Supraspinatus Tendinitis
Conditions
Keywords
extracorporeal shock wave, high power pain threshold ultrasound
Brief summary
Extra corporeal shock wave therapy is a treatment method in which high-amplitude sound waves are focused on the targeted body tissue Recently, Extra corporeal shock wave therapy has been proposed as an alternative treatment in patients not responding to pharmaceutical treatment.High power pain threshold ultrasound is the use of therapeutic ultrasound in a continuous mode; with the probe placed directly on affected area (supraspinatus tendon)
Detailed description
Shock wave therapy is an effective method of dissolving calcification and stimulating tissue healing. Extra corporeal shock wave therapy is a treatment method in which high-amplitude sound waves are focused on the targeted body tissue Recently, Extra corporeal shock wave therapy has been proposed as an alternative treatment in patients not responding to pharmaceutical treatment.US have been widely used for more than 40 years in the treatment of musculoskeletal disorders such as tendinitis, tenosynovitis, epicondylitis, bursitis and osteoarthritis. High power pain threshold ultrasound is the use of therapeutic ultrasound in a continuous mode; with the probe placed directly on affected area (supraspinatus tendon) the intensity of ultrasound is first increased to the threshold pain level (to 1.5 W/cm) and then reduced to one half of that intensity. It was kept at that level for 4 to 5 seconds and then reduced to the half-intensity level for another 15 seconds .
Interventions
OTHERcontrol group
Exercise Therapy and hot pack This tendon exercise program is very effective if done consistently. There are five steps to the program: warm up, stretching exercise, strengthening exercise, stretching exercise, and heat.
DEVICEextracorporeal shock wave therapy
Shock Master 500 device will be applied once a week for four weeks in total. Each treatment consists of 2000 shocks 3 bar pressure, 20 Hz. Each rESWT session will take about 10 minutes. rESWT application will be performed on the supraspinatus trigger point. In successive treatments, there will be using of an energy density equal to 0.28 mJ/mm2
High-power, pain-threshold, ultrasound therapy application (in W/cm2) in continuousmodes, to elicit threshold pain, the ultrasound probe must be kept static on the tendon. Intensity will be gradually increased to the level of maximum pain the patient could bear. It will be kept at that level for 4 to 5 seconds and then will be reduced to the half-intensitylevel for another 15 seconds. This procedure will be repeated 3 times.High-power,
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
pre post intervention study
Eligibility
Sex/Gender
ALL
Age
30 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Patients' age ranges from 30 to 50 years old. * Patients are males and females. * BMI of all subjects were \<30 Kg/m2. * Patients will be diagnosed as supraspinatus tendinitis. * All patients are medically stable. * All patients should be conscious and ambulant. * Patients don't have any nervous system problems * Patients don't have shoulder disorder other than tendenities * Patients that didn't undergo any surgery in shoulder joint
Exclusion criteria
* • Patients who received intra articular injection from duration less than 3 months. * Patients with supraspinatus tendonitis secondary to trauma. * Patients with metal implants. * Patient who had malignancy in the affected area. * Patient with acute infection in the treated area. * Diabetic patients * Bone infection * Shoulder instability * Epilepsy * Coagulation diseases * Rheumatological diseases (rheumatoid arthritis and gouty arthritis)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 1. pain intensity[Time Frame:] | up to four weeks | pain will be measured by visual analogue scale higher score mean worse outcome ten centimeter line from zero to ten, zero mean no pain and ten mean maximum pain |
| 2.range of motion | up to four weeks | range of motion will be measured by gravititional inclinometer |
Outcome results
None listed