Investigation Of The Effect Of Proprioceptive Neuromuscular Fasilitation Tecniques in Scapular Dyskinesis

Scapular dyskinesis is defined as the loss of strength around the scapular muscle, tightness of the pectoralis minor and disruption of scapular movements. Scapular patterns of proprioceptive neuromuscular fasilition (PNF) techniques are often preferred in the rehabilitation of scapular dyskinesis. The main principals of PNF applications are defined as the autogenous inhibition, reciprocal inhibition, stress relaxation and gate control theory.The aim of this study was to investigate the effect of scapular PNF patterns on muscular strength and pectoralis minor tightness among individuals with unilateral scapular dyskinesis.

In order to standardize the measurements while evaluating individuals, the evaluation order will be as follows; The evaluation of minor pectoralis shortness, scapular dyskinesia by video analysis, scapular side shift test and then muscle strength evaluation will be done. The evaluation will be repeated before and 6 weeks after treatment and 12 weeks after treatment. Proprioceptive Neuromuscular Facilitation Application: Anterior elevation / posterior depression will be performed in the form of repetitive contractions using anterior depression / posterior elevation patterns. There will be 10 repetitions, with a 2-minute rest break between each technique. The treatment will be continued twice a week for a total of 6 weeks. Perceived Effort Scale, which is graded between 0-10, will be used to determine the level of perceived resistance to individuals before each treatment. In order to ensure standardization, the perceived effort level will be set to 5-6 (moderate).