Muscular pain syndrome. Shoulder lesion, unspecified
Conditions
Interventions
Intervention 1: Shockwave therapy with shockwave instrument(2000 impulses,5Hz,EFD=0.1 mj/mm2) for 3 sessions( 1 session per week) with stretch exercises of shoulder muscles at home for 20 days(twice
Treatment - Devices
Rehabilitation
Treatment - Other
Shockwave therapy with shockwave instrument(2000 impulses,5Hz,EFD=0.1 mj/mm2) for 3 sessions( 1 session per week) with stretch exercises of shoulder muscles at home for 20 days(twice a day).
Routine physiothrapy for 10 sessions( 3 sessions per week) with stretch exercises of shoulder muscles at home for 20 days(twice a day).physiotherapy includes: hot pack for 20 minutes with heat of 74.
The third group will do stretch exercises of shoulder for 20 days( twice a day).
Sponsors
Research center of Physical Medicine and Rehabilitation,Tabriz university of medical sciences
Eligibility
Sex/Gender
All
Age
20 Years to 55 Years
Inclusion criteria
Inclusion criteria: inclusion criteria: age between 20 to 55 years old,at physical examination presence of palpable taut bands along that there are one or more trigger points that pressure on them causese pain , pain at least for 2 months, severity of pain at least 30 millimeters in Visual Analogue Scale, normal neurologic examination, absence of other diseases( such as radiculopathy,severe osteoarthritis, rheumatic disese) that will be ruled out with blood tests, simple graphy,MRI and electrodiagnostic studies, Absence of recent accident and recent surgery and fracture of spinal column, absence of shoulder injection in recent 2-3 months, absence of dry needling injection, absence of shockwave contraindications( hemorrhagic disorders, use of anticoagulants,thrombosis, tumors, cardiac pacemaker, pregnancy, diabetic polyneuropathy), Exclusion criteria: absence of inclusion criteria and patients with psychotic disorders such as depression and anxiety that take treatment and patients that do not finish the course of teratment or do not refer for follow up.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: before treatment, immediately after treatment and one month after treatment. Method of measurement: Visual Analogue Scale with grading from zero to 100 millimeters.;Pain Pressure Treshold. Timepoint: before treatment, immediately after treatment and one month after treatment. Method of measurement: Algometer device.;Ability to manage in erveryday life. Timepoint: before treatment, immediately after treatment and one month after treatment. Method of measurement: Neck Disability index questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Range of motion of shoulder joints. Timepoint: before treatment, immediately after treatment and one month after treatment. Method of measurement: Goniometer.;Range of motion of neck. Timepoint: before treatment, immediately after treatment and one month after treatment. Method of measurement: Inclinometer device.;Shoulder muscle forces. Timepoint: before treatment, immediately after treatment and one month after treatment. Method of measurement: Physical examination. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMaryam Samandarian
Tabriz university of medical sciences
Outcome results
None listed