The purpose of this study is to determine whether dexketoprofen administered by phonophoresis or iontophoresis is more effective in the treatment of subacromial syndrome that the conventional therapy with ultrasounds.
It is a question of valuing the decrease of the pain (by means of the visual analogic scale pain score) and the increase of the functionality of the joint (by means of Dash and Constant scores) of three different treatments from physical therapy to establish the most effective protocol for the treatment of the subacromial syndrome. Determine the best physiotherapy treatment for subacromial syndrome with 20 sessions of different treatments. A group will receive the conventional treatment with ultrasounds without drugs, another group will receive dexketoprofen by phonophoresis and the third group will receive dexketoprofen by iontophoresis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
99
Ultrasound of 1 MHz, intensity 2 W/cm2, 5 minutes, for 20 sessions.
Phonophoresis with 50 mg dexketoprofen (Enangel), 1 MHz, intensity 2 W/cm2, 5 minutes, for 20 sessions.
Iontophoresis by galvanic direct current with 50 mg dexketoprofen (Enantyum), intensity 2 mA, 20 minutes, for 20 sessions.
Hospital Universitari Sant Joan
Reus, Tarragona, Spain
Pain measure by the visual analogic scale pain score.
Time frame: 1 month
Functionality of the joint by Dash and Constant scores
Time frame: 1 month
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Guideline of 7 standardized exercises to improve the muscular force and to open the subacromial space.
Cooling located by a cold air bundle to -32 Celsius degrees (ºC) for 3 minutes.