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Comparative study to compare the effect of radial shockwave versus ultrasound phonophoresis in management of chronic supraspinatus tendinitis consists of 3 groups exp1(shockwave treatment + conventional physical therapy) , exp2( ultrasound phonophoresis+ conventional physical therapy) and control group ( conventional physical therapy)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group 1 | Experimental | 23 subjects will Receive radial shockwave by ( Storz Medical /SN:BS.3517 ) for 3 sessions one session per week for four consecutive weeks and conventional physical therapy |
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| Experimental group 2 | Experimental | 23 subjects will receive Ultrasound phonophoresis using diclofenac Na+( voltaren) by ( Sonopuls 490 / SN : 36 602 ) for 12 session, 3 sessions per week and same conventional physical therapy |
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| Control group | Other | 23 subjects will receive conventional physical therapy modalities in the for 3 sessions per week for 4 weeks in form of Stretching Exercise in form of exercise of posterior shoulder capsule, strengthening exercises all have been recommended as essential for any shoulder rehabilitation program. These exercise include shoulder flexion, scaption. ,Tens applied for 20 minutes per session using (Enraf Nonius (Endomed 482) SN : 36853 ) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Electro Therapy | Other | radial shockwave 3 sessions one session per week for four consecutive weeks ,receive Ultrasound phonophoresis using diclofenac Na+ 12 session, 3 sessions per week and conventional physical therapy modalities in the form of 3 sessions every week for 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| change in the thickness of supraspinatus tendon | Ultrasonography | before start of treatment and 4 weeks following end of treatment |
| change in pain intesity | VAS ( visual analog scale score) | before start of treatment and 4 weeks following end of treatment , score from 0-10 ,0=no pain , 10= unbearable pain |
| Change in shoulder range of motion | electro goniometer | before start of treatment and 4 weeks following end of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Function of the Upper Limb | Quick DASH Questionnaire score | before start of treatment and 4 weeks following end of treatment, it measure the disability/symptom section (11 items, scored 1-5) |
| measure weight in kg and height in cm |
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Inclusion Criteria:- BMI 18.5-24.9
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Shady Alkadry | Contact | +201128398533 | shad.bahaa@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo university | Giza | Egypt |
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Weight and height scale for determining BMI
| before starting the assessment |