Comparison of Effectiveness of Prolotherapy and Corrective Exercise Program vs Prolotherapy and Isometrics Strengthening on Pain and Functional Improvement in Supraspinatus Tendinopathy in a Tertiary Care Centre
Background Regenerative injection therapies such as prolotherapy have gained importance in the recent years in non-surgical management of supraspinatus tendinopathy. The aim of the present study was to compare the efficacy of isometric rotator cuff strengthening versus corrective exercise program i...
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| Format: | Article |
| Language: | English |
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Wydawnictwo Naukowe Uniwersytetu Szczecińskiego
2023-01-01
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| Series: | Central European Journal of Sport Sciences and Medicine |
| Subjects: | |
| Online Access: | https://wnus.usz.edu.pl/cejssm/en/issue/1287/article/20376/ |
| _version_ | 1797682283059085312 |
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| author | Sai Kishore Praveen Ravi Dobson Dominic Ramya Gnanapragasam |
| author_facet | Sai Kishore Praveen Ravi Dobson Dominic Ramya Gnanapragasam |
| author_sort | Sai Kishore |
| collection | DOAJ |
| description | Background Regenerative injection therapies such as prolotherapy have gained importance in the recent years in non-surgical management of supraspinatus tendinopathy. The aim of the present study was to compare the efficacy of isometric rotator cuff strengthening versus corrective exercise program in the treatment of supraspinatus tendinopathy. Material and Methods Fifty patients aged 18 - 60 years were recruited with MRI diagnosed isolated supraspinatus tendinopathy or < 50% thickness tear and symptoms persisting for longer than 6 months. All patients were randomised into two groups: one prolotherapy with isometric rotator cuff strengthening exercise therapy (group ISE; n = 25) and the other group also treated with prolotherapy injection followed by corrective exercise program (group CEP; n = 25). Patients were examined at baseline, 3, 6, and 12 weeks. Improvement was assessed using a visual analog scale (VAS) for pain, and Constant Murley Score (CMS) for shoulder function. Results Significant difference (p < 0.001) was found between the groups in the VAS and CMS at any follow-up period. Conclusion Prolotherapy with CEP is more beneficial than prolotherapy with isometric strengthening exercise in supraspinatus tendinopathy. Improvement in pain and functional movements is more in the prolotherapy with CEP group than prolotherapy with ISE group. |
| first_indexed | 2024-03-11T23:57:29Z |
| format | Article |
| id | doaj.art-b405661a4a3b4558a11740fdf10c125c |
| institution | Directory Open Access Journal |
| issn | 2300-9705 |
| language | English |
| last_indexed | 2024-03-11T23:57:29Z |
| publishDate | 2023-01-01 |
| publisher | Wydawnictwo Naukowe Uniwersytetu Szczecińskiego |
| record_format | Article |
| series | Central European Journal of Sport Sciences and Medicine |
| spelling | doaj.art-b405661a4a3b4558a11740fdf10c125c2023-09-18T07:54:12ZengWydawnictwo Naukowe Uniwersytetu SzczecińskiegoCentral European Journal of Sport Sciences and Medicine2300-97052023-01-014210.18276/cej.2023.2-06Comparison of Effectiveness of Prolotherapy and Corrective Exercise Program vs Prolotherapy and Isometrics Strengthening on Pain and Functional Improvement in Supraspinatus Tendinopathy in a Tertiary Care CentreSai Kishore0Praveen Ravi1Dobson Dominic2Ramya Gnanapragasam3Department of Sports Medicine and Sports Science, Saveetha Medical College, Saveetha Institute of Medical And Technical Sciences, Chennai, IndiaDepartment of Sports Medicine and Sports Science, Saveetha Medical College, Saveetha Institute of Medical And Technical Sciences, Chennai, IndiaDepartment of Sports Medicine and Sports Science, Saveetha Medical College, Saveetha Institute of Medical And Technical Sciences, Chennai, IndiaDepartment of Sports Medicine and Sports Science, Saveetha Medical College, Saveetha Institute of Medical And Technical Sciences, Chennai, IndiaBackground Regenerative injection therapies such as prolotherapy have gained importance in the recent years in non-surgical management of supraspinatus tendinopathy. The aim of the present study was to compare the efficacy of isometric rotator cuff strengthening versus corrective exercise program in the treatment of supraspinatus tendinopathy. Material and Methods Fifty patients aged 18 - 60 years were recruited with MRI diagnosed isolated supraspinatus tendinopathy or < 50% thickness tear and symptoms persisting for longer than 6 months. All patients were randomised into two groups: one prolotherapy with isometric rotator cuff strengthening exercise therapy (group ISE; n = 25) and the other group also treated with prolotherapy injection followed by corrective exercise program (group CEP; n = 25). Patients were examined at baseline, 3, 6, and 12 weeks. Improvement was assessed using a visual analog scale (VAS) for pain, and Constant Murley Score (CMS) for shoulder function. Results Significant difference (p < 0.001) was found between the groups in the VAS and CMS at any follow-up period. Conclusion Prolotherapy with CEP is more beneficial than prolotherapy with isometric strengthening exercise in supraspinatus tendinopathy. Improvement in pain and functional movements is more in the prolotherapy with CEP group than prolotherapy with ISE group.https://wnus.usz.edu.pl/cejssm/en/issue/1287/article/20376/supraspinatus tendinopathyprolotherapy injectioncorrective exercise program |
| spellingShingle | Sai Kishore Praveen Ravi Dobson Dominic Ramya Gnanapragasam Comparison of Effectiveness of Prolotherapy and Corrective Exercise Program vs Prolotherapy and Isometrics Strengthening on Pain and Functional Improvement in Supraspinatus Tendinopathy in a Tertiary Care Centre Central European Journal of Sport Sciences and Medicine supraspinatus tendinopathy prolotherapy injection corrective exercise program |
| title | Comparison of Effectiveness of Prolotherapy and Corrective Exercise Program vs Prolotherapy and Isometrics Strengthening on Pain and Functional Improvement in Supraspinatus Tendinopathy in a Tertiary Care Centre |
| title_full | Comparison of Effectiveness of Prolotherapy and Corrective Exercise Program vs Prolotherapy and Isometrics Strengthening on Pain and Functional Improvement in Supraspinatus Tendinopathy in a Tertiary Care Centre |
| title_fullStr | Comparison of Effectiveness of Prolotherapy and Corrective Exercise Program vs Prolotherapy and Isometrics Strengthening on Pain and Functional Improvement in Supraspinatus Tendinopathy in a Tertiary Care Centre |
| title_full_unstemmed | Comparison of Effectiveness of Prolotherapy and Corrective Exercise Program vs Prolotherapy and Isometrics Strengthening on Pain and Functional Improvement in Supraspinatus Tendinopathy in a Tertiary Care Centre |
| title_short | Comparison of Effectiveness of Prolotherapy and Corrective Exercise Program vs Prolotherapy and Isometrics Strengthening on Pain and Functional Improvement in Supraspinatus Tendinopathy in a Tertiary Care Centre |
| title_sort | comparison of effectiveness of prolotherapy and corrective exercise program vs prolotherapy and isometrics strengthening on pain and functional improvement in supraspinatus tendinopathy in a tertiary care centre |
| topic | supraspinatus tendinopathy prolotherapy injection corrective exercise program |
| url | https://wnus.usz.edu.pl/cejssm/en/issue/1287/article/20376/ |
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