in patients with SIS, we think that the combined use of MWM technique with conservative treatment may provide more effective results in decreasing pain, increasing range of motion, muscle strength and functional activity.

KEY WORDS: Mobilization with Movement, Subacromial İmpingement Syndrome, Functionality, Pain

This study was supported by Başkent University Research Fund (Project no: KA17/275).

– Study made by Emre Okan Aytaç