The Effectiveness of Therapeutic Ultrasound in the Treatment of Calcific Tendinitis of the Shoulder
Rotator Cuff Tendinitis, Shoulder Pain, Musculoskeletal Diseases
About this trial
This is an interventional treatment trial for Rotator Cuff Tendinitis focused on measuring ultrasound therapy, rehabilitation, kinesiotherapy, diagnostic ultrasound
Eligibility Criteria
Inclusion Criteria:
- symptomatic RCT (VAS pain ≥ 4 + limited shoulder mobility) with D-ultrasound calcification size ≥ 5 mm
- calcification type I and II according to Chiou HJ et al.
- disease duration ≥ 2 months
Exclusion Criteria:
- asymptomatic RCT or RCT with mild symptoms (VAS pain ≤ 3 + normal shoulder mobility)
- calcification size < 5 mm, type III and IV calcification according to Chiou HJ et al.
- duration symptoms less than 2 months
- rotator cuff tendon rupture
- adhesive capsulitis
- application of corticosteroids in the examined shoulder in the previous 3 months
- glucocorticoid therapy
- physical shoulder therapy in the previous 6 months
- shock wave therapy in the previous 12 months
- prior percutaneous calcification irrigation
- current cervical or cervicobrachial pain syndrome
- inflammatory rheumatic disease
- scapular dyskinesia with positive assisted and repository scapular test
- subacromial/subdeltoid bursitis
- recent trauma or malignancy
Sites / Locations
- University Department for Rheumatology and Rehabilitation, Clinical Hospital Centre ZagreRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Sham Comparator
Active Group
Control Group
This group will receive ultrasound therapy. Respondents will conduct individual medical-gymnastics: unloading pendular exercises if strength exercises cannot be started immediately, shoulder range exercises, and rotator cuff and scapula stabilizer exercises for 30 minutes per treatment.
This group will receive sham ultrasound therapy. Respondents will conduct the same individual medical-gymnastics, as in the active group: unloading pendular exercises if strength exercises cannot be started immediately, shoulder range exercises, and rotator cuff and scapula stabilizer exercises for 30 minutes per treatment.