POST ARTHROSCOPIC REHABILITATION OF SHOULDER IMPINGEMENT SYNDROME (COMPARATIVE STUDY)

Purpose:- The purpose of this study was to investigate the effect of early activation program versus protective program of rehabilitation after arthroscopic subacromial decompression in patients with shoulder impingement. Subjects:- Thirty patients with stage II Neer classification of shoulder impingement syndrome (SIS) have participated in this study. Methods:- Patients were randomly assigned into two equal groups. The first experimental group consisted of 15 patients, with a mean age of 38.47(+6.96) years; and received early activation program. The second experimental group consisted of 15 patients, with a mean age of 39.67(+5.92) years; and received protective program of rehabilitation. Treatment was given 3 times per week, every other day, for 8 consecutive weeks. Patients were evaluated pretreatment and post-treatment for shoulder pain severity, shoulder functional disability, shoulder flexion, abduction, and internal and external rotation motions. Results:- Patients of both groups showed significant improvement in all of the measured variables. Statistical analysis between groups showed a more significant improvement in the first group than in the second group in the entire measured variables. Conclusion:- Early activation program was more effective than protective program as rehabilitation after arthroscopic subacromial decompression surgery.