The Use of Diadynamic in Association With a Manual Therapy Program for Patients With Impingement Syndrome

Inclusion Criteria: * history of anterior lateral and unilateral shoulder pain * with more than 3 months duration * intensity of at least 4 points on the Numerical Rating Pain Scale * positivity in at least 2 of 3 orthopedic tests for impingement syndrome: Neer, Hawkins or Jobe * Associated with these characteristics volunteers should submit myofascial trigger points unilateral and active, centrally located in the trapezius muscle descending fibers associated with painful shoulder Exclusion Criteria: * diagnosis of bilateral impingement syndrome shoulder * fibromyalgia * muscle injury * history of trauma on the shoulder * ruptured tendons * ligamentous laxity * symptoms of numbness and / or tingling in the upper limbs * corticosteroid injection use shoulder * making use of anti-inflammatory * they performed surgery or physical therapy treatment in the last 6 months in the affected shoulder.