Glenohumeral peritendinitis presents a therapeutic challenge for physical medicine, especially in the acute phase, when most physical factors, applied in combination or as monotherapy, give unsatisfactory therapeutic effects.
The study aims to investigate the effect of combination therapy with microwave diathermy and interference in patients with peritenitis of the glenohumeral joint.
Thirty-eight patients of both sexes aged between 20 and 55 years with acute peritoneitis of the glenohumeral joint were treated with a physiotherapy complex with microwave therapy and interference current. To objectify the results we used: flexion angle, abduction and external rotation of the shoulder joint, assessment of spontaneous and palpatory pain on the Visual Analog Scale (VAS) and Shoulder Pain and Disability Index (SPADI). Patients were evaluated three times: before the start of treatment, after the end of the therapeutic course, and on the 45th day from the beginning of the therapy.
There was a statistically significant difference in the mean values (Asymp. Sig. (2-tailed) < 0.05) of palpation and spontaneous VAS pain and of SPADI values in % for patients treated with microwave therapy and interference current. We accept the null hypothesis—mean values (Asymp. Sig. (2-tailed) > 0.05) were identical and the differences were random for flexion, abduction and internal rotation of the shoulder joint between values measured after the end of treatment and on the 45th day from the beginning of treatment. This is due to the fact that after the end of the treatment the patients reached the maximum improvement, which was maintained until the 45th day from the beginning of the treatment.
The reported clinical experience supports the conclusion that the proposed therapeutic technique of the combined physical complex of microwave therapy and interference current described in this report is suitable for use as a general protocol for routine clinical practice in patients with peritendinitis of the glenohumeral joint.
Панайотова-Овчарова Л. , Янков Ц., Ефектите на локална микровълнова диатермия и интерферентен ток при пациенти с перитендинит на гленохумерална става – литерапурен обзор. Варненски медицински форум. т. 9, 20
Тодоров И. Синдромът на „замръзналото“ рамо – особености и съвременен терапевтичен подход, Университетско издателство МУ-Варна, 2014
Alfredson H Ohberg L. Sclerosing injections to areas of neo-vascularistaion reduce pain in chronic Achilles tendinopathy: a double-blind randomised controlled trial. Knee Surg Sports Traumatol Arthrosc. 2005;13(4):338-344.
Brox JI, Gjengedal E, Uppheim G, Bohmer AS, Brevik JI, Ljunggren AE, et al. Arthroscopic surgery versus supervised exercises in patients with rotator cuff disease (stage II impingement syndrome): a prospective, randomized, controlled study in 125 patients with a 2 1/2-year followup. J Shoulder Elbow Surg 1999; 8: 102–111.
Cools AM Declerq G Cagnie B Cambier D Witvrouw E. Internal impingement in tennis player: rehabilitation guidelines. Br J Sports Med. 2008;42(3):165-171.
De Domenico G . Pain relief with interferential therapy. Aust J Physiother. 1982;28:14–18.
Holmgren T, Bjornsson Hallgren H, Oberg B, Adolfsson L, Johansson K. Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: randomised controlled study. BMJ 2012; 344: e787.
Kabbabe B, Ramkumar S, Richardson M. Cytogenetic analysis of the pathology of the frozen shoulder. Int J Shoulder Surg, 2010; 4(3):75-78
Khan KM Cook JL Bonar F Harcourt P Astrom M. Histopathology of common tendinopathies. Update and implications for clinical management. Sports Med. 1999;27(6):393-408.
Ludewig PM, Borstad JD. Effects of a home exercise programme on shoulder pain and functional status in construction workers. Occup Environ Med 2003; 60: 841–849.
Melzack R Wall PD . Pain mechanisms: a new theory. Science. 1965;150:971–979.
Milgrom C Schaffler M Gilbert S van Holsbeeck M. Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance and gender. J Bone Joint Surg Br. 1995;77(2):296-298.
Momanu A, Csapo A: Efficiency of MLS therapy in abarticular rheumatism revealed by digital thermography and visual analog scale, Energy For Health, 8: 12 - 16, 2011
Nikolova L . Introduction to interferential therapy. In: Nokolova L ed. Treatment With Interferential Therapy. Republic of Singapore: Churchill Livingstone; 1987:3–16.
Palmer S Martin D. Interferential current for pain control. In: Kitchen S ed. Electrotherapy Evidence-based Practice. 11th ed.Edinburgh, Scotland: Churchill Livingstone; 2002:287–298.
Smith KL, Harryman DT 2nd, Antoniou J, Campbell B, Sidles JA, Matsen FA 3rd. A prospective, multipractice study of shoulder function and health status in patients with documented rotator cuff tears. J Shoulder Elbow Surg. 2000;9(5):395402.doi:10.1067/mse.2000.108962
Tempelhof S Rupp S Seil R. Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elbow Surg. 1999;8(4):296-199
van der Windt DA Koes BW de Jong BA Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995;54(12):959-964.
Vecchio P Kavanagh R Hazleman BL King RH. Shoulder pain in a community-based rheumatology clinic. Br J Rheumatol. 1995;34(5):440-442.27
Winters JC, Sobel JS, Groenier KH, Arendzen JH, Meyboomde Jong B. The long-term course of shoulder complaints: a prospective study in general practice. Rheumatology (Oxford) 1999; 38: 160–163.
