Document Detail

Are ultrasound, laser and exercise superior to each other in the treatment of subacromial impingement syndrome? A randomized clinical trial.
MedLine Citation:
PMID:  21946399     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Subacromial impingement syndrome (SIS) is the most common reason for shoulder pain. Ultrasound and laser are the physical therapy modalities, in conservative treatment of SIS.
AIM: The aim of this study was to define and compare the efficacy of ultrasound, laser and exercise in the treatment of SIS.
DESIGN: This was a randomized controlled trial with-pre and post-treatment evaluations
SETTING: Out-patients referred to physical medicine and rehabilitation unit.
POPULATION: This study was performed on 52 patients with SIS. The patients were randomly allocated into three groups
METHODS: The patients were treated five days a week for three weeks with hotpack+ultrasound+exercise (the first group); hotpack+laser+exercise (the second group), or hotpack+exercise (the third group). The pre and post treatment ranges of motion were measured in the patients. The visual analogue scale (VAS) was used to evaluate the severity of pain. Constant scoring was used to evaluate the shoulder functions and the results were compared after the treatment.
RESULTS: When the post-treatment results of the groups were compared with the pretreatment results, there was a statistically significant improvement in each of the three groups, in the pain, the range of motion and the functional improvement at the shoulder (P<0.05). However, the inter-group comparison did not reveal any statistically significant difference in the parameters indicating improvement (P>0.05).
CONCLUSION: The results of this study demonstrated that ultrasound and laser treatments were not superior to each other in the treatment of SIS.
CLINICAL REHABILITATION IMPACT: . Exercise treatment forms the base for the conservative treatment.
H T Calis; N Berberoglu; M Calis
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  European journal of physical and rehabilitation medicine     Volume:  47     ISSN:  1973-9095     ISO Abbreviation:  Eur J Phys Rehabil Med     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-28     Completed Date:  2012-01-26     Revised Date:  2012-09-10    
Medline Journal Info:
Nlm Unique ID:  101465662     Medline TA:  Eur J Phys Rehabil Med     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  375-80     Citation Subset:  IM    
Kayseri Education and Research Hospital, Physical Therapy and Rehabilitation Clinic, Kayseri, Turkey.
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MeSH Terms
Analysis of Variance
Chi-Square Distribution
Exercise Therapy / methods*
Hot Temperature
Laser Therapy / methods*
Middle Aged
Pain Measurement
Range of Motion, Articular / physiology
Shoulder Impingement Syndrome / physiopathology,  therapy*
Treatment Outcome
Ultrasonic Therapy / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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