Kus Gamze, Zengin Alpozgen Ayse, Razak Ozdincler Arzu, Gungor Feray, Altun Suleyman
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Mustafa Kemal University, Hatay, Turkey.
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Physiother Theory Pract. 2025 Sep;41(9):1851-1865. doi: 10.1080/09593985.2025.2486418. Epub 2025 Apr 1.
To date, no study has investigated the effectiveness of proprioceptive neuromuscular facilitation (PNF) techniques for patients with proximal humerus fractures (PHF).
To compare the effect of PNF, conventional physicaltherapy (CPT) on shoulder passive and active range of motion (ROM), function, muscle strength, pain, kinesiophobia, quality of life (QoL), and patient satisfaction in patients with PHF.
A total of 40 patients with PHF were randomly allocated into two groups of CPT and PNF. Both groups received treatment programs three times a week for 6 weeks. The primary measures were shoulder ROM, function, and muscle strength. The secondary measures were pain, kinesiophobia, QoL, and patient satisfaction.
Forty patients analyzed at the end of the study. There were no statistically significant group-by-time interactions for function, pain, shoulder ROM (active and passive), or muscle strength ( > .05). However, there were statistically significant group-by-time interactions in role limitations due to physical health subscale of the 36-item Short Form Survey (SF-36) in CPT ( = .046, η = 0.078). In addition, a significant difference was found in patient satisfaction at 3 weeks in CPT ( = .021) but no difference at 6 weeks between groups ( > .05).
The PNF techniques demonstrated similar outcomes to the CPT in reducing pain, improving function and shoulder ROM, and enhancing quality of life in patients with PHF in short time. According to our findings, PNF techniques are as effective as CPT and can be proposed as a potential adjunctive treatment for patients with PHF.
NCT05960435.
迄今为止，尚无研究调查本体感觉神经肌肉促进技术（PNF）对肱骨近端骨折（PHF）患者的有效性。
比较PNF、传统物理治疗（CPT）对PHF患者肩部被动和主动活动范围（ROM）、功能、肌肉力量、疼痛、运动恐惧、生活质量（QoL）及患者满意度的影响。
将40例PHF患者随机分为CPT组和PNF组。两组均每周接受3次治疗，共6周。主要测量指标为肩部ROM、功能和肌肉力量。次要测量指标为疼痛、运动恐惧、QoL和患者满意度。
研究结束时对40例患者进行分析。在功能、疼痛、肩部ROM（主动和被动）或肌肉力量方面，组间时间交互作用无统计学意义（P＞0.05）。然而，CPT组在36项简明健康调查（SF-36）的身体健康子量表中，因角色限制导致的组间时间交互作用具有统计学意义（P = 0.046，η = 0.078）。此外，CPT组在3周时患者满意度有显著差异（P = 0.021），但两组在6周时无差异（P＞0.05）。
PNF技术在短期内减轻PHF患者疼痛、改善功能和肩部ROM以及提高生活质量方面与CPT效果相似。根据我们的研究结果，PNF技术与CPT同样有效，可作为PHF患者的一种潜在辅助治疗方法。
NCT05960435。
