Effect Of Hydrocortisone Phonophoresis Versus Iontophoresis In Patients With Subacromial Impingement Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Assessing the change in isometric shoulder strength
研究概览
简要总结
The purpose of this study will be to compare the efficacy of adding hydrocortisone phonophoresis or iontophoresis on pain, function, range of motion and shoulder external rotation isometric strength in patients with subacromial impingement syndrome.
详细描述
Routine physiotherapy has been advocated was an effective treatment for SIS. However, there is lack of best exercise treatment and lots of studies are under consideration. According to published data focused on management of shoulder pain, it looks like that therapeutic exercise is not sufficient to treat SIS and it is compulsory to combine with other remedies to get the best results
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
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All patients were diagnosed as unilateral SIS with stage II Neer classification > 3 months.
- •Positive impingement sign (Neer's test or Hawkins-Kennedy test), / painful arc during active arm elevation, pain or weakness with resisted isometric external rotation or resisted scapular plane abduction with the humeral internal rotation (empty can test)
- •The age of patients ranged from 18 - 60 years old.
- •Both genders will be involved.
- •Shoulder pain scores more than 5 on a numeric rate scale for pain of 0-
- •Failure to respond to conservative NSAID.
排除标准
- •Frozen shoulders.
- •Arthritis of the shoulder.
- •Shoulder instability.
- •Pregnant women.
- •A pacemaker.
- •Previous shoulder surgery.
- •History of dislocation of the shoulder.
- •Internal metallic fixation.
- •Malignancy.
- •Previous corticosteroid injection.
- •Rheumatoid arthritis
- •Partial or Full thickness tear of the rotator cuff.
- •Cervical radiculopathy.
- •Physiotherapeutic shoulder treatment within the last 3 months.
- •The patients will randomly be assigned into 3 equal groups, 20 patients for each group.
结局指标
主要结局
Assessing the change in isometric shoulder strength
时间窗: at baseline and after 6 weeks of intervention
A handheld Lafayette dynamometer will be used to evaluate the peak shoulder External Rotation muscles isometric strength
Assessing the change in shoulder Range Of Motion
时间窗: at baseline and after 6 weeks of intervention
In this study shoulder ROM will be measured by using Electrogoniometer (flexion, abduction and internal rotation ranges will be measured in degrees), which eliminates the need to manually score each measurement.
Assessing the change in Shoulder Pain and Disability
时间窗: at baseline and after 6 weeks of intervention
By using Shoulder Pain and Disability Index (SPADI). SPADI has been found to be the quickest (within five minutes) and easiest to complete, as well as being more responsive to change. The SPADI is considered to be, by comparison, one of the most useful instruments about the shoulder joint, and has been tested in various clinical settings. The SPADI is a 13-item shoulder function index on the ability of responders to carry out basic activities of daily living. Each item is scored by a numeric rating scale that ranges from 0 (no pain/no difficulty) to 10 (worst pain imaginable/so difficult it required help).
次要结局
未报告次要终点
研究者
Mohsen Ibrahim
Principal Investigator
Horus University