Extracorporeal Shock Wave Therapy on Diabetes Related Frozen Shoulder
Condition: Frozen Shoulder; Diabetes Mellitus
MeSH terms: Bursitis; Diabetes Mellitus
Study type: Interventional

Summary: 
      The aim of this study is to observe the changes in the combined ESWT application and
      physiotherapy program in the frozen shoulder pathology associated with diabetes. Different
      treatment approaches will try to identify the most effective treatment method. Changes in
      muscle tone, pain, range of motion and functionallity will be observed with ESWT treatment.
      For the first time placebo-controlled research is being conducted with different doses of
      ESWT in our country and in the World literature. In this way the lower floor of the further
      work to be done will be established.
    

Detailed description: 
      The study will be performed with participants who has diabetic frozen shoulder diagnosis
      after clinical examination and imaging procedures performed, held at Okan University
      Hospital, Physical Therapy and Rehabilitation Clinic. Data will be recorded with the shoulder
      evaluation form in the study and cases will be divided into three groups with simple
      randomization method. The initial range of motion of the participants will be evaluated
      bilaterally using an electro-goniometer. The muscle tone evaluation will be made with
      MyotonPro. Muscle strength assessment will be performed with the MicroFET2 dynamometer at the
      appropriate measurement positions. Participants' pain assessment will be done in the rest,
      activity and night pain using the Visual Analog Scale. The Shoulder Pain Disability Scale
      will be used to assess participants' shoulder function. The short-form-36 questionnaire will
      be used evaluating the quality of life. Physiotherapy application will be applied to all
      three groups in the form of standard treatment protocol, duration and number. For the first
      group ESWT application will be done at energy density of 0.12 mJ/mm2, in the second group, at
      an energy density of 0.3 mJ/mm2, for the third group application will be done as sham ESWT.
      The ESWT will be administered once a week and in two separate sessions of 2000 strokes. After
      initial measurements, re-evaluations will be done in the fourth and sixth weeks. The
      statistics will be analyzed by appropriate methods.
    

Intervention name(s): Extracorporeal Shock Wave Therapy; Placebo ESWT
Intervention type(s): Device; Other
Intervention description(s): Extracorporeal shock wave therapy (ESWT) is a treatment method for the application of single-pulse acoustic pressure waves generated by sudden changes in pressure by creating shock waves with piezoelectric, electrohydraulic and electromagnetic systems. It has been reported that ESWT treatment is effective in the treatment of pain with hyperstimulation analgesia by inhibiting afferent pain receptors, and also improve angiogenesis and restore and reorganize the musculoskeletal system; In the placebo application, rESWT device was switched on but without pressing the pedal during the same session period. The applicator was positioned to be the same as the other groups.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: physical therapy; ESWT