Comparison of the Short-Term Efficacy of Physical Therapy in Subacromial Impingement Syndrome Patients with Stage I and II Magnetic Resonance Imaging Findings
Aral HAKGÜDER, 1 Nurettin TAŞTEKİN, 1 Murat BİRTANE, 1 Kaan UZUNCA, 1 Coşkun ZATERİ, 2 Necdet SÜT3
1Departments of Physical Medicine and Rehabilitation, Medical Faculty of Trakya University, Edirne, Turkey
2Departments of Physical Medicine and Rehabilitation, Medical Faculty of Çanakkale Onsekiz Mart University, Çanakkale, Turkey
3Departments of Biostatistical, Medical Faculty of Trakya University, Edirne, Turkey
Keywords: Physical therapy, shoulder pain, subacromial impingement syndrome, supraspinatus rupture
Objectives: In this study, we compared the efficacy of a combined physical therapy program between stage I and II subacromial impingement syndrome patients.
Patients and methods: Forty-three patients with subacromial impingement syndrome assessed as stage I and II according to the magnetic resonance imaging (MRI) findings were included in the study. Constantʼs and University of California Los Angeles Shoulder Scales were used to evaluate pain and function. Pain levels at rest, during motion and while asleep were also scored by visual analog scale before treatment, after treatment and at one month after treatment. Improvements within and between the groups were assessed. A physical therapy program consisting of ultrasound, superficial heat therapy and transcutaneous electrical nerve stimulation modalities combined with an appropriate exercise program was applied to both groups during half monthly sessions.
Results: The between-groups comparisons performed after treatment and during follow-up revealed no significant difference in terms of the outcome measures assessed.
Conclusion: Stage II patients responded to the physical therapy program as well as patients with stage I MRI findings.