Castellanos-Madrigal S, Magdaleno-Navarro E, Herrera-Rodríguez V, García MD, Torres-Bugarín O

Language: Spanish
References: 25
Page: 19-26
PDF size: 326.70 Kb.

ABSTRACT

Introduction: The rotator cuff is a complex structure, made up of four muscles and tendons attached to the shoulder joint. Here the force that produces movement and stability is generated. Injuries are the most frequent cause of shoulder pain and functional limitation and are associated with extrinsic factors such as high energy trauma or contact sports, as well as intrinsic factors including aging. Objective: To show evidence of the benefits of using Proprioceptive Neuromuscular Facilitation as a conservative treatment of choice for rotator cuff injuries. Material and method: MEDLINE searches were conducted (1995-present), search terms included facilitación neuromuscular propioceptiva (proprioceptive neuromuscular facilitation therapy), manguito rotador (rotator cuff), hombro (shoulder). The articles were included if the title contained any of the descriptors, and if they were original papers in which they applied proprioceptive neuromuscular facilitation as treatment. Review papers were also excluded, as well as those where Proprioceptive Neuromuscular Facilitation was applied to non-shoulder injuries. Results: 40 publications were found that contained some of the descriptors in the title, however only 9 met the inclusion and exclusion criteria: of these studies one was a clinical case, one with patients with adhesive capsulitis, one with rupture of the supraspinatus, shock syndrome subacromial, one with calcified tendinitis, one with chronic session, one routine exercise and another in hand throwing sport, two healthy people and one study in older people. In all cases, the effectiveness of the PNF was shown, which decreased pain and improved movement and functionality of the shoulder, even at all ages or activities. Conclusions: Rotator cuff injury is a more frequent pathology in the shoulder, today there are multiple alternatives for conservative treatments, including PNF, which is a known method in the field of physiotherapy; however, despite its good results, there is not enough evidence to support its efficiency in this type of injury, so it is recommended to further promote its application and document it properly so that more people can benefit.

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