Extra Corporeal Shock Wave Versus Phonophoresis in Sub Acromial Impingement Syndrome.
Condition: Sub Acromial Impingement Syndrome
MeSH terms: Shoulder Impingement Syndrome; Syndrome; Rotator Cuff Injuries
Study type: Interventional
Phase: Phase 3

Summary: 
      shoulder sub acromial impingement syndrome is an encroachment of subacrormial tissues,
      rotator cuff, subacrormial bursa, and the long head of the biceps tendon, as a result of
      narrowing of the subacrormial space. Activities requiring repetitive or sustained use of the
      arms over head often predispose the rotator cuff tendon to injury. Hence the objective of the
      study is to examine the influence of extra corporeal Shock wave versus phonophoresis on pain
      severity and functional disability in patients with sub acromial impingement syndrome.
    

Detailed description: 
      Background: shoulder sub acromial impingement syndrome is an encroachment of subacrormial
      tissues, rotator cuff, subacrormial bursa, and the long head of the biceps tendon, as a
      result of narrowing of the subacrormial space. Activities requiring repetitive or sustained
      use of the arms over head often predispose the rotator cuff tendon to injury. Objective of
      the study: To examine the influence of extra corporeal Shock wave versus phonophoresis on
      pain severity and functional disability in patients with sub acromial impingement syndrome.
      Subjects and Methods: Thirty patients diagnosed as shoulder impingement syndrome stage II
      Neer classification due to mechanical causes. Patients were randomly distributed into two
      equal groups. The first group consisted of 15 patients with a mean age of 45.46 (+ 8.64)
      received therapeutic exercises( stretching exercise of posterior shoulder capsule and
      strengthening exercises of shoulder muscles) and shockwave therapy (6000 shock, 2000/session,
      3 sessions, 2 weeks a part, 0.22mJ/mm2) years. The second group consisted of 15 patients with
      a mean age of 46.26 (+ 8.05) received same therapeutic exercises and phonophoresis (3 times
      per week, each other day, for 4 consecutive weeks). Patients were evaluated pretreatment and
      post treatment for shoulder pain severity, shoulder functional disability, shoulder flexion,
      abduction and internal rotation motions.
    

Intervention name(s): Shockwave therapy; Phonophoresis
Intervention type(s): Device; Device
Intervention description(s): Radial extracorporeal shock wave device, it is serial number (1107394), medispec and connected to electrical supply 115/220 A C frequency.; Pagani ultrasound apparatus 200 cosistts of multi frequency head(1 and 3 MHz), surface area 4 cm², continuous and pulsed mode, main voltages: 100-240-VAC.50/60Hz.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Participants were identified and recruited over 5-month period. Thirty-six patients diagnosed clinically with shoulder impingement syndrome (according to location of trigger points at rotator cuff muscles and aggravation of pain with overhead activities) were randomly assigned in two groups.
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Extra corporeal shock wave; phonophoresis; sub acromial impingement syndrome