A Clinical Trial On Rotator Cuff Tendon: High Frequency Modalities Implementation Involving Exercise-Based Treatment In Individuals With Rotator Cuff Tendinitis: An Experimental Study

Abstract

Aim: The aim of this pilot study is to evaluate the effect of advanced physiotherapy modalities on rotator cuff tendinitis.

Background: Shoulder pain is a prevalent musculoskeletal complaint in clinical practice, with rotator cuff tendinitis being a significant contributor. Symptoms include shoulder pain, swelling, and limited arm motion. This condition often results from repetitive stress on the rotator cuff tendons.

Methodology:

Study Design: Pilot study of comparative type (pre and post-test).

Study Setting: Outpatient department, Faculty of Physiotherapy, ACS Medical College and Hospital.

Sample Size: 15 subjects.

Groups:Group A: Extracorporeal shock wave therapy with dynamic loading exercise programme.,Group B: Low-level laser therapy with dynamic loading exercise programme., Group C: Ultrasound with dynamic loading exercise programme.Sampling Method: Simple random sampling.Duration: 1 month.

Inclusion Criteria: Patients clinically diagnosed with rotator cuff tendinitis, aged 18-60 years, both genders, with positive tests for painful arc syndrome and chronic tendinitis for over 6 months, BMI 19-25 kg/m².

Exclusion Criteria: Pregnant women, blood coagulation disorders, history of surgery or tumors, cardiac illness, frozen shoulder, systematic diseases, skin disease,, severe mental illness, recent fractures and dislocations.

Outcome Measures: Pain, muscle tissue morphology (thickness in mm), shoulder joint function, range of motion (abduction/lateral rotation).

Measurement Tools: Blood test (serum cortisol), ultrasonogram, SPADI, digital electronic goniometer.

Results: Dependent T-test showed significant improvements in Group A post-test for ultrasonogram, SPADI, shoulder abduction, external rotation, and serum cortisol.