Pulsed Electromagnetic Field and Exercises in Patients With Shoulder Impingement Syndrome: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial

Freitas, Diego Galace de; Marcondes, Freddy Beretta; Monteiro, Renan Lima; Rosa, Sabrina Gonçalves; Fucs, Patrícia Maria de Moraes Barros; Fukuda, Thiago Yukio

doi:10.1016/j.apmr.2013.09.022

Cited by 40 publications

(35 citation statements)

References 31 publications

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“…At an early stage of SIS, which usually refers to stage I or early stage II, some nonoperative treatments may be effective, such as muscle exercises, for example, the training of the periscapular muscles (pectoralis minor, trapezius, serratus, and rhomboids) and strengthening of the rotator cuff (supraspinatus, infraspinatus, teres minor, and subscapularis), which functions as the stabilizer of the shoulder joint. Some investigators have also reported on many other nonoperative treatment methods, such as pulsed electromagnetic field therapy, 5 , 6 manual therapy, 7 – 10 kinesio taping therapy, 11 , 12 localized drug injection of corticosteroids, hyaluronate, or NSAIDs, 11 – 18 diacutaneous fibrolysis therapy, 19 specific exercise therapy that includes concentric and eccentric exercises for the scapula stabilizers and dynamic humeral centering and scapular stabilization exercises, 20 – 22 microwave diathermy therapy, 23 ultrasound therapy, 24 low-level laser therapy, 24 – 28 radial extracorporeal shockwave therapy, 29 and acupuncture therapy. 30 After these treatments have been performed, some patients may be relieved of SIS.…”

Section: Introductionmentioning

confidence: 99%

Treatments for Shoulder Impingement Syndrome

et al. 2015

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Many treatments for shoulder impingement syndrome (SIS) are available in clinical practice; some of which have already been compared with other treatments by various investigators. However, a comprehensive treatment comparison is lacking.Several widely used electronic databases were searched for eligible studies. The outcome measurements were the pain score and the Constant–Murley score (CMS). Direct comparisons were performed using the conventional pair-wise meta-analysis method, while a network meta-analysis based on the Bayesian model was used to calculate the results of all potentially possible comparisons and rank probabilities.Included in the meta-analysis procedure were 33 randomized controlled trials involving 2300 patients. Good agreement was demonstrated between the results of the pair-wise meta-analyses and the network meta-analyses. Regarding nonoperative treatments, with respect to the pain score, combined treatments composed of exercise and other therapies tended to yield better effects than single-intervention therapies. Localized drug injections that were combined with exercise showed better treatment effects than any other treatments, whereas worse effects were observed when such injections were used alone. Regarding the CMS, most combined treatments based on exercise also demonstrated better effects than exercise alone. Regarding surgical treatments, according to the pain score and the CMS, arthroscopic subacromial decompression (ASD) together with treatments derived from it, such as ASD combined with radiofrequency and arthroscopic bursectomy, showed better effects than open subacromial decompression (OSD) and OSD combined with the injection of platelet-leukocyte gel. Exercise therapy also demonstrated good performance. Results for inconsistency, sensitivity analysis, and meta-regression all supported the robustness and reliability of these network meta-analyses.Exercise and other exercise-based therapies, such as kinesio taping, specific exercises, and acupuncture, are ideal treatments for patients at an early stage of SIS. However, low-level laser therapy and the localized injection of nonsteroidal anti-inflammatory drugs are not recommended. For patients who have a long-term disease course, operative treatments may be considered, with standard ASD surgery preferred over arthroscopic bursectomy and the open surgical technique for subacromial decompression. Notwithstanding, the choice of surgery should be made cautiously because similar outcomes may also be achieved by the implementation of exercise therapy.

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Section: Introductionmentioning

confidence: 99%

Treatments for Shoulder Impingement Syndrome

et al. 2015

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“…Included studies investigated physical resources (n=11 for laser therapy,28 55–64 n=5 for pulsed electromagnetic field (PEMF),30 52 65–67 n=5 for ultrasound,29 62–64 68 n=2 for microwave therapy,29 69 and n=1 for transcutaneous electrical nerve stimulation70), exercise therapy (n=20),15 16 21–23 50 51 53 71–82 manual therapy (n=14),17–19 33 74 83–91 taping (n=6)24 25 54 92–94 and acupuncture (n=4) 26 27 95 96. GRADE analysis and synthesis of evidence for physical resources, exercise therapy, manual therapy and taping are presented in tables 1–4, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…PEMF versus placebo : Five studies compared PEMF with placebo or low dosage of PEMF 30 52 65–67. There is high evidence of no greater effect of PEMF on pain reduction and moderate evidence of no greater effect of PEMF on improvement of function.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of physical therapy treatment of clearly defined subacromial pain: a systematic review of randomised controlled trials

et al. 2016

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“…Имеется небольшое число исследований терапевтического потенциала магнитотерапии (приборов, создающих переменное магнитное поле) при РПОМТ. В целом эти работы свидетельствуют об эффективности магнитотерапии при поражении ротаторов плеча и эпикондилите [72][73][74][75].…”

Section: немедикаментозные методы лечения рпомтunclassified

Minor rheumatology: Nonsystemic rheumatic disease of juxta-articular soft tissues of the upper extremity. Part 2. Drug and non-drug treatments

Евгеньевич¹,

Каратеев²,

Ермакова³

2015

RJTAO

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Лечение ревматической патологии околосуставных мягких тканей (РПОМТ) верхней конечности (тендинит ротаторов плеча, эпикондилит, синдром де Кервена, «щелкающий палец», синдром запястного канала) основывается на комплексном применении медикаментозных и немедикаментозных методов. Основными препаратами, эффективность которых доказана при этой патологии, являются нестероидные противовоспалительные препараты (НПВП) и глюкокортикоиды (ГК). В статье рассмотрены наиболее крупные и известные исследования, составляющие «доказательную базу» целесообразности использования при РПОМТ таких средств, как НПВП, локальное ведение ГК, гиалуроновой кислоты и обогащенной тромбоцитами плазмы, а также различных немедикаментозных методов. Немедикаментозные методы (физиотерапия, упражнения и программы реабилитации) должны рассматриваться как необходимая составная часть терапевтического процесса у пациентов с хронической болью, связанной с РПОМТ. Сохранение выраженной боли и нарушения функции, несмотря на консервативную терапию, следует считать показанием для хирургического лечения.

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Pulsed Electromagnetic Field and Exercises in Patients With Shoulder Impingement Syndrome: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial

Cited by 40 publications

References 31 publications

Treatments for Shoulder Impingement Syndrome

Treatments for Shoulder Impingement Syndrome

Effectiveness of physical therapy treatment of clearly defined subacromial pain: a systematic review of randomised controlled trials

Minor rheumatology: Nonsystemic rheumatic disease of juxta-articular soft tissues of the upper extremity. Part 2. Drug and non-drug treatments

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