Shock Wave, Subacromial Impingement Syndrome
Conditions
Brief summary
The goal of the study is to determine the effect of radial shock wave Phonophoresis on patients with impingement syndromes. to answer the following questions: does shock wave Phonophoresis have and effect on pain? does shock wave Phonophoresis have and effect on shoulder function? does shock wave Phonophoresis have and effect on subacromial space? patients will be randomized to two groups: Group (A): patients will receive shock wave Phonophoresis plus conventional physical therapy. Group (B): Patients will receive shock wave plus conventional Physical therapy.
Interventions
patients will receive radial shock wave Phonophoresis by ibuprofen in the form of 2000 shocks, 2.4 bars, 10 MHz frequency plus (strengthening and stretching exercises for subraspinatus muscle).
patients will receive radial shock wave therapy ( 2000 shocks, 2.4 bars, 10 MHz), plus conventional physical therapy (strengthening and stretching exercises for subraspinatus muscle).
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients age range between 25-40 years ago. * Shoulder pain between 60- 120° with shoulder elevation (positive painful arch test). * Grade 2 impingement syndrome according to neer classification.
Exclusion criteria
* Shoulder affected bilaterally * Receiving anesthetic or corticosteroid injections within 4 weeks of study enrollment * Surgery or previous fractures of the ipsilateral humeral head of the affected shoulder * Osteoarthritis in the acromioclavicular or glenohumeral joints
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| subacromial space | before the first session and after the last session ( four weeks) | — |
| shoulder pain | before the first session and after the last session ( four weeks) | shoulder pain will be measured by numerical pain scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| shoulder function | Time Frame: before the first session and after the last session ( four weeks) | function will be measured by shoulder pain and disability index |
Countries
Egypt