Extracorporeal Shock Wave Therapy for Shoulder Impingement

EVALUATION OF THE CLINICAL EFFECTIVENESS OF EXTRACORPOREAL SHOCK WAVE THERAPY IN PATIENTS WITH SHOULDER IMPINGEMENT SYNDROME

Background: The aim of this study was to investigate the effects of extracorporeal shock wave therapy (ESWT) on pain, upper extremity functional level and sleep quality in subacromial impingement syndrome.

Methods: Thirty patients diagnosed with impingement syndrome were randomly divided into two groups. ESWT group, ESWT was applied one day a week in addition to a conventional physiotherapy programme consisting of ultrasound, transcutaneous electrical nerve stimulation (TENS), infrared and exercise 5 days a week for three weeks. Control group received only conventional physiotherapy programme. Constant Murley Shoulder Score (CMS), The University of California-Los Angeles (UCLA) shoulder scale, Shoulder Pain and Disability Index (SPADI), Short Form Mc-Gill Pain Questionnaire (SF-MPQ ), VAS and Pittsburgh Sleep Quality Index (PSQI) were used in the evaluation. Joint range of motion was assessed using a universal goniometer.

Inclusion Criteria

• Volunteer patients aged 18-65 years
• Unilateral shoulder impingement, stage 1 or stage 2
• No participation in any treatment program within the last 3 months

Exclusion Criteria

• Acute infection
• Hemophilia or blood coagulation disorders
• Cervical radiculopathy
• History of shoulder fracture or dislocation
• History of shoulder or neck surgery
• Presence of a pacemaker
• Malignant disease