A case study on efficacy of soft tissue mobilization and proprioceptive neuromuscular facilitation techniques in subject with shoulder impingement syndrome.

Aim: The aim of this study was to evaluate the effects of soft tissue mobilization (STM) and proprioceptive neuromuscular facilitation (PNF) on pain level and shoulder range of motion (ROM) patient with shoulder impingement syndrome (SIS). Case Report: A single case study of a 42-year-old female patient with the left SIS was included in the study. The patient complained of difficulty in overhead activities such as grooming and wearing clothes reaching up and reaching behind back. Results and Discussion: The patient received STM of subscapularis and PNF contract-relax technique for shoulder abductors, internal rotators, and external rotators for 15 days. The outcome measure was estimated by visual analog scale (VAS) to assess pain, ROM measured using goniometer, and muscle strength using manual muscle testing. After completing 15 sessions, there was a significant reduction in VAS score, improved overhead reach and ROM of shoulder. Conclusion: The patient showed a significant reduction in pain level. The values for shoulder abduction, internal rotation, and external rotation showed a significant improvement. The value for overhead reaches also significantly increased. The combination of STM and contract-relax PNF technique for the shoulder was found to be effective in reducing pain and improving glenohumeral ROM and muscle strength of the left shoulder. [ABSTRACT FROM AUTHOR]