Proprioceptive Neuromuscular Facilitation Training Improves Scapular Muscle Strength and Pectoralis Minor Length in Individuals with Scapular Dyskinesis

Authors : Nazlı Büşra CİĞERCİOĞLU, Ezgi ÜNÜVAR, Polen HAZİMLİOGLU, Fırat TAN, Hasan Erkan KILINÇ, Hande GUNEY DENİZ

Pages : 238-246

Doi:10.30621/jbachs.1000917

View : 119 | Download : 10

Publication Date : 2022-01-27

Article Type : Research Paper

Abstract :Purpose: Scapular dyskinesis is defined as alteration in scapular movements due to the loss of strength in scapular muscles; tightness of the soft tissues around shoulder and postural problems. Proprioceptive neuromuscular facilitation insert ignore into journalissuearticles values(PNF); is one of the therapeutic exercises to improve muscles weakness and pain levels. The aim of this study was to investigate the effects of a six-week PNF application on scapular muscle strength, scapular asymmetry, and pectoralis minor insert ignore into journalissuearticles values(PM); muscle tightness in participants with asymptomatic scapular dyskinesis. Methods: Twenty-five asymptomatic participants were evaluated using the video analysis method to determine the scapular dyskinesis. Eleven of them diagnosed with scapular dyskinesis and recruited for the PNF application. Lateral scapular slide test insert ignore into journalissuearticles values(LSST);; tightness of PM; the muscle strength of serratus anterior insert ignore into journalissuearticles values(SA);; lower trapezius insert ignore into journalissuearticles values(LT); and upper trapezius insert ignore into journalissuearticles values(UT); were evaluated. Anterior elevation-posterior depression; posterior elevation-anterior depression of PNF patterns were applied as repeated contractions technique by 2 times a week during 6 weeks. Results: The LT insert ignore into journalissuearticles values(p=0.012); and SA insert ignore into journalissuearticles values(p=0.035); muscle strength increased following PNF training, while UT muscle strength was similar insert ignore into journalissuearticles values(p>0,05);. The UT/SA insert ignore into journalissuearticles values(p=0.035); and UT/LT insert ignore into journalissuearticles values(p=0.012); strength ratios decreased following PNF application. The mean differences of PM tightness and LSST did not exceed the established MDC%95. Conclusion: Scapular muscle balance improved following scapular PNF training. Therefore, scapular PNF patterns would be considered as an alternative treatment option to provide scapular stabilization and increase muscle strength.
Keywords : shoulder, scapula, rehabilitation, pectoralis muscle

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