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The goal of the study is to determine the effect of radial shock wave Phonophoresis on patients with impingement syndromes. to answer the following questions:
does shock wave Phonophoresis have and effect on pain? does shock wave Phonophoresis have and effect on shoulder function? does shock wave Phonophoresis have and effect on subacromial space? patients will be randomized to two groups: Group (A): patients will receive shock wave Phonophoresis plus conventional physical therapy.
Group (B): Patients will receive shock wave plus conventional Physical therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| radial shock wave Phonophoresis with ibuprofen plus conventional physical therapy | Experimental |
| |
| sham radial shock wave therapy plus conventional physical therapy | Sham Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| radial shock wave phonophoresis plus conventional physical therapy | Device | patients will receive radial shock wave Phonophoresis by ibuprofen in the form of 2000 shocks, 2 bars, 8 MHz frequency plus (strengthening and stretching exercises for subraspinatus muscle). |
| Measure | Description | Time Frame |
|---|---|---|
| subacromial space | subacromial space will be measured by X ray | before the first session and after the last session ( four weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| shoulder pain | shoulder pain will be measured by numerical pain scale | before the first session and after the last session ( four weeks) |
| shoulder function | function will be measured by shoulder pain and disability index |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Modern University for Technology and Information | Cairo | Egypt |
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| radial shock wave therapy plus conventional physical therapy. | Device | patients will receive radial shock wave therapy ( 2000 shocks, 2 bars, 8 MHz), plus conventional physical therapy (strengthening and stretching exercises for subraspinatus muscle). |
|
| before the first session and after the last session ( four weeks) |