Shoulder Pain
Conditions
Keywords
Subacromial syndrome, Dexketoprofen, Phonophoresis, Iontophoresis, Ultrasounds, VAS, DASH score, Constant score
Brief summary
The purpose of this study is to determine whether dexketoprofen administered by phonophoresis or iontophoresis is more effective in the treatment of subacromial syndrome that the conventional therapy with ultrasounds.
Detailed description
It is a question of valuing the decrease of the pain (by means of the visual analogic scale pain score) and the increase of the functionality of the joint (by means of Dash and Constant scores) of three different treatments from physical therapy to establish the most effective protocol for the treatment of the subacromial syndrome. Determine the best physiotherapy treatment for subacromial syndrome with 20 sessions of different treatments. A group will receive the conventional treatment with ultrasounds without drugs, another group will receive dexketoprofen by phonophoresis and the third group will receive dexketoprofen by iontophoresis.
Interventions
Ultrasound of 1 MHz, intensity 2 W/cm2, 5 minutes, for 20 sessions.
Phonophoresis with 50 mg dexketoprofen (Enangel), 1 MHz, intensity 2 W/cm2, 5 minutes, for 20 sessions.
Iontophoresis by galvanic direct current with 50 mg dexketoprofen (Enantyum), intensity 2 mA, 20 minutes, for 20 sessions.
Guideline of 7 standardized exercises to improve the muscular force and to open the subacromial space.
Cooling located by a cold air bundle to -32 Celsius degrees (ºC) for 3 minutes.
Sponsors
Study design
Eligibility
Inclusion criteria
* Subacromial syndrome diagnosed by ultrasound scanning with Rotator cuff tendinitis or partial break of the rotator cuff and / or of the brachial biceps. * Informed consent.
Exclusion criteria
* To suffer shoulder arthritis or any shoulder pathology with mobility limitation. * Fibromyalgia * Psychologic or psychiatric pathologies * Hypersensibility to the drug * Back or shoulder traumatism * To have received an analgesic infiltration on the affected shoulder in the last month * Lack of adherence to the treatment upper to 15 % of the sessions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain measure by the visual analogic scale pain score. | 1 month |
Secondary
| Measure | Time frame |
|---|---|
| Functionality of the joint by Dash and Constant scores | 1 month |
Countries
Spain