Effect of Neural Therapy on shoulder dysfunction and pain in supraspinatus tendinopathy

Objectives: To investigate the effect of 1% procaine injection, which is used in neural therapy, on shoulder pain and dysfunction in patients diagnosed with supraspinatus tendinopathy. Methods: The Range of Motion values, Visual Analog Scale and the QuickDASH Scale scores of 70 patients, who were diagnosed with musculus supraspinatus tendinitis based on magnetic resonance imaging findings, were analyzed. The data of the scales obtained before neural therapy and at the follow-up visit at four weeks after the end of therapy were compared, and a p-value of <0.05 was considered statistically significant. Results: After neural therapy, a statistically significant increase was observed in Range of Motion values and there was a statistically significant decrease in both the Visual Analog Scale and QuickDASH score averages. Conclusion: This is one of the rare studies showing the effects of neural therapy application on shoulder pain severity and dysfunction in patients with supraspinatus tendinitis who are resistant to medical therapy. doi: https://doi.org/10.12669/pjms.38.3.4823 How to cite this:Bashan I, Ozturk GY. Effect of Neural Therapy on shoulder dysfunction and pain in supraspinatus tendinopathy. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.4823 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Effectiveness of Cryokinetics in Comparison with Effectiveness of Ultrasound Therapy in Treatment of Acute Supraspinatus Tendonitis

Aims and Objectives: To compare the effectiveness of Cryokinetics and Ultrasound therapy in treating supraspinatus tendinitis as measured by Visual analogue Scale (VAS) and 1 RM (Repetition Maximum. A sample of 60 patients with acute supraspinatus tendinitis with an experimental comparative study design. Patients who visited out patient department of Kempegowda Institute of Medical Sciences and Research Centre, Bangalore were included in the study based on inclusion and exclusion criteria. Both the groups were treated 5 times per week for three weeks. Patients were evaluated with VAS and 1RM on day 1st, 15th day and end of third week. The values are statistically analyzed to determine their effect in reducing pain and improving muscle strength. Results: The two-intervention group showed significant improvement when the pre and post values were analyzed for VAS and 1RM with significant p value (p<0.05). But inter group comparisons showed cryokinetics group to be more effective (p < 0.05) than ultrasound therapy group for all outcome parameters.

Effects of Kinesio Taping in Supraspinatus Tendinitis

Background: Shoulder pain is one of the most commonly reported musculoskeletal problems after low back pain. One common reason for the shoulder pain is supraspinatus tendinitis that is often associated with impingement syndrome. Objective: To find the effects of kinesio taping in reducing pain and disability in subjects with supraspinatus tendinitis. Methodology: In this study, patients were randomly allocated the treatment using a set of predefined inclusion and exclusion criteria. Subjects were managed with kinesio taping. Pre- and post-evaluation of the patients was done using Numerical Pain Rating Scale (NPRS) and Disability of Arm Shoulder & Hand Questionnaire (DASH) score and the data gathered was entered and analyzed using SPSS version 23. Results: Mean difference of 2.65 was reported between the pretreatment and post treatment values of NPRS in KT taping group which was significant (P < 0.05). Mean difference of 27.25 was reported between the pre-treatment and post-treatment values of DASH score in KT taping group which was significant (P < 0.05). Conclusion: Kinesio taping is an effective Program in management of supraspinatus tendinitis.

Effect of Ultrasound Therapy with Cryokinetics versus Ultrasound Therapy with Soft Tissue Massage (Deep Friction Massage) in Acute Supraspinatus Tendinitis - A Comparative Study

Background and Objective: In supraspinatus tendinitis there is inflammatory and or degenerative changes of tendon. This study was done to assess the effectiveness of ultrasound and cryokinetics versus ultrasound and soft tissue massage (deep friction massage) in patients with acute supraspinatus tendinitis. Method: All subjects were clinically diagnosed by orthopaedician and were screened as per the inclusion and exclusion criteria. 60 patients were randomly divided into 2 groups with n= 30 each group, Group A- received ultrasound therapy and cryokinetics, whereas Group B- received ultrasound therapy and soft tissue massage. The treatment was given 1 session/day, 6 days/week. The total treatment duration was for 2 weeks. Outcome Measures: Patients were evaluated on day 1, day 7 and day 14. All the patients were assessed for pain and shoulder functional scale by taking VAS and SPADI. Results: Both the groups showed statistically significant changes in pre and post values. However, Group B showed greater improvement from baseline to week 1 on VAS and SPADI. After analysis group B showed significance with P<0.001*. Conclusion: Ultrasound therapy with cryokinetics, and ultrasound therapy with soft tissue massage both were effective in reducing pain intensity and increasing the shoulder functional scale but ultrasound therapy with soft tissue massage showed superior hand over ultrasound therapy with cryokinetics. Key words: Acute Supraspinatus Tendinitis, Ultrasound Therapy, Cryokinetics, Soft Tissue Massage, Visual Analogue Scale, Shoulder Pain And Disability Index.