Albornoz-Cabello Manuel, Sanchez-Santos Jose Antonio, Melero-Suarez Rocio, Heredia-Rizo Alberto Marcos, Espejo-Antunez Luis
Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain.
High Resolution Hospital, Andalusian Health Service, Utrera, 41710 Sevilla, Spain.
J Clin Med. 2019 Feb 2;8(2):175. doi: 10.3390/jcm8020175.
Subacromial pain syndrome (SAPS) is a prevalent condition that results in loss of function. Surgery is indicated when pain and functional limitations persist after conservative measures, with scarce evidence about the most-appropriate post-operative approach. Interferential therapy (IFT), as a supplement to other interventions, has shown to relieve musculoskeletal pain. The study aim was to investigate the effects of adding IFT electro-massage to usual care after surgery in adults with SAPS. A randomized, single-blinded, controlled trial was carried out. Fifty-six adults with SAPS, who underwent acromioplasty in the previous 12 weeks, were equally distributed into an IFT electro-massage group or a control group. All participants underwent a two-week intervention (three times per week). The control group received usual care (thermotherapy, therapeutic exercise, manual therapy, and ultrasound). For participants in the IFT electro-massage group, a 15-min IFT electro-massage was added to usual care in every session. Shoulder pain intensity was assessed with a 100-mm visual analogue scale. Secondary measures included upper limb functionality (Constant-Murley score), and pain-free passive range of movement. A blinded evaluator collected outcomes at baseline and after the last treatment session. The ANOVA revealed a significant group effect, for those who received IFT electro-massage, for improvements in pain intensity, upper limb function, and shoulder flexion, abduction, internal and external rotation (all, < 0.01). There were no between-group differences for shoulder extension ( = 0.531) and adduction ( = 0.340). Adding IFT electro-massage to usual care, including manual therapy and exercises, revealed greater positive effects on pain, upper limb function, and mobility in adults with SAPS after acromioplasty.
肩峰下疼痛综合征（SAPS）是一种常见疾病，会导致功能丧失。当保守治疗后疼痛和功能受限仍然存在时，需进行手术治疗，但关于最合适的术后治疗方法的证据很少。干扰电疗法（IFT）作为其他干预措施的补充，已被证明可缓解肌肉骨骼疼痛。本研究的目的是调查在接受手术的成人SAPS患者中，在常规护理基础上增加IFT电按摩的效果。进行了一项随机、单盲、对照试验。56名在过去12周内接受过肩峰成形术的成人SAPS患者被平均分为IFT电按摩组或对照组。所有参与者都接受了为期两周的干预（每周三次）。对照组接受常规护理（热疗、治疗性运动、手法治疗和超声）。对于IFT电按摩组的参与者，每次治疗在常规护理基础上增加15分钟的IFT电按摩。使用100毫米视觉模拟量表评估肩部疼痛强度。次要指标包括上肢功能（Constant-Murley评分）和无痛被动活动范围。一名盲法评估者在基线和最后一次治疗后收集结果。方差分析显示，对于接受IFT电按摩的患者，在疼痛强度、上肢功能以及肩部前屈、外展、内旋和外旋方面的改善有显著的组间效应（均P<0.01）。在肩部后伸（P=0.531）和内收（P=0.340）方面，两组之间没有差异。在包括手法治疗和运动的常规护理基础上增加IFT电按摩，对肩峰成形术后的成人SAPS患者的疼痛、上肢功能和活动能力有更大的积极影响。
