Therapeutic procedures in shoulder impingement syndrome (SIS) for professionally active people: randomized research

Agnieszka Skopowska, Maciej Biernacki, Monika Dekowska, Małgorzata Łukowicz, Sielski Łukasz, Agnieszka Filarecka

DOI: http://dx.doi.org/10.12775/PPS.2018.008

Abstract


Objectives. Pain and limitation of motions in the glenohumeral joint are frequently the consequence of the shoulder impingement syndrome (SIS). Misdiagnosis or improper treatment of the illness may effect in a serious functional impairment of the upper limb. The treatment, dependent on the medical condition, involves: rest, NSAID therapy, physiotherapy as well 

as kinesitherapeutic procedures. The aim of the research was to conduct a detailed diagnosis
of the shoulder impingement syndrome and the efficacy assessment of the matched rehabilitating procedures considering the symptoms.

Material and methods. The research was conducted in 39 people aged 30 to 81 treated for SIS. 85% of the respondents were professionally active.In order to assess the efficacy of the therapy the following were carried out: the pain assessment test, functional tests (Neer’s, Ludington’s, Hawkins’, Apley’s, Job’s and the active painful arc test) as well
as measurements of the active range of motion of the joint. The patients were subjected to two kinds of physiotherapy – ultrasound therapy (US) procedures and the short wave diathermy (SWD), both connected with procedures aiming at mobilization of the shoulder complex and off-load exercises. The outcome was submitted to statistic analysis.

Results. The results obtained in both groups of patients were compared via the Mann-Whitney U test. No significant differences between the SWD and the US groups in the efficacy of the conducted procedures were observed. The data analysis within therapeutic groups revealed the existence of significant differences (p<0,01) before and after the therapy, in the VAS and Laitinen scales as well as in the measurements of the range of motions.

Conclusions. The outcome of both conducted therapies in both research groups included: decrease in pain, increase in the range of motions of the glenohumeral joint and improved function of the upper limb. Both procedures may be successfully employed in the treatment
of SIS in professionally active people.


Keywords


Shoulder Impingement Syndrome (SIS); Ultrasound (US); Manual Therapy; Short Wave Diathermy (SWD); VAS

Full Text:

PDF

References


Lewit K. [Manual therapy in dysfunction of movement system]. Warszawa: PZWL; 1999. Polish.

Buckup K. [Clinical tests in bones, joints and muscles examination]. Warszawa: PZWL; 2002. Polish.

Szyluk K, Jasiński A, Koczy B. [Shoulder impingement syndrome – the most often cause of shoulder pain syndrome]. Pol Merk Lek 2008,25,146:179-83. Polish.

Donovan PJ, Paulos LE. Common injuries of the shoulder. Diagnosis and treatment. Western Journal of Medicine 1995,163:351-59.

Neer CS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder. A preliminary report. J Bone Joint Surg 1972,54:41-50.

Toivonen DA, Tuite MJ, Orvin JF. Acromial structure and tears of the rotator cuff. J Shoulder and Elbow Surg 1995,4:373-92.

Bigliani LU, Levine WN. Subacromial impingement syndrome. J Bone Joint Surg 1997,79:1854-68.

Dempster WT. Mechanisms of the shoulder movements. Arch Phys Med & Rehab 1965,46(1-A):49-70.

Levine W, Flatow E. The pathophysiology of shoulder instability. Am J Sports Med 2000,28,6:910-17.

Fodor D, Poanta L, Felea I, Rdnic S, Bolosiu H. Shoulder impingement syndrome: correlations between clinical tests and ultrasonographic findings. Ortopedia, Traumatologia, Rehabilitacja 2009,2(6),11:120-26.

Hawkins RJ, Kennedy JC. Impingement syndrome in athletes. Am J Sports Med 1980,8,3:151-58.

Fongemie AE, Daniel MD, Buss MD, Rolnick SJ. Management of shoulder impingement syndrome and rotator cuff tears. Am Fam Physician 1998,15,57(4):667-74.

Skolimowski J, Demczuk-Włodarczyk E, Barczyk K, Anwajler J, Skolimowska B. [Triplane analysis of shoulder joint mobility in shoulder impingement syndrome]. Ortopedia, Traumatologia, Rehabilitacja 2008,6(6),10:554-65. Polish.

Fahlstrom M, Yeap JS, Alfredson H, Soderman K. Shoulder pain – a common problem in world-class badminton players. Scan J Med Sports 2006,16:168-73.

Hsu Y-H, Chen W-Y, Lin H-C, Wang WTJ, Shih Y-F. The effects of taping on scapular kinematics and muscles performance in baseball players with shoulder impingement syndrome. J Electromyography and Kinesiology 2009,19:1092-99.

Eduard P, Depiesse F, Serra J-M. Throwing arm injuries in high-level athletics throwers. Science and Sports 2010,25:318-22.

Fukuda K, Craig EV. Biomechanical study of the ligamentous system of the acromioclavicular joint. J Bone Joint Surg 1986,68:434-38.

Hanratty CE, McVeigh JG, Kerr DP, Basford JR, Finch MB, Pendleton A, et al. The effectiveness of physiotherapy exercises in subacromial impingement syndrome: a systematic review and meta-analysis. Seminars in Arthritis and Rheumatism 2012, 42(3):297-316.

