The Use of Diadynamic in Association With a Manual Therapy Program for Patients With Impingement Syndrome
Shoulder Impingement Syndrome
About this trial
This is an interventional treatment trial for Shoulder Impingement Syndrome
Eligibility Criteria
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.
Sites / Locations
- Cid André Fidelis de Paula Gomes
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Active Comparator
Group manual therapy + diadynamic
Group manual therapy
Group diadynamic
Initially, the positional release techniques will be performed while maintaining this position for 90 seconds procedure is repeated 3 times. Then, the therapist performs the ischemic compression technique on the myofascial trigger point, the compression is maintained for 90 seconds by 3 replications. Through an electrotherapy device were applied diadynamic in that myofascial trigger point previously marked. 4 minutes from the fixed two-phase mode will be applied (DF), 4 minutes long periods (LP) and 4 minutes short periods (CP), the first and second intensely in the sensitive line and the third motor threshold, both supportable according to each patient.
Initially, the positional release techniques will be performed while maintaining this position for 90 seconds procedure is repeated 3 times. Then, the therapist performs the ischemic compression technique on the myofascial trigger point, the compression is maintained for 90 seconds by 3 replications.
An electrotherapy device were applied diadynamic in that myofascial trigger point previously marked. 4 minutes from the fixed two-phase mode will be applied (DF),4 minutes long periods (LP) and 4 minutes short periods (CP), the first and second intensely in the sensitive line and the third motor threshold, both supportable according to each patient.