الفهرس 
Title : Efficacy Of Neural Mobilization Techniques In Treating Stage I And II Shoulder Impingement Syndrome/
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Abstract
Shoulder impingement syndrome (SIS) is a mechanical compression of subacromial bursa, supraspinatus tendon, and long head of the biceps tendonin the subacromial space. Objectives: To determine the efficacy of adding neural mobilization techniques (NMT) to conventional physical therapy program in patients with stage I and IISIS. Methods:Thirty patients of both genders with stage I and IISIS, their agesranged from 20 to 40 years were selected.Theywere randomly assigned into two groups. group Areceived conventional physical therapy program(rotator cuff strengthening exercises, stretching exercise for posterior capsule and scapular muscles training exercises)and group B received NMTs for median, ulnar and radial nerves beside the conventional physical therapy program. Treatment program was 3 sessions a week for 4 weeks. All patients were assessed pre and post treatment program for pain severityusing visual analogue scale (VAS), shoulder disability usingArabic version of shoulder pain and disability index(SPADI), scapular upward rotation ROM using baseline bubble inclinometer and upper trapezius and serratus anterior (UT\SAratio) isometric muscle strengthusing hand held dynamometer (HHD).Results: There were no statistical significant differences between groups post treatment in all measured variables except for pain severity and shoulder disability where there were statistical significant decreases in favor to group B.Conclusions:Adding NMT to the conventional physical therapy program induce beneficial effects in minimizing pain and disability in patients with stage I and II SIS, but they had no effects on improving scapular upward rotation ROM or scapular muscles strength.