The Physiotherapy Approaches in Patients With Subacromial Impingement Syndrome

The Effect of Electromyographic Biofeedback and Proprioception Exercises on Pain and Functionality in Patients With Subacromial Impingement Syndrome: A Randomized Controlled Study

The aim of this study is to investigate the effectiveness of Electromyographic Biofeedback with proprioception exercises on pain, range of motion, muscle strength, proprioception and functionality in patients with subacromial impingement syndrome.

This study is planned as a prospective, randomized clinical study. Patients with subacromial impingement syndrome who volunteered to participate in the study, met the inclusion criteria, and signed the consent form were randomly assigned to the proprioception exercise group and the proprioception exercise with electromyographic biofeedback group. Demographic and clinical data of the patients were recorded. Shoulder function with Disabilities of the Arm, Shoulder and Hand scale, pain with VAS, painless active shoulder flexion, abduction, and external-internal rotation with goniometer, muscle strength with Manual Muscle Tester, proprioception (55°-90°- 125° angles of flexion and abduction, and angular deviations) with the Laser-pointer assisted angle reproduction test were evaluated, and patient satisfaction was evaluated with The Global Rating of Change Scale. After the initial evaluations were completed, only proprioception exercises and proprioception exercises with EMG-BF were applied 2 days a week for 8 weeks. Additionally, both groups were given Want exercises.

Inclusion Criteria:

• Being diagnosed with subacromial impingement syndrome,
• Being between the ages of 18 and 65,
• Not having received medical treatment,
• Not having received a shoulder-related physiotherapy program in the last year,
• Not having had any shoulder-related surgery,

Exclusion Criteria:

• Neurological deficits of the upper extremity and the presence of another orthopedic disorder, rheumatic or congenital disease other than subacromial impingement syndrome,
• Presence of mental problem,
• Having received corticosteroid treatment in the last year,
• Upper extremity fracture,
• Acute cervical pathology,
• Having cardiovascular and systemic diseases that prevent working,
• Pregnancy,
• Those with communication problems.