The Effect of Scapular Proprioceptive Neuromuscular Facilitation (PNF) Exercises

NCT ID: NCT06198569

Last Updated: 2024-04-16

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-11-15
• Study Completion Date: 2024-03-15

Brief Summary

Posture is generally defined as the sitting or standing position of a person's body. Repetitive or prolonged positioning in an atypical posture may also occur as a risk factor for the development of musculoskeletal diseases. Race, gender, seasons, nutrition, socio-economic status, profession and occupations, psychological state, hygiene, sleep patterns, exercise habits, fatigue, fractures, soft tissue disorders, disorders in the normal alignment angles of the joints, and emotional states such as joy, grief, and distress. It affects posture. Creating professional awareness among physiotherapy and rehabilitation students is very important for the physiotherapy profession, which has a very important role in protecting and improving public health, to achieve its professional goals. On the other hand, physiotherapists and physiotherapy students are at great risk of musculoskeletal disorders due to their working conditions and working postures.

The basic principle of proprioceptive neuromuscular facilitation techniques, defined as facilitating the responses of the neuromuscular mechanism by stimulating the proprioceptors and briefly referred to as PNF, is based on the principle that physiological movements in the human body have rotational and oblique characters and that a greater response can be achieved with movements performed against maximum resistance. The shoulder girdle serves purposes beyond stabilization and movement of the extremities. The clavicle and scapula cooperate as a single unit in the shoulder girdle. The scapula is not a weight-bearing structure during normal functions; rather, it supports the attachment of skeletal muscles.

Detailed Description

Posture is generally defined as the sitting or standing position of a person's body. Repetitive or prolonged positioning in an atypical posture may also occur as a risk factor for the development of musculoskeletal diseases. Race, gender, seasons, nutrition, socio-economic status, profession and occupations, psychological state, hygiene, sleep patterns, exercise habits, fatigue, fractures, soft tissue disorders, disorders in the normal alignment angles of the joints, and emotional states such as joy, grief, and distress. It affects posture. Creating professional awareness among physiotherapy and rehabilitation students is very important for the physiotherapy profession, which has a very important role in protecting and improving public health, to achieve its professional goals. On the other hand, physiotherapists and physiotherapy students are at great risk of musculoskeletal disorders due to their working conditions and working postures.

The basic principle of proprioceptive neuromuscular facilitation techniques, defined as facilitating the responses of the neuromuscular mechanism by stimulating the proprioceptors and briefly referred to as PNF, is based on the principle that physiological movements in the human body have rotational and oblique characters and that a greater response can be achieved with movements performed against maximum resistance. The shoulder girdle serves purposes beyond stabilization and movement of the extremities. The clavicle and scapula cooperate as a single unit in the shoulder girdle. The scapula is not a weight-bearing structure during normal functions; rather, it supports the attachment of skeletal muscles.Scapula patterns are activated by upper extremity patterns, and all upper extremity patterns occur together with scapula patterns. The therapeutic purposes of scapula patterns are as follows:

mobility and stabilization of the scapula,

• Trunk muscles and movements, rotation, etc. functional activities,
• Cervical movements and stability, to increase upper-extremity movements and stabilization. Strengthening exercises for posture problems are frequently included in literature studies. However, the results of scapular-pattern PNF exercises specific to the shoulder girdle muscles are unknown. In this study, which we planned in light of this information, the findings obtained from scapular PNF exercises will serve to fill this gap in the literature.

Our hypotheses in this project are:

Hypothesis 1: Scapular PNF applications will show superiority in the development of muscle strength compared to upper extremity strengthening exercises in university students who receive 6-week training.

Hypothesis 2: Scapular PNF applications will be superior to upper extremity strengthening exercises in correcting shoulder girdle posture in university students who receive 6-week training.

Hypothesis 3: Scapular PNF applications will be superior to upper extremity strengthening exercises in the development of hand skills in university students who receive 6-week training.

The most common posture problem seen in university students is the deterioration of shoulder girdle posture. In this project,

1. Purpose: To examine the effects of scapular PNF training on the strength of upper extremity muscles.

2. Purpose: To examine the effects of scapular PNF training on shoulder girdle posture.

Purpose: To examine the effects of scapular PNF training on manual skills.

Conditions

Postural Kyphosis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Control Group

STRENGTH EXERCISE TRAINING

Group Type: ACTIVE_COMPARATOR

strength exercises

Intervention Type: OTHER

Upper limb exercise training (6 Weeks) 3 days/week 60% of 1 repetition maximum 5 minute warm up 20 min exercise training 5 min cool down

Upper extremity movements - Scapular retraction - Shoulder flexion - Shoulder extension - Shoulder abduction - Shoulder adduction Resistant exercise training with Theraband and weights

Study Group

PNF EXERCISE TRAINING

Group Type: EXPERIMENTAL

PNF EXERCISES

Intervention Type: OTHER

Scapular PNF exercise training (6 Weeks) Exercise Frequency 3 days/week Exercise Intensity 60% of 1 maximum repetition Exercise Duration: 5-minute warm-up 20 minutes (2 sets of 15 repetitions) exercise training 5 min cool down Exercise Type Scapular patterns

• Anterior elevation-Posterior depression
• Anterior depression-Posterior elevation PNF techniques
• Repetitive stretching
• Rhythmic stabilization

Interventions

PNF EXERCISES

Scapular PNF exercise training (6 Weeks) Exercise Frequency 3 days/week Exercise Intensity 60% of 1 maximum repetition Exercise Duration: 5-minute warm-up 20 minutes (2 sets of 15 repetitions) exercise training 5 min cool down Exercise Type Scapular patterns

• Anterior elevation-Posterior depression
• Anterior depression-Posterior elevation PNF techniques
• Repetitive stretching
• Rhythmic stabilization

Intervention Type: OTHER

strength exercises

Upper limb exercise training (6 Weeks) 3 days/week 60% of 1 repetition maximum 5 minute warm up 20 min exercise training 5 min cool down

Upper extremity movements - Scapular retraction - Shoulder flexion - Shoulder extension - Shoulder abduction - Shoulder adduction Resistant exercise training with Theraband and weights

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Being between the ages of 18-35

2. Volunteering to participate in the study

Exclusion Criteria

1. Having a systemic disease that prevents exercise,

2. Having a history of orthopedic problems in the upper extremity (fracture, trauma, etc.)

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Kahramanmaras Sutcu Imam University

OTHER

Sponsor Role: lead

Responsible Party

Zekiye İpek KATIRCI KIRMACI

Asst. Prof

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Zekiye İpek Katırcı Kırmacı

Role: PRINCIPAL_INVESTIGATOR

Gaziantep Islam Science and Technology University

Locations

Gaziantep Islam Science and Technology University

Gaziantep, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

ZİKK

Identifier Type: -

Identifier Source: org_study_id