{"id":275,"date":"2017-08-10T16:11:30","date_gmt":"2017-08-10T16:11:30","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=275"},"modified":"2017-10-11T05:22:05","modified_gmt":"2017-10-11T05:22:05","slug":"ijpr-2017-183","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2017-183","title":{"rendered":"IJPR.2017.183"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.5.4\/IJPR.2017.183.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol5_4.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 5; Issue 4\u00a0(August 2017)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a02259-2264<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2017.183<\/h3>\n<h3 style=\"text-align: justify;\">IMMEDIATE EFFECT ON EXTERNAL ROTATION AND OVERHEAD REACH IN PATIENTS WITH SHOULDER PATHOLOGY USING PROPRIOCEPTIVE NEUROMUSCULAR FASCILITATION AND SOFT TISSUE MOBILIZATION<\/h3>\n<p style=\"text-align: justify;\"><strong>Gadpal\u00a0 Pratiksha *<sup>1<\/sup>, Bhave \u00a0Shobha <sup>2<\/sup>, Deshpande N.K <sup>3<\/sup>.<\/strong><\/p>\n<p><sup>*1<\/sup> Intern , Physiotherapy school and centre, Government medical college, Nagpur.<\/p>\n<p><sup>2<\/sup> Professor, Physiotherapy school and centre, Government medical college, Nagpur.<\/p>\n<p><sup>3<\/sup> Head of department, Physiotherapy school and centre, Government medical College, Nagpur.<\/p>\n<p style=\"text-align: justify;\"><strong>Address for correspondence: <\/strong>Dr. \u00a0Pratiksha Gadpal\u00a0 [P.T.], Intern, Physiotherapy school and centre, Government medical college, Nagpur, Maharashtra, India.\u00a0<strong>E-Mail:<\/strong> drpratikshag@yahoo.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSRTACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background:<\/strong> It is postulated that restriction in glenohumeral external rotation when measured at 45 degree of abduction represent subscapularis muscle\u00a0 flexibility deficits as compared to when it is measured at 90 degrees of abduction which indicates capsular restriction. Adequate glenohumeral external rotation is believed to be essential for the ability to reach overhead . Patients coming to physiotherapy department with shoulder pathology often have to attend various sessions of therapy to get free range of motion of the joint. Thus the aim of this study was to find out whether a single session of soft tissue mobilization and proprioceptive neuromuscular fascilitation improves the range of shoulder abduction and thus the ability to reach overhead.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and Methods: Present study conducted with <\/strong>20 subjects between the age group of 40 and 60 as per the inclusion and exclusion criterion and study designed as a Randomized control trail. All those individuals who exhibited limitation in glenohumeral external rotation at 45 degrees of abduction in supine were supposed to have shoulder internal\u00a0 rotator (subscapularis) inflexibility and those who had restriction in overhead reach were included\u00a0 in the study. All included subjects were given soft tissue mobilization\u00a0 to the restricted mobility area for 5 minutes followed by 5 repetitions of contract relax to shoulder internal rotators and 5 repetitions of proprioceptive neuromuscular fascilitation\u00a0 pattern of flexion abduction external rotation. External rotation and overhead reach was measured pre and Immediately post intervention .<\/p>\n<p style=\"text-align: justify;\"><strong>Result:<\/strong> SPSS v 16.0 was used for analysis. Descriptive &amp; inferential statistics was calculated. \u00a0Paired t test was used to compare External Rotation &amp; Overhead Reach before &amp; after treatment. Statistical significance was kept at p value less than 0.05. The results obtained in the study, showed\u00a0 \u2018p value\u2019&lt; 0.05 , indicating that there was statistically significant improvement in external rotation and overhead reach following the single intervention session.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong> A single session of soft tissue mobilization with proprioceptive neuromuscular fascilitation showed immediate improvement in glenohumeral external rotation and overhead reach.<\/p>\n<p style=\"text-align: justify;\"><strong>KEY WORDS: <\/strong>Proprioceptive neuromuscular fascilitation, Soft tissue mobilization, Subscapularis.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Urwin M, Symmons D, Allison T, Brammah T, Busby H, Roxby M, et al. 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Sport Med. 2006;36(11):929\u2013939.<\/li>\n<li style=\"text-align: justify;\">Simons DG, Travell JG, Simons LS, Travell JG.\u00a0Travell &amp; Simons&#8217; myofascial pain and dysfunction The trigger point manual.\u00a0Volume 1, 2<sup>nd<\/sup>upper half of body 1999;668-694.<\/li>\n<li style=\"text-align: justify;\">Chuen-Ru Hou, et al. Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Archives of Physical Medicine and Rehabilitation. Volume 83, Issue 10, October 2002; 1406\u20131414.<\/li>\n<li style=\"text-align: justify;\">Hanten WP, Olson SL, Butts NL, Nowicki AL. Effectiveness of a home program of ischemic pressure followed by sustained stretch for treatment of myofascial trigger points.\u00a0Phys Ther.\u00a02000 oct;80(10):997\u20131003.<\/li>\n<li style=\"text-align: justify;\">Hong, C.Z., Chen, Y.C., Pon, C.H., Yu, J. Immediate effects of various physical medicine modalities on pain threshold of an active myofascial trigger point. Journal of Musculoskeletal Pain. 1993; volume 1 ,issue 2: 37\u201353.<\/li>\n<li style=\"text-align: justify;\">Hou CR, Tsai LC, Cheng KF, Chung KC, Hong CZ. Immediate effects of various physical therapeutic modalities on cervical myofasical pain and trigger point sensitivity. Arch Phys Med Rehabil. 2002;83:1406\u201314.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> Gadpal Pratiksha, Bhave Shobha, Deshpande N.K. IMMEDIATE EFFECT ON EXTERNAL ROTATION AND OVERHEAD REACH IN PATIENTS WITH SHOULDER PATHOLOGY USING PROPRIOCEPTIVE NEUROMUSCULAR FASCILITATION AND SOFT TISSUE MOBILIZATION. Int J Physiother\u00a0Res 2017;5(4):2259-2264. DOI: 10.16965\/ijpr.2017.183 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 5; Issue 4\u00a0(August 2017) Page No.:\u00a02259-2264 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2017.183 IMMEDIATE EFFECT ON EXTERNAL ROTATION AND OVERHEAD REACH IN PATIENTS WITH SHOULDER PATHOLOGY USING PROPRIOCEPTIVE NEUROMUSCULAR FASCILITATION AND SOFT TISSUE MOBILIZATION Gadpal\u00a0 Pratiksha *1, Bhave \u00a0Shobha 2, Deshpande N.K 3. *1 Intern , Physiotherapy school and centre, Government medical college, Nagpur. 2 Professor,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2017-183\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-275","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/275"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=275"}],"version-history":[{"count":3,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/275\/revisions"}],"predecessor-version":[{"id":360,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/275\/revisions\/360"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=275"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}