Author, as appears in the article.: Pérez-Merino L; Casajuana M; Bernal G; Faba J; Astilleros A; González R; Giralt M; Romeu M; Nogués M
Department: Medicina i Cirurgia Ciències Mèdiques Bàsiques
URV's Author/s: Astilleros López, Ana Ester / Bernal Alarcón, Glòria / CASAJUANA BRIANSÓ, MARIA DEL CARME / Faba Martínez, Jenny / Giralt Batista, Montserrat / González Pàmies, Roser / Nogués Llort, Maria Rosa / Pérez Merino, Laura / Romeu Ferran, Marta
Keywords: Ultrasound therapy Subacromial impingement syndrome Phonophoresis Iontophoresis Dexketoprofen subacromial impingement syndrome phonophoresis iontophoresis dexketoprofen
Abstract: © 2015 Chartered Society of Physiotherapy. Objective: To determine whether dexketoprofen administered by phonophoresis or iontophoresis is more effective for the treatment of subacromial impingement syndrome (SIS) than conventional ultrasound therapy. Design: Randomised clinical trial. Setting: University hospital. Participants: Ninety-nine participants with SIS without a complete tear of the rotator cuff were assigned at random to three intervention groups. Intervention groups: Participants received ultrasound (n= 32), phonophoresis with dexketoprofen (50 mg/session) (n= 33) or iontophoresis with dexketoprofen (50 mg/session) (n= 34). All participants completed 20 treatment sessions plus exercise therapy and cryotherapy. Outcome measures: A visual analogue scale (VAS), the Constant-Murley Scale (CMS) and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire were administered pre-treatment (baseline), post-treatment and 1 month post-treatment. Results: At baseline, there were no differences between the groups. Post-treatment, VAS score improved by -1.2 points and CMS score improved by 8.9 points in the ultrasound group compared with the iontophoresis group [95% confidence interval (CI) -0.2 to -2.2 and 95% CI 17.0 to 0.7, respectively]. CMS score improved by 7.1 points in the phonophoresis group compared with the iontophoresis group (95% CI 14.8 to -0.7). At 1 month post-treatment, no significant differences were detected between the groups. VAS, CMS and DASH scores of all groups improved post-treatment and at 1 month post-treatment. Conclusion: Ultrasound, iontophoresis with dexketoprofen and phonophoresis with dexketoprofen can improve pain, shoulder function, and physical functioning and symptoms in the upper limb in patients with SIS without a complete tear of the rotator cuff. Clinical Trials.gov registration number: NCT01748188.
Thematic Areas: Saúde coletiva Rehabilitation Psicología Physical therapy, sports therapy and rehabilitation Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Engenharias iv Enfermagem Educação física Ciências biológicas ii Ciências biológicas i Biodiversidade
licence for use: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 00319406
Author's mail: jenny.faba@urv.cat gloria.bernal@urv.cat laura.perez@urv.cat roser.gonzalez@urv.cat montse.giralt@urv.cat marta.romeu@urv.cat
Author identifier: 0000-0002-7073-577X 0000-0002-2131-1858
Record's date: 2024-09-07
Papper version: info:eu-repo/semantics/acceptedVersion
Link to the original source: https://www.sciencedirect.com/science/article/abs/pii/S0031940615032356
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Physiotherapy. 102 (1): 57-63
APA: Pérez-Merino L; Casajuana M; Bernal G; Faba J; Astilleros A; González R; Giralt M; Romeu M; Nogués M (2016). Evaluation of the effectiveness of three physiotherapeutic treatments for subacromial impingement syndrome: A randomised clinical trial. Physiotherapy, 102(1), 57-63. DOI: 10.1016/j.physio.2015.01.010
Article's DOI: 10.1016/j.physio.2015.01.010
Entity: Universitat Rovira i Virgili
Journal publication year: 2016
Publication Type: Journal Publications
Repositori URV