Different therapeutic modalities for the treatment of supraspinatus tendinopathy
DOI:
https://doi.org/10.5020/2904Keywords:
Shoulder Impingement Syndrome, Electrostimulation Therapy, Exercise Therapy.Abstract
Objective: To determine the efficacy of different therapeutic modalities for the rehabilitation of supraspinatus tendinopathy. Methods: Clinical trial using a quantitative and longitudinal approach, conducted from January 2010 to October 2011 at the Physiotherapy Clinic of the University of Ribeirão Preto (UNAERP). Twenty-four adult patients of both genders, aged 40 to 50 years, with a diagnosis of supraspinatus tendinopathy, were selected and divided into three groups: Group 1 - ultrasound and standard kinesiotherapy; Group 2 - laser and standard kinesiotherapy; and Group 3 - enhanced kinesiotherapy. As criteria for evaluation were applied the DASH and McGill questionnaires and the assessment of range of motion (ROM) of flexion, extension, abduction, adduction, internal rotation (IR), and external rotation (ER). Data was analyzed statistically using the Mixed Effects Regression Model and the Kruskal-Wallis test, with the aid of the SAS™ 9.0 software. Results: After the treatments applied, all 3 groups showed a significant improvement of ROM (p<0.01) for the evaluated movements. Group 1 showed gain of ROM in IR (6°), and reduction in the score of the DASH questionnaire (-17.5). Group 3 showed gains for the movements of flexion (22°), extension (10°), abduction (26°), adduction (11°), and ER (13°), and a reduction in the score of the McGill questionnaire (-18.5). Conclusion: The enhanced kinesiotherapy, involving all the structures of the shoulder, was more effective regarding ROM gain in most of the parameters evaluated, in comparison with the electrotherapy and conventional kinesiotherapy. doi:10.5020/18061230.2013.p201Downloads
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