Pectoralis Minor Release in Patients With Subacromial Impingement Syndrome

Efficacy of Pectoralis Minor Release on Subacromial Space in Patients With Subacromial Impingement Syndrome

To investigate the effect of PMI release on subacromial space, pectoralis minor length, shoulders ROM, shoulder joint pain, and functional ability in patients with SAIS.

Statement of the problem:

This study will be designed to answer the following question Does PMI release have an effect on subacromial space in patients with SAIS?

The purposes of the study:

1. To investigate the effect of PMI release on subacromial space in patients with SAIS.
2. To investigate the effect of PMI release on pectoralis minor length in patients with SAIS.
3. To investigate the effect of PMI release on shoulders ROM (flexion, abduction, internal and external rotation) in patients with SAIS.
4. To investigate the effect of PMI release on shoulder joint pain in patients with SAIS.
5. To investigate the effect of PMI release on functional ability in patients with SAIS.

Inclusion Criteria:

1. Patients with chronic unilateral SAIS.
2. Patient age average 40- 60 years old from both sexes (Michael and Gail 2000).
3. Decreased AHD less than 10mm by x-ray image (Mean AHD in absence of rotator cuff tear is 10.5mm (Goutallier et al., 2011)).
4. Decreased of active shoulder ROM.
5. Presence of unilateral shoulder joint pain.
6. Reliable patients.

Exclusion Criteria:

All patients who have any of the following will be excluded from the study (Lewis and Valentine 2007)

1. Intra articular injection.
2. Arthroscopic intervention.
3. Previous shoulder fracture.
4. Shoulder subluxation.
5. Adhesive capsulitis.
6. Shoulder osteoarthritis.
7. Any previous operation on cervical and shoulder region.
8. Mastectomy on the same side of shoulder impingement.
9. Patients with neurological disorder that may contribute performance the procedure instructions.
10. Osteoporosis.
11. Pregnant and lactating woman.