Omuz subakromiyal sıkışma sendromu olan hastalarda kor stabilizasyon ve propiıseptif nöromusküler fasilitasyon egzersizlerinin ağrı, eklem hareketi, kas kuvveti, postür ve fonksiyonellik üzerine etkileri

The shoulder is the most mobile joint in the human body, making an individual possible for performing a wide range of motion. Shoulder disorders such as Subacromial Impingement Syndrome (SIS) are the most common forms of musculoskeletal disorders and shoulder pathology with occurrence of pain and dysfunction during daily activities. The SIS injuries and rehabilitation may considerably vary, and are always important to arrange an appointment with a healthcare practitioner. Among the rehabilitation techniques, core stabilization exercises, and proprioceptive neuromuscular facilitation (PNF) improve the shoulder rehabilitation. The objective of this study was to assess the effects of core stabilization and PNF exercises on slow motion of joint, muscle power, posture, and functionality in the patients with SIS. To do this, a total of 50 persons (25 in experimental group and 25 in control group; ages ranging from 18 to 65 yr) attending in a privately owned hospital in İstanbul was involved. All the selected patients were with SIS longer than 6 months. The evaluation were made in the beginning and sixth week of the study by the same physiotherapist according to the pain, strength and endurance of the core muscles, motion of neck and shoulder joint, muscle strength for shoulder muscle, posture, and functional status criteria. The statistical analyses were performedby SPSS 19 package program. The results showed that core stabilization and PNF exercises positively affected strength of core muscle, core endurance, and posture, whereas there were there was not any significant effects on pain, joint range of motion, strength of shulder muscle, and functional values. In conclusion, this study revealed that the core stabilization and PNF exercises may partially improvethe symptoms related to the SIS as compared to the regular treatment in the clinic. Key words: Core Stabilization, Functional Status, Joint, Muscle Strength, Physiotherapy, Posture, Proprioceptive Neuromuscular Facilitation, Shoulder Subacromial Impingement Sydrom