Effect Of Hydrocortisone Phonophoresis Versus Iontophoresis In Patients With Subacromial Impingement Syndrome

Horus University

Status: Enrolling

Conditions: Impingement Syndrome; Subacromial Impingement Syndrome

Treatments: Other: hydrocortisone iontophoresis; Other: Therapeutic exercise; Other: hydrocortisone phonophoresis

Study type: Interventional

Funder types: Other

Identifiers

NCT05919121

MOHSEN_IBRAHIM_phd

Details and patient eligibility

About

The purpose of this study will be to compare the efficacy of adding hydrocortisone phonophoresis or iontophoresis on pain, function, range of motion and shoulder external rotation isometric strength in patients with subacromial impingement syndrome.

Full description

Routine physiotherapy has been advocated was an effective treatment for SIS. However, there is lack of best exercise treatment and lots of studies are under consideration. According to published data focused on management of shoulder pain, it looks like that therapeutic exercise is not sufficient to treat SIS and it is compulsory to combine with other remedies to get the best results

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. All patients were diagnosed as unilateral SIS with stage II Neer classification > 3 months.
2. Positive impingement sign (Neer's test or Hawkins-Kennedy test), / painful arc during active arm elevation, pain or weakness with resisted isometric external rotation or resisted scapular plane abduction with the humeral internal rotation (empty can test)
3. The age of patients ranged from 18 - 60 years old.
4. Both genders will be involved.
5. Shoulder pain scores more than 5 on a numeric rate scale for pain of 0- 10.
6. Failure to respond to conservative NSAID.

Exclusion criteria

1. Frozen shoulders.
2. Arthritis of the shoulder.
3. Shoulder instability.
4. Pregnant women.
5. A pacemaker.
6. Previous shoulder surgery.
7. History of dislocation of the shoulder.
8. Internal metallic fixation.
9. Malignancy.
10. Previous corticosteroid injection.
11. Rheumatoid arthritis
12. Partial or Full thickness tear of the rotator cuff.
13. Cervical radiculopathy.
14. Physiotherapeutic shoulder treatment within the last 3 months.
15. The patients will randomly be assigned into 3 equal groups, 20 patients for each group.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 3 patient groups

Therapeutic exercise group

Active Comparator group

Description:

Therapeutic exercise group, group A.

Treatment:

Other: Therapeutic exercise

hydrocortisone phonophoresis group

Experimental group

Description:

This group (B) will receive the same exercise program in addition to hydrocortisone phonophoresis. Patients will receive topical medium phonophoresis of 10% hydrocortisone gel.

Treatment:

Other: hydrocortisone phonophoresis

Other: Therapeutic exercise

hydrocortisone iontophoresis group

Experimental group

Description:

This group (C) will receive the same exercise program in addition to hydrocortisone iontophoresis.

Treatment:

Other: hydrocortisone iontophoresis

Other: Therapeutic exercise