The effectiveness of proprioceptive neuromuscular facilitation techniques versus conventional therapy in patients with proximal humerus fracture: randomized controlled trial.

IF 1.5 4区 医学 Q2 REHABILITATION
Physiotherapy Theory and Practice Pub Date : 2025-09-01 Epub Date: 2025-04-01 DOI:10.1080/09593985.2025.2486418
Gamze Kus, Ayse Zengin Alpozgen, Arzu Razak Ozdincler, Feray Gungor, Suleyman Altun
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引用次数: 0

Abstract

Background: To date, no study has investigated the effectiveness of proprioceptive neuromuscular facilitation (PNF) techniques for patients with proximal humerus fractures (PHF).

Objective: 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.

Methods: 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.

Results: 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 (p > .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 (p = .046, η2p = 0.078). In addition, a significant difference was found in patient satisfaction at 3 weeks in CPT (p = .021) but no difference at 6 weeks between groups (p > .05).

Conclusion: 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.

Clinicaltrialnumber: NCT05960435.

肱骨近端骨折患者接受本体感觉神经肌肉促进技术与传统疗法的效果:随机对照试验。
背景:迄今为止,还没有研究调查本体感觉神经肌肉促进(PNF)技术对肱骨近端骨折(PHF)患者的有效性。目的:比较PNF与常规物理治疗(CPT)对PHF患者肩部被动和主动活动度(ROM)、功能、肌力、疼痛、运动恐惧症、生活质量(QoL)和患者满意度的影响。方法:将40例PHF患者随机分为CPT组和PNF组。两组均接受治疗方案,每周三次,持续6周。主要指标是肩部活动度、功能和肌肉力量。次要测量是疼痛、运动恐惧症、生活质量和患者满意度。结果:在研究结束时对40例患者进行了分析。在功能、疼痛、肩部活动度(主动和被动)或肌肉力量方面,按时间分组的相互作用无统计学意义(p < 0.05)。然而,在CPT的36项简短表格调查(SF-36)中,由于身体健康亚量表的角色限制,群体按时间的相互作用具有统计学意义(p =。046, η2p = 0.078)。此外,CPT治疗3周时患者满意度差异有统计学意义(p = 0.021), 6周时两组患者满意度差异无统计学意义(p = 0.05)。结论:PNF技术在减轻PHF患者疼痛、改善功能和肩关节活动度、短期内提高生活质量方面与CPT具有相似的效果。根据我们的研究结果,PNF技术与CPT一样有效,可以作为PHF患者的潜在辅助治疗方法。Clinicaltrialnumber: NCT05960435。
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来源期刊
CiteScore
3.40
自引率
10.00%
发文量
300
期刊介绍: The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.
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