Autor según el artículo: Pérez-Merino L; Casajuana M; Bernal G; Faba J; Astilleros A; González R; Giralt M; Romeu M; Nogués M

Departamento: Medicina i Cirurgia Ciències Mèdiques Bàsiques

Autor/es de la URV: 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

Palabras clave: Ultrasound therapy Subacromial impingement syndrome Phonophoresis Iontophoresis Dexketoprofen subacromial impingement syndrome phonophoresis iontophoresis dexketoprofen

Resumen: © 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.

Áreas temáticas: 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

Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 00319406

Direcció de correo del autor: jenny.faba@urv.cat gloria.bernal@urv.cat ana.astilleros@urv.cat laura.perez@urv.cat roser.gonzalez@urv.cat mariarosa.nogues@urv.cat marta.romeu@urv.cat montse.giralt@urv.cat

Identificador del autor: 0000-0003-4626-5672 0000-0002-2131-1858 0000-0002-7073-577X

Fecha de alta del registro: 2023-04-01

Versión del articulo depositado: info:eu-repo/semantics/acceptedVersion

Enlace a la fuente original: https://www.sciencedirect.com/science/article/abs/pii/S0031940615032356

URL Documento de licencia: http://repositori.urv.cat/ca/proteccio-de-dades/

Referencia al articulo segun fuente origial: Physiotherapy. 102 (1): 57-63

Referencia de l'ítem segons les normes 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

DOI del artículo: 10.1016/j.physio.2015.01.010

Entidad: Universitat Rovira i Virgili

Año de publicación de la revista: 2016

Tipo de publicación: Journal Publications