The Influence Of Manual Exercise Therapy Versus Shock Wave Therapy On Ultrasonography Measurements In Patients With subacromial Impingement Syndrome. A Randomized Trial

Abstract

The purpose: of this study was to compare the effects of manual exercise treatment and shock wave therapy on the measures of ultrasonography in patients with sub acromial impingement-acromial Methods: Due to mechanical factors, stage II Neer classification of shoulder subacromial impingement syndrome was detected in 30 individuals. Patients were split into two equal groups at random. The first group included 15 patients with a mean age of 36.26 (+ 6.54) who had manual therapy three times per week, every other day, for four weeks. This included strengthening, stretching, and shoulder joint mobility activities. The second group, which included 15 patients with an average age of 36.46 (+ 6.68) years, underwent shockwave treatment (3000 shocks, 1000 each session, 3 sessions, two-week intervals, 0.32mJ/mm2). Ultrasonography was used to assess patients' pre- and post-treatment shoulder functional impairment as well as shoulder acromiohumeral distance in adduction and abduction. Results: In comparison to the shock wave treatment group, the manual exercise therapy group had a substantial decrease in shoulder functional impairment and a greater rise in acromiohumeral distance in both adduction and abduction.  Conclusion: Shock wave treatment is not as effective as manual exercise therapy in reducing shoulder functional impairment and increasing the acromiohumeral distance in both adduction and abduction.