Article

The objective of this study was to evaluate the effectiveness of
proprioceptive exercises on shoulder proprioception, range of motion, pain,
muscle strength, and function in patients with subacromial impingement syndrome.
DESIGN: Sixty-one patients with subacromial impingement syndrome participated in
this prospective, single-blind randomized controlled trial. All patients were
randomly divided into two groups: control group (conventional physiotherapy,
n = 30) and intervention group (proprioceptive exercise and conventional
physiotherapy, n = 31). The primary outcome measures were sense of kinesthesia
and active and passive repositioning for proprioception at 0 degrees and 10
degrees external rotation at 12 wks. The secondary outcome measures were pain at
rest, at night, and during activities of daily living with the visual analog
scale (0-10 cm), the Western Ontario Rotator Cuff index, the American Shoulder
and Elbow Surgeons index, range of motion, and isometric muscle strength at both
6 and 12 wks. RESULTS: After treatment, significant improvement was found in
range of motion, pain, isometric muscle strength, kinesthesia at 0 degrees
external rotation, and functional tests in both groups. The intervention group
showed a significant improvement in kinesthesia at 10 degrees external rotation
and active and passive repositioning at 10 degrees external rotation. When groups
were compared, there were no statistically significant differences in any of the
parameters at 12 wks. CONCLUSIONS: Although proprioceptive exercises may provide
better proprioceptive acuity, no additional positive effect on other clinical
parameters was observed.

Langue : ANGLAIS