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Effectiveness of Diacutaneous Fibrolysis for the treatment of subacromial impingement syndrome: a randomised controlled trial
- Source :
- Manual therapy. 18(5)
- Publication Year :
- 2012
-
Abstract
- Our objective was to assess the effectiveness of Diacutaneous Fibrolysis on pain intensity, range of motion and functional status in patients suffering from Subacromial Impingement Syndrome. A randomised controlled trial was conducted in two Spanish National Health Service Primary Health Care Centres. Participants (n = 120) were randomly assigned to one of three groups (intervention, placebo or control groups). All three groups received a protocolised treatment based on therapeutic exercises, analgesic electrotherapy and cryotherapy. Additionally, the intervention group received six sessions of Diacutaneous Fibrolysis treatment; the placebo group received six sessions of sham Diacutaneous Fibrolysis treatment, while the control group received only the protocolised treatment. Pain intensity, available active range of motion and function were measured pre-treatment, post-treatment, and at a three-month follow-up. At the post-treatment assessment, differences between intervention and control groups were statistically significant or clinically relevant in function, flexion, extension and external rotation movements. Differences between placebo and control groups were significant only in extension movement. No significant differences were found in pain intensity. At the 3 month follow-up assessment, between-groups differences were not statistically significant and clinical relevance was achieved only for external rotation movement between intervention and control groups. At the post-treatment assessment 89% of the participants in the intervention group, 76% of the participants in the placebo group and 67% of the participants in the control group reported subjective improvement (p < 0.01). In conclusion, adding Diacutaneous Fibrolysis to the conservative treatment of Subacromial Impingement Syndrome improves function and external rotation movements and also gives significantly higher patient satisfaction.
- Subjects :
- Adult
Male
medicine.medical_specialty
Rotation
medicine.medical_treatment
Physical Therapy, Sports Therapy and Rehabilitation
Cryotherapy
Electric Stimulation Therapy
Placebo
law.invention
Disability Evaluation
Patient satisfaction
Physical medicine and rehabilitation
Randomized controlled trial
Double-Blind Method
law
medicine
Humans
Range of Motion, Articular
Aged
Pain Measurement
Aged, 80 and over
Arthrometry, Articular
business.industry
General Medicine
Middle Aged
Combined Modality Therapy
Musculoskeletal Manipulations
Exercise Therapy
Treatment Outcome
Electrotherapy
Shoulder Impingement Syndrome
Spain
Physical therapy
Female
Manual therapy
Range of motion
business
Subjects
Details
- ISSN :
- 15322769
- Volume :
- 18
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Manual therapy
- Accession number :
- edsair.doi.dedup.....ec7c0005bb79312603b2dd1c06a7bab2