A COMPARATIVE STUDY BETWEEN DRY NEEDLING AND KINETIC CHAIN ACTIVATION TECHNIQUE WITH SPECIFIED EXERCISE PROGRAMME IN PAINFUL ARC SYNDROME

ABHISHEK ARORA; JAFAR KHAN; K. M. ANAMALAI; KAPIL VYAS

doi:10.22159/ijcpr.2024v16i6.5073

Authors

ABHISHEK ARORA Pacific College of Physiotherapy, Pacific Medical University, Udaipur, Rajasthan, India
JAFAR KHAN Pacific College of Physiotherapy, Pacific Medical University, Udaipur, Rajasthan, India
K. M. ANAMALAI Chancellor Gandhi Gram University, Tamil Nadu and HOD Physiotherapy Department, Apollo Hospital, Ahemdabad, Gujrat, India
KAPIL VYAS Department of Radiology, Pacific Medical University, Udaipur, Rajasthan, India

DOI:

https://doi.org/10.22159/ijcpr.2024v16i6.5073

Keywords:

KCAT-Kinetic chain activation technique, Dry needling, Painful arc syndrome

Abstract

Objective: Many researcher have reported that painful arc syndrome arises from multiple lesion i. e. minor tear of supraspinatus tendon, supraspinatus tendinitis, calcified deposit in the supraspinatus tendon, subacromial bursitis, crack fracture of greater tuberosity of humerus and bicipital tenosynovitis. In this study, dry needling and KCAT technique with specific exercise programme has been done to reduce pain and improve functioning and their by prevent shoulder pathologies. The objective of the study is. 1) To evaluate the effectiveness of kinetic chain activation in painful arc syndrome. 2) To evaluate the effectiveness of dry needling therapy in painful arc syndrome. 3) To evaluate the effectiveness of a specific exercise program.

Methods: 50 patient diagnosed with painful arc syndrome by the physiotherapy department orthopedic department OPD will be initially assessed for the inclusion or exclusion criteria. prior to the treatment procedure patients are oriented to the study and taken informed consent, patient is divided in to two groups(Group A and Group B) and both groups will be assessed for the pre-test parameter.

Outcome measure – shoulder pain and disability scale and goniometry is used for measuring pre-test and post-test.

Results: The study was significant in reducing pain level and improving function with the pretest. At the end of 6 w treatment program with, both group A (dry needling) and group B(KCAT) showed improvement in painful arc syndrome. Based on results, the study supports research hypothesis that there was a significant improvement in ROM and significant reduction in SPADI score associated with painful arc syndrome. Patient participated in group B shows more significant changes.

Conclusion: The study showed that significant improvement in symptoms of group B as compared to group A from the initial level to week 6. At the end of 6 w training programme both group A and group B Shows improvements in symptoms but the result of study supports that group B (KCAT CONCEPT-finger fanning technique) B is more efficient compare to group A(dry needling).

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References

Creech JA, Silver S. Shoulder impingement syndrome. StatPearls Publishing; 2021 Jul 26.

Hill CL, Lester S, Taylor AW, Shanahan ME, Gill TK. Factor structure and validity of the shoulder pain and disability index in a population based study of people with shoulder symptoms. BMC Musculoskelet Disord. 2011 Dec;12(1):8. doi: 10.1186/1471-2474-12-8, PMID 21226950.

Kessel L, Watson MI. The painful arc syndrome clinical classification as a guide to management. J Bone Joint Surg Br. 1977 May;59(2):166-72. doi: 10.1302/0301-620X.59B2.873977, PMID 873977.

Neviaser RJ. Painful conditions affecting the shoulder. Clinical Orthopaedics Related Res. 1983 Mar 1;173:63-9. PMID 6825347.

Griswold D, Learman K, Ickert E, Tapp A, Ross O. Dry needling for subacromial pain syndrome: a systematic review with meta-analysis. Pain Med. 2023 Mar;24(3):285-99. doi: 10.1093/pm/pnac131, PMID 36018263.

Kalichman L, Vulfsons S. Dry needling in the management of musculoskeletal pain. J Am Board Fam Med. 2010;23(5):640-6. doi: 10.3122/jabfm.2010.05.090296, PMID 20823359.

Dommerholt J. Dry needling peripheral and central considerations. J Man Manip Ther. 2011;19(4):223-7. doi: 10.1179/106698111X13129729552065, PMID 23115475.

Das S, Kulkarni P. Updated review on overview of dry needling. Int J Health Sci. 2022;6(1):5127-40. doi: 10.53730/ijhs.v6nS1.5991.

Alvarez DJ, Rockwell PG. Trigger points: diagnosis and management. Am Fam Physician. 2002;65(4):653-60. PMID 11871683.

Fernandez DE Las Penas C, Nijs J. Trigger point dry needling for the treatment of myofascial pain syndrome: current perspectives within a pain neuroscience paradigm. J Pain Res. 2019;12:1899-911. doi: 10.2147/JPR.S154728, PMID 31354339.

McMullen J, Uhl TL. A kinetic chain approach for shoulder rehabilitation. J Athl Train. 2000 Jul;35(3):329-37. PMID 16558646.

Aggarwal K. Effect of kinetic chain activation technique in shoulder impairment: a review; 2023.

Kibler WB, Ludewig PM, McClure PW, Michener LA, Bak K, Sciascia AD. Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the scapular summit. Br J Sports Med. 2013 Sep;47(14):877-85. doi: 10.1136/bjsports-2013-092425, PMID 23580420.

Micoogullari M, Uygur SF, Yosmaoglu HB. Effect of scapular stabilizer muscles strength on scapular position. Sports Health. 2023 May;15(3):349-56. doi: 10.1177/19417381231155192, PMID 36872601, PMCID PMC10170236.

Brewster C, Schwab DR. Rehabilitation of the shoulder following rotator cuff injury or surgery. J Orthop Sports Phys Ther. 1993;18(2):422-6. doi: 10.2519/jospt.1993.18.2.422, PMID 8364597.

Wilk KE, Harrelson GL, Arrigo C, Chmielewski T. Shoulder rehabilitation. In: Andrews JR, Harrelson GL, Wilk KE, editors. Physical rehabilitation of the injured athlete. 2nd ed. Philadelphia: WB Saunders; 1998. p. 478-553.