الفهرس | Only 14 pages are availabe for public view |
Abstract Conservative treatments for shoulder impingement syndrome (SIS) include conventional therapy (CT), local corticosteroid injection (LCI), and extracorporeal shock wave therapy (ESWT). Objective: To investigate and compare the efficacy of adding shockwave therapy or local corticosteroid injection to conventional physical therapy in shoulder impingement syndrome. Design: A prospective single-blinded randomized controlled study. Settings: Physical therapy outpatient clinic of El-Safa Hospital, Damietta. Participants: Sixty patients with unilateral SIS > 3 months were involved. Methods: The patients were allocated randomly to group A (received a 4-week CT plus single LCI, n=20), group B (received CT only, n=20), and group C (received CT plus ESWT, one session per week for 3 weeks, n=20). Subacromial space, shoulder pain and disability index (SPADI), and shoulder range of motion were assessed at baseline and post-treatment follow-up at 4 and 12 weeks. Results: At both follow-ups, the within-group analysis revealed a significant difference in all parameters relative to baseline (P < 0.05) except the subacromial space at week 12 in the CT group. Among group analysis indicated a non-significant difference in all measures at the 4-week follow-up (P ˃ 0.05). However, at week 12, the ESWT group exhibited the most significant changes (P < 0.05). Conclusion: While there is no difference between the effect of adding LCI or ESWT to CT on a short-term basis, adding ESWT to CT induces more noticeable long-term effects on SIS, highlighting it as the superior alternative. |