Adeziv kapsülitli olgularda konvansiyonel tedaviye ek olarak uygulanan mulligan konsepti ve PNF (proprioseptif nöromusküler fasilitasyon) tekniğinin etkilerinin karşilaştirilmasi

The aim of this study is to examine the effects of Mulligan Concept and PNF Technique applied in addition to conventional treatment on joint range of motion, pain and sleep quality in individuals diagnosed with adhesive capsulitis. The study included 42 (28F, 14E; 62.33 ± years) volunteers who were treated under the direction of a physician in Sportomed Suadiye Clinic between June 2019 and August 2020. The characteristics of the participants were evaluated with the sociodemographic questionnaire prepared by us. Shoulder range of motions were measured using a goniometer. The pectoralis muscles, teres major, latissimus dorsi and rhomboid muscles were evaluated for shortness with the help of a tape measure. Using the Shoulder Pain and Disability index, the pain intensity and disability of the patients were evaluated in a way that each question was scored between 0-10. Upper extremity pain and function were evaluated by applying the Arm, Shoulder and Hand Questionnaire. Abnormal scapular motion was evaluated with the Lateral Scapular Slip test. Sleep problems were evaluated with the Pittsburgh Sleep Quality Index. Individuals were randomly divided into two groups as Mulligan Group (n=21) and PNF Group (n=21). Individuals in both groups had the conventional treatment, which included a 20-minute hotpack and 100Hz, 0.05-0.07 MS TENS. A home exercise programme was given to the patients. The duration of treatment was 5 days a week for 3 weeks. At the end of the treatment, there were significant differences in terms of ROM, muscle shortness, pain, QoL and sleep quality in both groups compared to pre-treatment (p<0.05). However, none of the applications found to be superior to each other (p>0.05). In the line of our hypothesis, Mulligan concept and PNF technique applied in addition to conventional treatment in patients with adhesive capsulitis have a positive effect on joint range of motion, pain, quality of life and sleep quality.