Abstract
[Purpose] The aim of this study was to evaluate the effects of soft tissue mobilization          and PNF on pain level, and shoulder ROM in patients with shoulder impingement syndrome.          [Subjects and Methods] Thirty patients with painful and limited glenohumeral ROM          activities were selected. The subjects were randomly assigned to an experimental group          (n=15), which received treatment consisting of soft tissues mobilization and the PNF          technique. The control group received an ultrasound treatment. Pain level, glenohumeral          external rotation and overhead reach were measured before and after the intervention in          groups. [Results] The experimental group showed a significant reduction in pain level in          comparison with the control group. The values for Shoulder external rotation showed a          significant improvement. The mean value for overhead reach in the experimental group          significantly increased. [Conclusion] The combination of soft tissue mobilization for the          subscapularis for 7 minutes and 5 repetitions of the contract-relax PNF technique for the          shoulder internal rotator muscles followed by 5 repetitions of a PNF facilitated abduction          and external rotation diagonal pattern was found to be effective in reducing pain and          improving glenohumeral external rotation and overhead reach during a single intervention          session.