[Effectiveness of physiotherapy on painful shoulder impingement syndrome]

Abstract

Background: Painful shoulder impingement syndrome is one of the first reasons for care in rehabilitation centres. As the evidence regarding the effectiveness of physical measures as adjuvant treatment is limited, the aim of this study was to determine the effectiveness of physiotherapy on shoulder pain.

Material and methods: A retrospective and analytical study was conducted using the medical records of patients with shoulder pain who attended in a rehabilitation centre from October 2010 to September 2011. The demographic and clinical data were collected, and the clinical improvement was determined as: complete, incomplete, or no improvement.

Statistical analysis: Chi squared was used to determine whether there were differences between the different modalities of physiotherapy, as well as the level of improvement.

Results: The study included a total of 181 patients, with a mean age of 54.3 years, and a mean of 4.6 months of onset of pain. The physiotherapy treatments included: warm compresses plus interferential current (60.2%), and warm compresses plus ultrasound (17.1%). Just over half (53.6%) obtained a moderate recovery, 36.4% slight improvement, and 9.9% no improvement. No significant differences were found between the different forms of therapy.

Conclusions: The supervised rehabilitation program consists of 9 sessions of physiotherapy. A functional improvement of 90% was obtained, without finding any statistical differences between the therapies used.

Keywords: Fisioterapia especializada; Medios físicos; Painful shoulder impingement syndrome; Physical measures; Physiotherapy specialty; Síndrome de abducción dolorosa de hombro.