Comparison of the Effectiveness of Transcutaneous Electrical Nerve Stimulation and Ultrasound Therapy in Shoulder Tendinitis Patients

Authors

  • Chadaporn Permpetch Physical therapist, Maharaj Nakhonsrithammaraj Hospital.

Keywords:

Shoulder tendinitis, Physical therapy treatment program, Pain and shoulder disabilities index form

Abstract

          This quasi-experimental research aimed to compare therapeutic effect of TENS and ultrasound on the pain index and shoulder disabilities in individuals with shoulder tendinitis. The experiment was conducted on 120 patients divided into three groups; control group (standard physical therapy treatment), standard treatment with TENS group and standard treatment with ultrasound group for treatment duration of six weeks. The tools used for experiment included general characteristics questionnaires, pain index and shoulder disabilities evaluation form as well as physical therapy treatment program. The data were analyzed using descriptive statistics t-test and F-test

          The result showed that pain and shoulder disabilities index significantly decreased after treatment in the three groups (p<0.05). In addition there was a significant difference between the three group (p<0.05). The standard treatment with TENS had pain and shoulder disabilities index a significant difference between standard treatment and standard treatment with ultrasound. In conclusion, the standard treatment with TENS proved to be the most effective among the three groups. This study can be used as a guideline for physical therapists for the future treatment.

References

ณัฏฐิยา ตันติศิริวัฒน์. (2560). อาการปวดและความผิดปกติของข้อไหล่ที่พบบ่อยในเวชศาสตร์ฟื้นฟู.จุฬาลงกรณ์เวชสาร, 61(2),205-221

Baker, K.G., Robertson, V.J., Duck, F.A. (2001). A review of therapeutic ultrasound : biophysical effects. Physical Therapy. 81(7), 1351-1358.

Calis, H.T., Berberoglu, N., Calis, M. (2011). Are ultrasound, laser and exercise superior to each other in the treatment of subacromial impingement syndrome. European Journal of Physical and Rehabilitation Medicine, 47(3), 375-380.

Cook, J.L., Purdam, C.R.(2009). Is tendon pathology a continuum. A pathology model to explain the clinical presentation of load-induced tendinopathy. British Journal of Sports Medicine, 43(6), 409-416.

Desmeules, F., Boudreault, J., Roy, J.S., Dionne, C.E., Fremont, P. & MacDermid, J.C. (2016) Efficacy of transcutaneous electrical nerve stimulation for rotator cuff tendinopathy: A systematic review. Physiotherapy J, 102, 41-49

Drew, B., Smith, T., Littlewood, C., Sturrock, B. (2012). Do structural changes explain the response to exercise in tendinopathy. A systematic review. British Journal of Sports Medicine, 48(12), 966-972.

Lisa, D.A., David, R.D., Derek, R.B., Janet, L.B., & Pamela, E.H. (2010). Exposure to low amounts of ultrasound energy does not improve soft tissue shoulder pathology : A systematic review. Physical therapy J, 90(1), 14-25.

Maitland GD. (1991). Peripheral manipulation. (3rd ed.). Oxford: Butterworth Heinemann

Pinar, D.A., Berrin, L. & Mehmet, A. (2015). Effects of therapeutic ultrasound and exercise on pain, function and Isokinetic shoulder rotator strength of patients with rotator cuff disease. Journal of Physical therapy science, 27(10), 3113-3117.

Pushpa, R., Vasantha K., Tarun G., Rajkumar Y., & Rakhi, M. (2019). Effect of transcutaneous electrical nerve stimulation therapy on pain and functional disability level among patients with rotator cuff disease. International Jounal of Physiotherapy, 7(1), 7-13.

Sevtap, G.U., Derya, O.K., Yasemin, K., et all. (2018). Comparison of different electrotherapy method and exercise therapy in shoulder impingement syndrome. Acta Orthopaedical Traumatologica Turcica, 52(4), 249-255.

Simpson, P.M., Fouche, P.F., et all. (2014). Trancutaneous electrical nerve stimulation for relieve acute pain in the prehospital setting. A systemic and meta-analysis of randomized controlled trials. Europe Journal Emergency Medicine, 21(1), 10-17.

Stuart, R.H.,Steve R.W., & Dave P.T. (2017).Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome:A Randomized controlled trial. Physiotherapy Journal, 103(2), 167-173.

Sluka, K.A., Walsh, D. (2003). Transcutaneous electrical stimulation : basic science mechanisms and clinical effectiveness.Journal of Pain, 4(3), 109-121.

Yazmalar, L., Sariyildiz, M.A., BatmazI, et all. (2016). Efficiency of the therapeutic ultrasound on pain, disability, anxiety, depression, sleep and quality of life in a patients with subacromial impingement syndrome. A randomized controlled study. Journal of back and Musculoskeletal Rehabilitation, 29(4), 801-807.

Downloads

Published

2020-12-04