Effect of Adding Somatosensory Motor Control Training to Conventional Therapeutic Exercises on Shoulder Impingement Syndrome

Document Type : Original Article

Authors

Department of Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University, Egypt

10.21608/iptccu.2024.456703

Abstract

Background : The most common musculoskeletal condition affecting the upper extremities is shoulder impingement syndrome ( SIS) . SIS results in lower shoulder proprioception. somatosensory motor control training encourage both afferent signals and cerebral mechanisms that maintain dynamic joint stability to facilitate unconscious motor responses.
Purpose: To investigate the effect of somatosensory motor control training on shoulder function, range of motion and proprioception in SIS. Patients and Methods: forty four patients of both sexes were chosen. Their ages ranged from 25 to 45 and were diagnosed as SIS stage II. They randomly assigned in to two groups. Group (I) received conventional therapeutic exercises program. Group (II) received conventional therapeutic exercises program in addition to Somatosensory motor control training. Patients were assessed before and after therapy (6 weeks) using shoulder pain and disability index to asses shoulder function.  An Inclinometer  was used to assess shoulder range of motion and proprioception.  Results: In both groups, there was a significant improvement in shoulder function, range of motion and proprioception (P< 0.05). There was a significant difference between both groups  regarding shoulder function and  proprioception in favor of group (II) (P<0.05) while there was no significant difference between them regarding shoulder range of motion. Conclusion: Somatosensory motor control training added to conventional physical therapy exercises seems to be more effective than conventional physical therapy exercises alone in improving shoulder function and proprioception for patients with SIS.

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