Tedla Jaya Shanker, Sangadala Devika Rani
Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia.
J Musculoskelet Neuronal Interact. 2019 Dec 1;19(4):482-491.
This systematic review aims to determine the effectiveness of proprioceptive neuromuscular facilitation (PNF) treatment techniques in adhesive capsulitis for decreasing pain and disability and increasing range of motion (ROM) and function. A thorough, computerized search was done using database search engines by two reviewers. After meticulous scrutiny and screening of 410 studies, according to the selection criteria, 10 full-text articles were included in the review and meta-analysis. All 10 studies had undergone a methodological quality assessment by the Physiotherapy Evidence Database Scale. Meta-analysis was done for external rotation, abduction ROM and pain. The most common PNF techniques used by most of the studies were, hold-relax and contract-relax in upper limb D2 flexion, abduction, and an external rotation pattern, while some studies used scapular PNF patterns. Among the 10 included studies, nine showed that the PNF group is superior in decreasing pain and reducing disability, increasing ROM, improving function. The meta-analysis also showed a significant effect size and that the PNF is superior than conventional physical therapy in decreasing pain, increasing external rotation, and abduction ROM.
本系统评价旨在确定本体感觉神经肌肉促进法（PNF）治疗技术在肩周炎治疗中减轻疼痛、减少功能障碍、增加关节活动度（ROM）和改善功能方面的有效性。两名评价者使用数据库搜索引擎进行了全面的计算机化检索。在对410项研究进行细致审查和筛选后，根据入选标准，10篇全文文章被纳入本评价和荟萃分析。所有10项研究均通过物理治疗证据数据库量表进行了方法学质量评估。对上肢外旋、外展ROM和疼痛进行了荟萃分析。大多数研究中使用的最常见的PNF技术是上肢D2屈曲、外展和外旋模式下的保持-放松和收缩-放松，而一些研究使用了肩胛PNF模式。在纳入的10项研究中，9项表明PNF组在减轻疼痛、减少功能障碍、增加ROM和改善功能方面更具优势。荟萃分析还显示了显著的效应量，且PNF在减轻疼痛、增加外旋和外展ROM方面优于传统物理治疗。
