Therapeutic procedures in shoulder impingement syndrome (SIS) for professionally active people: randomized research

Abstract

Therapeutic procedures in shoulder impingement syndrome (SIS) for professionally active people: randomized research. Pedagogy and Psychology of Sport. 2018;4(2):26-42. elSSN 2450-6605. Original text Skopowska Agnieszka, Biernacki Maciej, Dekowska Monika, Łukowicz Małgorzata, Sielski Łukasz, Filarecka Agnieszka. Therapeutic procedures in shoulder impingement syndrome (SIS) for professionally active people: randomized research. (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. ABSTRACT Objectives. Pain and limitation of motions in the glenohumeral joint are frequently the consequence of the shoulder impingement syndrome (SIS). Misdiagnosis or improper treatment of the illness may effect in a serious functional impairment of the upper limb. The treatment, dependent on the medical condition, involves: rest, NSAID therapy, physiotherapy as well as kinesitherapeutic procedures. The aim of the research was to conduct a detailed diagnosis of the shoulder impingement syndrome and the efficacy assessment of the matched rehabilitating procedures considering the symptoms. Material and methods. The research was conducted in 39 people aged 30 to 81 treated for SIS. 85% of the respondents were professionally active. In order to assess the efficacy of the therapy the following were carried out: the pain assessment test, functional tests (Neer's, Ludington's, Hawkins', Apley's, Job's and the active painful arc test) as well as measurements of the active range of motion of the joint. The patients were subjected to two kinds of physiotherapyultrasound therapy (US) procedures and the short wave diathermy (SWD), both connected with procedures aiming at mobilization of the shoulder complex and off-load exercises. The outcome was submitted to statistical analysis. Results. The results obtained in both groups of patients were compared via the Mann-Whitney U test. No significant differences between the SWD and the US groups in the efficacy of the conducted procedures were observed. The data analysis within therapeutic groups revealed the existence of significant differences (p<0,01) before and after the therapy, in the VAS and Laitinen scales as well as in the measurements of the range of motions. Conclusions. The outcome of both conducted therapies in both research groups included: decrease in pain, increase in the range of motions of the glenohumeral joint and improved function of the upper limb. Both procedures may be successfully employed in the treatment of SIS in professionally active people.