Article

The aim of this study was to investigate the effectiveness of short
wave diathermy (SWD) in patients with subacromial impingement syndrome.
DESIGN:
In this double-blinded, randomized, placebo-controlled trial, 57 patients (aged
35-65 yrs) were classified into night pain positive (NP[+]) (n = 28) and night
pain negative (NP[-]) (n = 29) groups. Both groups were randomly assigned to SWD
(NP[+], n = 14; NP[-], n = 14) and sham (NP[+], n = 15; NP[-], n = 14) subgroups.
Visual analog scale, Constant-Murley Scale (CS), and Shoulder Disability
Questionnaire (SDQ) scores were used for evaluation. RESULTS: There was only a
significant difference in pain with activity at 1-mo (mean difference [MD],
-1.65; 95% confidence interval, -3.01 to -0.28]) and 2-mo evaluations (MD, -2.1;
95% confidence interval, -3.51 to -0.69) between SWD versus sham groups. In the
NP(+) SWD group, the CS pain score was significantly higher than in the NP(+)
sham group at all evaluations after treatment. At 1 mo, the NP(-) SWD group
showed significantly better pain, strength, total CS, and SDQ scores than the
NP(-) sham group. At 2 mos, the pain, range of motion, strength, and total CS and
SDQ scores were better in the NP(-) SWD group than in the NP(-) sham group (P <
0.05). CONCLUSIONS: Short wave diathermy is more effective in subacromial impingement syndrome without NP.

Langue : ANGLAIS