Pearl ML, Jackins S, Lippitt SB, Harryman DT, Matsen FA. Codman’s paradox: 60 years later. J Shoulder & Elbow Surg 1992,1:219-25.

Vermeulen HM, Stokdijk M, Eilers PHC, Meskers CGM, Rozing PM, Vlieland TPM. Measurement of three dimensional shoulder movement patterns with an electromagnetic tracking device in patients with a frozen shoulder. Ann Rheum 2002,61:115-20.

Yang JL, Chang CW, Chen SY, Lin JJ. Shoulder kinematic features using arm elevation and rotation tests for classifying patients with frozen shoulder syndrome who respond to physical therapy. Man Ther 2008,13(6):544-51.

Conroy DE, Hayes KW. The effect of mobilization as a component of comprehensive treatment for primary shoulder impingement syndrome. Journal of Orthopaedic and Sports Physical Therapy 1998,28(1):3–14.

Brox, JI, Roe C, Saugen E, Vollestad NK. Isometric abduction muscle activation in patients with rotator tendinosis of the shoulder. Archives of Physical Medicine and Rehabilitation 1997,78:1260–67.

Klimkiewicz J, Williams G, Sher JS, Karduna A, Des Jardins J, Iannotti JP. The acromioclavicular capsule as a restraint to posterior translation of the clavicle: a biomechanical analysis. J Shoulder Elbow Surg 1991,8:181-92.

Stokdijk M, Pilers PH, Nagels J. External rotation in the glenohumeral joint during elevation of the arm. Clin Biomech 2003,18:296-302.

Brox JI, Staff PH, Ljunggren AE, Brevik JI. Arthroscopic surgery compared with supervised exercises in patients with rotator cuff disease (stage II impingement syndrome). BMJ 1993,307:899–903.

Ebenbichler GR, Erdogmus CB, Resch KL, Funovics MA, Kainberger F, Barisani G et al. Ultrasound therapy for calcify tendinitis of the shoulder. New England Journal of Medicine 1999,340:1533–38.

Johansson KM, Adolfsson LA, Foldevi MOM. Effects of acupuncture versus ultrasound in patients with impingement syndrome. Randomized Clinical Trial. Physical Therapy 2005,85,6:490–501.

Calis HT, Berberoglu N, Calis M. Are ultrasound, laser and exercise superior to each other in the treatment of subacromial impingement syndrome? A randomized clinical trial. Eur J Phis Retail Med 2011,47(3):375-80.

Akyol Y, Ulus Y, Durmus D, Canturk F, Bilgici A, Kuru O, et al. Effectiveness of microwave diathermy on pain, functional capacity, muscle strength, quality of life, and depression in patients with subacromial impingement syndrome: a randomized placebo-controlled clinical study, Rheumatol Int 2012,32(10):3007–16.

Santamato A, Solfrizzi V, Panza F. Short-term effects of high-intensity laser therapy versus ultrasound therapy in the treatment of people with subacromial impingement syndrome: a randomized clinical trial. Phys Ther 2009,89(7):643-52.

Butters KP, Rockwood CA. Office evaluation and management of the shoulder impingement syndrome. Orthop Clin North Am 1988,19:755-65.

Richards RR, An KN, Bigliani LU, Friedman RJ, Gartsman GM, Gristina AG. A standardized method for the assessment of the shoulder function. J Shoulder Elbow Surg 1994,3:347-52.

Larson HM, O’Connor FG, Nirschl RP. Shoulder pain: the role of diagnostic injections. Am Fam Physician 1996,53:1637-43.

Dogu B, Yucel SD, Sag SY, Bankaoglu M, Kuran B. Blind or Ultrasound-Guided Corticosteroid Injections and Short-Term Response in Subacromial Impingement Syndrome: A Randomized, Double-Blind, Prospective Study. Am J Phys Med Rehabil 2012;91(8):658-65. doi:10.1097/PHM.0b013e318255978a.

Gworys K, Janiszewski M. [Frozen shoulder – therapeutic problem]. Medycyna Sportowa 2003,19,6:230-33. Polish.

Anderson MK, Hall SJ, Martin M. Foundation of Athletic Training: Prevention, Assessment, and Management (3rd Ed.). Philadelphia: Lippincott Williams & Wilkins; 2005.

Dorrestijn O, Stevens M, Winters JC, van der Meer K, Diercks RL. Conservative or surgical treatment for subacromial impingement syndrome? A systematic review. J Shoulder Elbow Surg 2009,18(4):652-60.


Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM

Refbacks

  • There are currently no refbacks.


The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. Zgodnie z Rozporządzeniem ministra nauki i szkolnictwa wyższego z dnia 22 lutego 2019 r. w sprawie ewaluacji jakości działalności naukowej (w szczególności art. 12 ust. 1 pkt 1 w zw. z art. 8 pkt 2), czasopismo Pedagogy and Psychology of Sport ewaluowane jest punktacją w wysokości 5 punktów. e-ISSN: 2450-6605 Numer DOI: 10.12775/PPS Indexing: Index Copernicus Master List https://journals.indexcopernicus.com/search/journal/issue?issueId=all&journalId=46499 DOAJ ERIH Plus Polska Bibliografia Naukowa PBN Akademicka Platforma Czasopism Naukowych Google Scholar BASE CrossRef WorldCat Arianta Baidu Scholar J-Gate JournalTOCs Microsoft Academic POL-index

Partnerzy platformy czasopism