Comparison Of Effectiveness of Pilates with Therapeutic Ultrasound Versus Therapeutic Ultrasound on Releiving Pain and To Increase Range of Motion in Supraspinatus Tendinitis – Randomized Controlled Trial
Keywords:
Pilates exercise, Ultrasound therapy, Supraspinatus Tendinitis, Visual Analogue Scale, Shoulder Pain Disability IndexAbstract
Background: Supraspinatus tendinitis is the inflammation of the supraspinatus tendon resulting from micro-tears in the musculotendinous unit when it is acutely overloaded with a sudden or a heavy tensile force. It is a degeneration of the tendon’s collagen due to ch ronic overuse and repeated strain. This results in tendinitis. This condition is common in athletes involved in repetitive overhead activities. Diagnosis can be done first by painful arc sign. This is when a person experiences pain upon abduction of the arm between 60 and 120. The next step would be to perform the empty can test. This is performed with the arm abducted to 90, 30° of anterior circumduction, and internal rotation with thumb downward. The patient attempts to further abduct their arm while the examiner applies downward pressure. Weakness or pain is considered a positive sign. Originally called “Contrology”, Pilates is an exercise system designed by Joseph Pilates to condition the body based on Eastern theories of body-mind spirit interaction. Ultrasound induced heating is the result of the absorption of ultrasonic energy biological tissues.
Methods: The study design was a randomized control trial, 30 patients were selected from Aarupadai Veedu Medical College and Hospital, Pondicherry. They were Allocated randomly into two groups, Group A(N=15) Pilates with ultrasound therapy. Group B(N=15) Ultra sound therapy alone. The outcome measure VAS and SPADI were measured in Pre and Post test for 6-week period.
Result: Data Analysis was done according to paired ‘t’ test between the groups A & B calculating with 5% of significance. The statistical interpretation of mean and standard deviation shows the improvement in the Pilates with therapeutic ultrasound in patient with supraspinatus tendinitis.
Conclusion: This Study concludes that The Pilates with Ultrasound Therapy for Group A shows more significant improvement in patients with supraspinatus tendinitis than Group B.
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Berrazueta JR, et al.., : Successful treatment of shoulder pain syndrome due to supraspinatus tendinitis with transdermal nitroglycerin. A double blind study. Pain.1996.
Pankaj Sharma, et al.., :Tendon Injury And Tendinopathy: Healing And Repair. The Journal Of Bone And Joint Surgery. Am. 87:187-202, 20053.
Rene Calliet..,: Shoulder Pain.3rd Edition. Jaypee Brothers: New Delhi.1992
Joel A, Delisa, Bruse M. Gans et al.., : Physical Medicine & Rehabilitation: Principles & Practice Vol. 1. Lippincott Williams & Wilkins 2005; Page no. 181-182.
Gamze Senbursa, et al.., : The Effectiveness of Manual Therapy in Supraspinatus Tendinopathy. Acta Orthop Traumatol Turc. 2011; 45(3): 162-167.
Holtby MB, Richard, et al.., : Validity of the Supraspinatus Test in Diagnosing Patients with Rotator Cuff Pathology. Journal of Orthop & Sports Physical Therapy. 34(2004): 194-200.
Keays KS, et al.., : Effects of Pilates exercises on shoulder range of motion, pain, mood, and upper-extremity function in women living with breast cancer: a pilot study. Phys Ther. 2008; 88: 494-510.
Drury, Billie et al.., : Pilates for the Tennis Player Shoulder.
Kloubec, J. A. (2010).., :Pilates for improvement of muscle endurance, flexibility, balance, and posture. The Journal of Strength and Conditioning Research, 24, 661–667.
Anderson BD,et al.., : Introduction to Pilates-based rehabilitation. Orthopaedic Physical Therapy Clinics of North America. 2000; 9: 395- 410.
John Low,et al.., : Therapeutic ultrasound. In, Electrotherapy Explained Principles & Practice, 3rd Edition. New Delhi, Butterworth Heinemann, 2000; Page no. 172.
John Low, et al.., Therapeutic ultrasound. In, Electrotherapy Explained Principles & Practice, 3rd Edition. New Delhi, Butterworth Heinemann, 2000; Page no. 172.
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