Effect of Proprioceptive Neuromuscular Facilitation on efficacy and pain relief for symptomatic shoulder conditions: A meta-analysis
Objectives: Proprioceptive Neuromuscular Facilitation (PNF) is a rehabilitative technique widely used to enhance motor function and coordination in patients with neurological and orthopaedic conditions. This meta-analysis aims to review the existing literature to evaluate the effectiveness of PNF in...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Journal of Orthopaedic Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X24002364 |
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| author | Edmund Jia Xi Zhang Yun Xiu Lam Winston Shang Rong Lim Denny Tjiauw Tjoen Lie |
| author_facet | Edmund Jia Xi Zhang Yun Xiu Lam Winston Shang Rong Lim Denny Tjiauw Tjoen Lie |
| author_sort | Edmund Jia Xi Zhang |
| collection | DOAJ |
| description | Objectives: Proprioceptive Neuromuscular Facilitation (PNF) is a rehabilitative technique widely used to enhance motor function and coordination in patients with neurological and orthopaedic conditions. This meta-analysis aims to review the existing literature to evaluate the effectiveness of PNF in managing symptomatic shoulder conditions. Design: A systematic search of the literature was performed in April 2024. Articles involving the use of PNF in the treatment of PT were included. Comparative meta-analysis was performed on articles reporting visual analogue scale (VAS) scores, range of motion (ROM), and Shoulder Pain and Disability Index (SPADI). Result: Nine studies consisting of 158 patients were identified. Mean follow-duration was 3.25 ± 1.20 weeks. VAS score improvement was −3.26 (CI: −4.33 to −2.20; P < 0.01). SPADI scores improved by −20.57 (CI: −47.92 to 6.78; P = 0.14). Abduction, external rotation, internal rotation and flexion all had significant improvement. Conclusions: PNF appears to be an effective intervention for improving pain and functional mobility in patients with various shoulder conditions. However, the clinical heterogeneity and variable methodology across studies highlight the need for standardized protocols and long-term effectiveness studies. Further research is required to refine PNF applications and evaluate its potential in post-operative rehabilitation. |
| format | Article |
| id | doaj-art-862f95cef652467f863a04ad75633fad |
| institution | DOAJ |
| issn | 2773-157X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Reports |
| spelling | doaj-art-862f95cef652467f863a04ad75633fad2025-08-20T03:21:27ZengElsevierJournal of Orthopaedic Reports2773-157X2025-04-014110054110.1016/j.jorep.2024.100541Effect of Proprioceptive Neuromuscular Facilitation on efficacy and pain relief for symptomatic shoulder conditions: A meta-analysisEdmund Jia Xi Zhang0Yun Xiu Lam1Winston Shang Rong Lim2Denny Tjiauw Tjoen Lie3Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Corresponding author.Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeDepartment of Orthopaedic Surgery, Singapore General Hospital, SingaporeDepartment of Orthopaedic Surgery, Singapore General Hospital, SingaporeObjectives: Proprioceptive Neuromuscular Facilitation (PNF) is a rehabilitative technique widely used to enhance motor function and coordination in patients with neurological and orthopaedic conditions. This meta-analysis aims to review the existing literature to evaluate the effectiveness of PNF in managing symptomatic shoulder conditions. Design: A systematic search of the literature was performed in April 2024. Articles involving the use of PNF in the treatment of PT were included. Comparative meta-analysis was performed on articles reporting visual analogue scale (VAS) scores, range of motion (ROM), and Shoulder Pain and Disability Index (SPADI). Result: Nine studies consisting of 158 patients were identified. Mean follow-duration was 3.25 ± 1.20 weeks. VAS score improvement was −3.26 (CI: −4.33 to −2.20; P < 0.01). SPADI scores improved by −20.57 (CI: −47.92 to 6.78; P = 0.14). Abduction, external rotation, internal rotation and flexion all had significant improvement. Conclusions: PNF appears to be an effective intervention for improving pain and functional mobility in patients with various shoulder conditions. However, the clinical heterogeneity and variable methodology across studies highlight the need for standardized protocols and long-term effectiveness studies. Further research is required to refine PNF applications and evaluate its potential in post-operative rehabilitation.http://www.sciencedirect.com/science/article/pii/S2773157X24002364Proprioceptive Neuromuscular FacilitationContract-relax techniqueShoulder rehabilitationAdhesive capsulitisShoulder impingement |
| spellingShingle | Edmund Jia Xi Zhang Yun Xiu Lam Winston Shang Rong Lim Denny Tjiauw Tjoen Lie Effect of Proprioceptive Neuromuscular Facilitation on efficacy and pain relief for symptomatic shoulder conditions: A meta-analysis Journal of Orthopaedic Reports Proprioceptive Neuromuscular Facilitation Contract-relax technique Shoulder rehabilitation Adhesive capsulitis Shoulder impingement |
| title | Effect of Proprioceptive Neuromuscular Facilitation on efficacy and pain relief for symptomatic shoulder conditions: A meta-analysis |
| title_full | Effect of Proprioceptive Neuromuscular Facilitation on efficacy and pain relief for symptomatic shoulder conditions: A meta-analysis |
| title_fullStr | Effect of Proprioceptive Neuromuscular Facilitation on efficacy and pain relief for symptomatic shoulder conditions: A meta-analysis |
| title_full_unstemmed | Effect of Proprioceptive Neuromuscular Facilitation on efficacy and pain relief for symptomatic shoulder conditions: A meta-analysis |
| title_short | Effect of Proprioceptive Neuromuscular Facilitation on efficacy and pain relief for symptomatic shoulder conditions: A meta-analysis |
| title_sort | effect of proprioceptive neuromuscular facilitation on efficacy and pain relief for symptomatic shoulder conditions a meta analysis |
| topic | Proprioceptive Neuromuscular Facilitation Contract-relax technique Shoulder rehabilitation Adhesive capsulitis Shoulder impingement |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X24002364 |
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