RESUMO
The aim of this clinical trial was to evaluate the effectiveness of therapeutic MD on pain, functional capacity, muscle strength, quality of life, and depression in patients with subacromial impingement syndrome (SIS). A total of 40 inpatient subjects with definite SIS were included in this study. These patients were sequentially randomized into 2 groups. Group 1 (n = 20) received therapeutic MD. Group 2 (n = 20) was served as control group and received sham MD. Superficial heat and exercise program were given to both groups. Both of the programs were performed 5 times weekly for 3 weeks. Patients were assessed before treatment (BT), after treatment (AT), and at a 1-month follow-up (F). Outcome measures included visual analogue scale, goniometry, Shoulder Pain and Disability Index, Shoulder Disability Questionnaire, shoulder isokinetic muscle testing, handgrip strength, Short Form 36, and Beck Depression Index. The patients with SIS in each group had significant improvements in pain, shoulder ROM, disability, shoulder muscles and grip strength, quality of life, and depression AT and F when compared with their initial status (P < 0.05). There was no statistically significant difference between the groups according to all the parameters regarding the change scores between AT-BT test and F-BT test (P > 0.05). A 2,450-MHz MD regimen showed no beneficial effects in patients with SIS, so the superficial heat and exercise program, as it is efficient, may be preferable for the treatment of SIS, alone.
Assuntos
Depressão/etiologia , Diatermia/métodos , Micro-Ondas/uso terapêutico , Força Muscular , Qualidade de Vida , Síndrome de Colisão do Ombro/terapia , Articulação do Ombro/fisiopatologia , Dor de Ombro/terapia , Adulto , Idoso , Artrometria Articular , Fenômenos Biomecânicos , Distribuição de Qui-Quadrado , Terapia Combinada , Depressão/diagnóstico , Depressão/psicologia , Avaliação da Deficiência , Método Duplo-Cego , Terapia por Exercício , Feminino , Força da Mão , Humanos , Hipertermia Induzida , Masculino , Pessoa de Meia-Idade , Medição da Dor , Valor Preditivo dos Testes , Estudos Prospectivos , Amplitude de Movimento Articular , Recuperação de Função Fisiológica , Síndrome de Colisão do Ombro/diagnóstico , Síndrome de Colisão do Ombro/fisiopatologia , Síndrome de Colisão do Ombro/psicologia , Dor de Ombro/diagnóstico , Dor de Ombro/fisiopatologia , Dor de Ombro/psicologia , Fatores de Tempo , Resultado do Tratamento , Turquia , Adulto JovemRESUMO
The aim of this trial is to investigate and compare the effects of electrical stimulation (ES) program and ultrasound (US) therapy on pain, disability, trunk muscle strength, walking performance, spinal mobility, quality of life (QOL), and depression in the patients with chronic low back pain (CLBP). A total of 59 patients with definite CLBP were enrolled in this study. These patients were randomized into three groups. Group 1 (n = 20) was given an ES program and exercises. Group 2 (n = 19) was given an US treatment and exercises. Group 3 (n = 20) was accepted as the control group and was given only exercises. All of the programs were performed 3 days a week, for 6 weeks. The patients were evaluated according to pain, disability, walking performance, endurance, mobility, QOL, depression. The trunk muscle strength was measured with a hand-held dynamometer. All of the groups showed stastically significant improvements in pain, disability, muscle strength, endurance, walking performance, mobility, sub-scores of SF 36, and depression when compared with their initial status. The intergroup comparison showed significant difference in physical function, energy and social function sub-groups of SF-36, VAS pain, extensor muscle strength, between three groups. This difference was statistically significant in the groups 1 and 2 compared to the control group. There was also no significant difference between the groups 1 and 2. We observed that US treatment and ES treatment were effective in improving pain, isometric extensor muscle strength, and QOL in patients with CLBP.
Assuntos
Depressão/terapia , Terapia por Estimulação Elétrica/métodos , Transtornos Neurológicos da Marcha/terapia , Dor Lombar/fisiopatologia , Dor Lombar/terapia , Debilidade Muscular/terapia , Terapia por Ultrassom/métodos , Atividades Cotidianas/psicologia , Adulto , Depressão/etiologia , Depressão/psicologia , Avaliação da Deficiência , Terapia por Estimulação Elétrica/estatística & dados numéricos , Tolerância ao Exercício/fisiologia , Feminino , Transtornos Neurológicos da Marcha/etiologia , Transtornos Neurológicos da Marcha/fisiopatologia , Humanos , Dor Lombar/complicações , Pessoa de Meia-Idade , Limitação da Mobilidade , Força Muscular/fisiologia , Debilidade Muscular/etiologia , Debilidade Muscular/fisiopatologia , Músculo Esquelético/inervação , Músculo Esquelético/fisiologia , Medição da Dor/métodos , Satisfação do Paciente , Qualidade de Vida/psicologia , Resultado do Tratamento , Terapia por Ultrassom/estatística & dados numéricosRESUMO
The aim of this study was to evaluate the effects of electrical stimulation program on pain, disability, and quadriceps strength in the patients with knee osteoarthritis. Fifty women diagnosed as knee osteoarthritis were randomized into two groups as electrical stimulation and biofeedback-assisted isometric exercises. Both of the programs were performed 5 days a week, for a duration of 4 weeks. Outcome measures for pain were visual analogue scale pain score and Western Ontario McMaster osteoarthritis index (WOMAC) pain score. Disability and stiffness were assessed with WOMAC physical function and stiffness score. One repetition maximum (RM) and 10 RM were used for measuring quadriceps strength. In addition, 50 m walking time and 10 steps stairs climbing up-down time were evaluated. Both groups showed significant improvements in pain, physical function, and stiffness scores after the therapy. There were statistically significant improvements in 50 m walking time and 10 steps stairs climbing up-down time and 1 RM and 10 RM values indicating the improvement in muscle strength. In addition, there were no significant differences between the groups after the therapy. We conclude that electrical stimulation treatment was as effective as exercise in knee osteoarthritis and electrical stimulation treatment can be suggested especially for the patients who have difficulty in or contraindications to perform an exercise program.