EVALUATION OF THE CLINICAL EFFECTIVENESS OF EXTRACORPOREAL SHOCK WAVE THERAPY IN PATIENTS WITH SHOULDER IMPINGEMENT SYNDROME
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Evaluation of joint range of motion
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Volunteer patients aged 18-65 years
- •Unilateral shoulder impingement, stage 1 or stage 2
- •No participation in any treatment program within the last 3 months
排除标准
- •Acute infection
- •Hemophilia or blood coagulation disorders
- •Cervical radiculopathy
- •History of shoulder fracture or dislocation
- •History of shoulder or neck surgery
- •Presence of a pacemaker
- •Malignant disease
研究组 & 干预措施
ESWT Gruop
干预措施: Conventional treatment programme (Other)
ESWT Gruop
干预措施: Exercise programme (Other)
ESWT Gruop
干预措施: Extracorporeal Shock Wave Therapy (Other)
Control group
干预措施: Conventional treatment programme (Other)
Control group
干预措施: Exercise programme (Other)
结局指标
主要结局
Evaluation of joint range of motion
时间窗: Baseline and end of Week 3
Shoulder joint active and passive flexion, extension, abduction, internal and external rotation range of motion was evaluated before and after treatment with universal goniometer.
Pain assessment
时间窗: Baseline and end of Week 3
Shoulder pain assessment of the patients before and after treatment was performed with VAS and Short Form Mc-Gill Pain Questionnaire (SF-MPQ). The SF-MPQ provides information about the sensory, perceptual and intensity dimensions of pain by describing the pain. Pain is characterised by a total of 15 descriptive adjectives, 11 sensory and 4 affective. The total pain intensity of the patient was evaluated with a 6-point Likert-type scale as 0=no pain, 1=mild, 2=moderate, 3=severe, 4=bitter, 5=unbearable
Functional assessment
时间窗: Baseline and end of Week 3
Functional evaluation of the shoulder joint was performed before and after treatment using the University of California-Los Angeles (UCLA) Shoulder Scale, the Shoulder Pain and Disability Index (SPADI), and the Constant-Murley Shoulder Score (CMS). SPADI consists of two subscales assessing pain and disability, each scored from 0 to 100, with higher scores indicating greater pain and functional limitation. CMS evaluates shoulder pain, activities of daily living, range of motion, and muscle strength, yielding a total score of 100 points; higher scores reflect better shoulder function and are categorized as excellent, good, fair, or poor. The UCLA Shoulder Scale has a total score of 35 points, including pain (10 points), function (10 points), range of motion (10 points), and patient satisfaction (5 points), with higher scores indicating better outcomes.
次要结局
- Sleep assessment(Baseline and end of Week 3)
研究者
Hande Çağlıyan Erdoğan
Lecturer
Istinye University