Evaluation of the effectiveness of three physiotherapeutic treatments for subacromial impingement syndrome: A randomised clinical trial

Autor según el artículo: Perez-Merino, L; Casajuana, M C; Bernal, G; Faba, J; Astilleros, A E; Gonzalez, R; Giralt, M; Romeu, M; Nogues, M R

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; Ultrasonic therapy; Tromethamine; Subacromial impingement syndrome; Single-blind method; Shoulder pain; Shoulder impingement syndrome; Range of motion, articular; Phonophoresis; Pain measurement; Middle aged; Male; Ketoprofen; Iontophoresis; Humans; Hospitals, university; Female; Exercise therapy; Dexketoprofen trometamol; Dexketoprofen; Cryotherapy; Anti-inflammatory agents, non-steroidal; Aged; Adult; 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; laura.perez@urv.cat; roser.gonzalez@urv.cat; montse.giralt@urv.cat; marta.romeu@urv.cat

Fecha de alta del registro: 2025-02-19

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: https://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: Perez-Merino, L; Casajuana, M C; Bernal, G; Faba, J; Astilleros, A E; Gonzalez, R; Giralt, M; Romeu, M; Nogues, M R (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