Effectiveness of Shortwave Diathermy for Subacromial Impingement Syndrome and Value of Night Pain for Patient Selection: A Double-Blinded, Randomized, Placebo-Controlled Trial
American Journal of Physical Medicine and Rehabilitation, cilt.97, sa.3, ss.178-186, 2018 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 97 Sayı: 3
- Basım Tarihi: 2018
- Doi Numarası: 10.1097/phm.0000000000000819
- Dergi Adı: American Journal of Physical Medicine and Rehabilitation
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.178-186
- Anahtar Kelimeler: Shoulder Impingement Syndrome, Short Wave Diathermy, Night Pain
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective The aim of this study was to investigate the effectiveness of short wave diathermy (SWD) in patients with subacromial impingement syndrome. Design In this double-blinded, randomized, placebo-controlled trial, 57 patients (aged 35-65 yrs) were classified into night pain positive (NP[+]) (n = 28) and night pain negative (NP[-]) (n = 29) groups. Both groups were randomly assigned to SWD (NP[+], n = 14; NP[-], n = 14) and sham (NP[+], n = 15; NP[-], n = 14) subgroups. Visual analog scale, Constant-Murley Scale (CS), and Shoulder Disability Questionnaire (SDQ) scores were used for evaluation. Results There was only a significant difference in pain with activity at 1-mo (mean difference [MD],-1.65; 95% confidence interval,-3.01 to-0.28]) and 2-mo evaluations (MD,-2.1; 95% confidence interval,-3.51 to-0.69) between SWD versus sham groups. In the NP(+) SWD group, the CS pain score was significantly higher than in the NP(+) sham group at all evaluations after treatment. At 1 mo, the NP(-) SWD group showed significantly better pain, strength, total CS, and SDQ scores than the NP(-) sham group. At 2 mos, the pain, range of motion, strength, and total CS and SDQ scores were better in the NP(-) SWD group than in the NP(-) sham group (P < 0.05). Conclusions Short wave diathermy is more effective in subacromial impingement syndrome without NP.