None listed
Conditions
Brief summary
Shoulder pains are frequently seen, restricting shoulder movements and function. The pathology of the rotator cuff tendons is one of the most common causes of shoulder pain and dysfunction. There are different approaches such as resting, activity regulation, non-steroidal anti-inflammatory drugs, various physical therapy modalities, therapeutic exercises, corticosteroid injection into the subacromial space and suprascapular nerve blocks. Balneotherapy is an alternative treatment that can be combined with various treatments. Its effect is combined with mechanical and chemical factors. It provides analgesia to reduce muscle spasm with thermal effect. Although data on the effectiveness of balneotherapy in the literature is limited. This study aims to contribute to the literature.
Interventions
A total of 90 patients aged 20-65 years who were admitted to physical therapy and rehabilitation clinic with the diagnosis of subacute supraspinatus tendinitis will be included in this study.
Each study groups will be treated by exercises and physical therapy agents, only the study group will be treated by phisical therapy agents, exercises and additionally balneotherapy.
Balneotherapy, calcium sulphate and bicarbonate, carbon dioxide, fluoride, thermal (natural temperature average 45 C) and min
A total of 90 patients aged 20-65 years who were admitted to physical therapy and rehabilitation clinic with the diagnosis of subacute supraspinatus tendinitis will be included in this study. Each study groups will be treated by exercises and physical therapy agents, only the study group will be treated by phisical therapy agents, exercises and additionally balneotherapy. Balneotherapy, calcium sulphate and bicarbonate, carbon dioxide, fluoride, thermal (natural temperature average 45 C) and mineral (total mineral up to 2 g / L) will be applied with natural thermomineral healing water. The application will be carried out every day according to the patient's endurance, in the form of full bath, the first day is 10 minutes to 20-25 minutes in the following days. Patients to be included in the study will be evaluated before treatment, 15 sessions after treatment. The evaluation criteria will be taken by the VAS scoring system with pain (rest, movement, sleep) and quick dash test which is functional assessment of the shoulder, and the overall quality of life scale (SF-36). In addition, for the purpose of functional evaluation; Evaluation of hand grip strength with jamar hand dynamometry, active joint range of motion of the shoulder with goniometer will be evaluated, the results will be recorded. The comparison of these results with baseline and post-treatment results and whether they are associated with SF-36, VAS, Quick Dash scoring will be analyzed.
Sponsors
Ahi Evran University Faculty of Medicine
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
20 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Patients who were admitted to the physical therapy and rehabilitation clinic with the complaint of shoulder pain and diagnosed as supraspinatus tendinitis ; -Pain intensity (VAS 4 and above) to be moderate or severe -Complete passive range of motion
Exclusion criteria
Neurological deficit, Rheumatologic, oncological or infectious disease, Severe psychiatric disorder, Severe cardiovascular and pulmonary disease, Coagulopathy, Having received the balneotherapy and physical therapy program in the last 1 year, Shoulder surgery, Rotator cuf rupture, osteonecrosis, cuff arthropathy, septic arthritis, adhesive capsulitis, Regional diseases (sevikal radiculopathy, brachial neuritis, complex regional pain syndrome, malignancy), Internal organ-induced shoulder pain, Trauma and fracture, Acromioclavicular joint pathology, Patient discontinuation of treatment, Removal from treatment due to patient mismatch.
Outcome results
None listed