Subacromial Impingement Syndrome Clinical Trial
Official title:
Effect Of Hydrocortisone Phonophoresis Versus Iontophoresis In Patients With Subacromial Impingement Syndrome
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.
Status | Recruiting |
Enrollment | 60 |
Est. completion date | September 15, 2023 |
Est. primary completion date | August 15, 2023 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 60 Years |
Eligibility | Inclusion Criteria: 1. All patients were diagnosed as unilateral SIS with stage II Neer classification > 3 months. 2. 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) 3. The age of patients ranged from 18 - 60 years old. 4. Both genders will be involved. 5. Shoulder pain scores more than 5 on a numeric rate scale for pain of 0- 10. 6. Failure to respond to conservative NSAID. Exclusion Criteria: 1. Frozen shoulders. 2. Arthritis of the shoulder. 3. Shoulder instability. 4. Pregnant women. 5. A pacemaker. 6. Previous shoulder surgery. 7. History of dislocation of the shoulder. 8. Internal metallic fixation. 9. Malignancy. 10. Previous corticosteroid injection. 11. Rheumatoid arthritis 12. Partial or Full thickness tear of the rotator cuff. 13. Cervical radiculopathy. 14. Physiotherapeutic shoulder treatment within the last 3 months. 15. The patients will randomly be assigned into 3 equal groups, 20 patients for each group. |
Country | Name | City | State |
---|---|---|---|
Egypt | Outpatient clinic faculty of physical therapy, horus university, egypt | Damieta |
Lead Sponsor | Collaborator |
---|---|
Horus University |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Assessing the change in isometric shoulder strength | A handheld Lafayette dynamometer will be used to evaluate the peak shoulder External Rotation muscles isometric strength | at baseline and after 6 weeks of intervention | |
Primary | Assessing the change in Shoulder Pain and Disability | 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). | at baseline and after 6 weeks of intervention | |
Primary | Assessing the change in shoulder Range Of Motion | 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. | at baseline and after 6 weeks of intervention |
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