Extracorporeal Shock Wave Therapy for Shoulder Impingement

Summary

Background: The aim of this study was to investigate the effects of extracorporeal shock wave therapy (ESWT) on pain, upper extremity functional level and sleep quality in subacromial impingement syndrome.

Methods: Thirty patients diagnosed with impingement syndrome were randomly divided into two groups. ESWT group, ESWT was applied one day a week in addition to a conventional physiotherapy programme consisting of ultrasound, transcutaneous electrical nerve stimulation (TENS), infrared and exercise 5 days a week for three weeks. Control group received only conventional physiotherapy programme. Constant Murley Shoulder Score (CMS), The University of California-Los Angeles (UCLA) shoulder scale, Shoulder Pain and Disability Index (SPADI), Short Form Mc-Gill Pain Questionnaire (SF-MPQ ), VAS and Pittsburgh Sleep Quality Index (PSQI) were used in the evaluation. Joint range of motion was assessed using a universal goniometer.

Conditions

• Extracorporeal Shock Wave Therapy
• Shoulder Impingement Syndrome

Interventions

OTHER

Conventional treatment programme

Ultrasound; Chattanooga® (US) 2776 model device, 3 MHz, treatment dose average 1.5 w/cm², 5 min ultrasound was applied to the anterior and posterior of the glenohumeral joint. Transcutaneous Electrical Nerve Stimulation (TENS); With Chattanooga®(US) 2770 model device, conventional TENS application with a frequency between 60 and 120 Hz and a transition time of 50-100 μsec was applied to the shoulder joint by interposing the painful area of the patient for 20 minutes. Infrared; Infrared rays were positioned perpendicularly to the pathological shoulder region of the patients with Orthocare®(Turkey) device and applied from a distance of 45-70 cm for 20 minutes.

OTHER

Exercise programme

An exercise programme was prescribed to the patients according to the evaluations. Within the scope of this programme, Codman pendulum, Wand, isometric, isotonic exercises, strengthening with resistance bands, stretching exercises (capsule stretches), strengthening exercises for the surrounding joints were taught. The exercises were performed once a day with a physiotherapist and twice a day as a home programme

OTHER

Extracorporeal Shock Wave Therapy

Extracorporeal Shock Wave Therapy (ESWT) was performed with EMS Swiss DolorClast® Master(Switzerland) device with 1.6 bar pressure, 11.0 Hz frequency, medium energy (0.28 mj/mm²) and 2000 pulses. The application area was applied to the anatomical region compatible with the pathology, such as subraspinatus tendon, biceps brachi long head supacromial space, where pain and symptoms were concentrated. Treatment parameters were decided according to the pain limit and the optimal treatment dose specified in the literature. ESWT was applied once a week for three weeks (Huisstede, B. M. et al. 2011).

Sponsors & Collaborators

• Istinye University

  lead OTHER

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-01-01

Primary Completion

2019-11-20

Completion

2019-12-20

Countries

• Turkey (Türkiye)

Study Locations