The effectiveness of extracorporeal shockwave treatment in subacromial impingement syndrome and its relation with acromion morphology
Objective: The aim of this study was to evaluate the effectiveness of the extracorporeal shock wave therapy in the subacromial impingement syndrome and its relationship with the acromion morphology. Methods: Thirty patients (24 women, 6 men) with subacromial impingement were evaluated. The average a...
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| Format: | Article |
| Language: | English |
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AVES
2018-01-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X16302401 |
| _version_ | 1797910402393178112 |
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| author | Esra Circi Sibel Caglar Okur Ozge Aksu Erhan Mumcuoglu Tolga Tuzuner Nil Caglar |
| author_facet | Esra Circi Sibel Caglar Okur Ozge Aksu Erhan Mumcuoglu Tolga Tuzuner Nil Caglar |
| author_sort | Esra Circi |
| collection | DOAJ |
| description | Objective: The aim of this study was to evaluate the effectiveness of the extracorporeal shock wave therapy in the subacromial impingement syndrome and its relationship with the acromion morphology. Methods: Thirty patients (24 women, 6 men) with subacromial impingement were evaluated. The average age of patients was 53.6 ± 9.8 years (range 39–80). Patients were divided into 3 groups according to the acromion morphology. ESWT 1500 at 0.12 am mL/mm2 violence was applied once a week for 3 weeks. Shoulder pain and disability index (SPADI) was used to assess function and pain scores of the patients. The evaluations were made prior to and 12 weeks after the ESWT. Results: Thirteen shoulders had type 1 acromion, 11 shoulders type 2 acromion and 6 shoulders type 3 acromion. After ESWT, the SPADI pain score decreased from 16.1 ± 5.1 (7–25) to 10.4 ± 4.9 (1–20); SPADI functional score decreased from 37.3 ± 19.8 (5–70) to 26.7 ± 17.5 (1–60); SPADI total score decreased from 53.4 ± 24.5 (14–95) to 37.1 ± 21.6 (2–74) (p < 0.05; paired t test). In each group better functional outcomes were achieved after ESWT (p < 0.05; paired t test). There were no differences between the groups according to functional outcome both before and after the ESWT treatment (p > 0.05, one way ANOVA test). Conclusion: ESWT was found to be effective in the treatment of impingement syndrome both for pain and functional outcome in the early period regardless of acromion morphology. Level of evidence: Level IV, Therapeutic study. Keywords: Subacromial impingement syndrome, Extracorporeal shock wave therapy(ESWT), Acromion morphology |
| first_indexed | 2024-04-10T11:23:38Z |
| format | Article |
| id | doaj.art-ab4d9a7f5a7a4890a6036ce826184934 |
| institution | Directory Open Access Journal |
| issn | 1017-995X |
| language | English |
| last_indexed | 2024-04-10T11:23:38Z |
| publishDate | 2018-01-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj.art-ab4d9a7f5a7a4890a6036ce8261849342023-02-15T16:18:31ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2018-01-015211721The effectiveness of extracorporeal shockwave treatment in subacromial impingement syndrome and its relation with acromion morphologyEsra Circi0Sibel Caglar Okur1Ozge Aksu2Erhan Mumcuoglu3Tolga Tuzuner4Nil Caglar5Istanbul Education and Research Hospital, Orthopedics and Traumatology, Turkey; Corresponding author. İstanbul Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Bölümü, Kasap İlyas Mah., Org. Abdurrahman Nafiz Gürman Cd., 34098 Fatih/İstanbul, Turkey.Istanbul Education and Research Hospital, Physical Therapy and Rehabilitation, TurkeyIstanbul Education and Research Hospital, Physical Therapy and Rehabilitation, TurkeyIstanbul Education and Research Hospital, Orthopedics and Traumatology, TurkeyIstanbul Education and Research Hospital, Orthopedics and Traumatology, TurkeyIstanbul Education and Research Hospital, Physical Therapy and Rehabilitation, TurkeyObjective: The aim of this study was to evaluate the effectiveness of the extracorporeal shock wave therapy in the subacromial impingement syndrome and its relationship with the acromion morphology. Methods: Thirty patients (24 women, 6 men) with subacromial impingement were evaluated. The average age of patients was 53.6 ± 9.8 years (range 39–80). Patients were divided into 3 groups according to the acromion morphology. ESWT 1500 at 0.12 am mL/mm2 violence was applied once a week for 3 weeks. Shoulder pain and disability index (SPADI) was used to assess function and pain scores of the patients. The evaluations were made prior to and 12 weeks after the ESWT. Results: Thirteen shoulders had type 1 acromion, 11 shoulders type 2 acromion and 6 shoulders type 3 acromion. After ESWT, the SPADI pain score decreased from 16.1 ± 5.1 (7–25) to 10.4 ± 4.9 (1–20); SPADI functional score decreased from 37.3 ± 19.8 (5–70) to 26.7 ± 17.5 (1–60); SPADI total score decreased from 53.4 ± 24.5 (14–95) to 37.1 ± 21.6 (2–74) (p < 0.05; paired t test). In each group better functional outcomes were achieved after ESWT (p < 0.05; paired t test). There were no differences between the groups according to functional outcome both before and after the ESWT treatment (p > 0.05, one way ANOVA test). Conclusion: ESWT was found to be effective in the treatment of impingement syndrome both for pain and functional outcome in the early period regardless of acromion morphology. Level of evidence: Level IV, Therapeutic study. Keywords: Subacromial impingement syndrome, Extracorporeal shock wave therapy(ESWT), Acromion morphologyhttp://www.sciencedirect.com/science/article/pii/S1017995X16302401 |
| spellingShingle | Esra Circi Sibel Caglar Okur Ozge Aksu Erhan Mumcuoglu Tolga Tuzuner Nil Caglar The effectiveness of extracorporeal shockwave treatment in subacromial impingement syndrome and its relation with acromion morphology Acta Orthopaedica et Traumatologica Turcica |
| title | The effectiveness of extracorporeal shockwave treatment in subacromial impingement syndrome and its relation with acromion morphology |
| title_full | The effectiveness of extracorporeal shockwave treatment in subacromial impingement syndrome and its relation with acromion morphology |
| title_fullStr | The effectiveness of extracorporeal shockwave treatment in subacromial impingement syndrome and its relation with acromion morphology |
| title_full_unstemmed | The effectiveness of extracorporeal shockwave treatment in subacromial impingement syndrome and its relation with acromion morphology |
| title_short | The effectiveness of extracorporeal shockwave treatment in subacromial impingement syndrome and its relation with acromion morphology |
| title_sort | effectiveness of extracorporeal shockwave treatment in subacromial impingement syndrome and its relation with acromion morphology |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X16302401 |
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