Result of rehabilitation therapy with rotator cuff tendinopathy

Abstract

Rotator cuff tendinopathy occurs in one out of every five people and the leading causes of chronic shoulder pain, joint movement restriction. The disease mainly affects individuals aged 30-60 years and males. Conservative treatment has been regarded including rest, nonsteroidal anti-inflammatory drugs (NSAIDs), physiotherapy, local cortico-steroid injections. But these treatments have no effect on arthroscopic surgery performed. In modern times, shock wave therapy has been widely used and this kind of therapy has been proven to be effective to accelerate the tissue regeneration process, dissolve and dissolute calcification, and alleviate pain through high-amplitude sound waves. It is a relatively new noninvasive therapeutic intervention, without the dangers of a surgical procedure and postoperative pain. However, this kind of therapy has been used in foreign countries for a longer period, there have still been no practical usage in Mongolia, which can be considered to be a proper ground to conduct this research. We aimed to examine the result of using rehabilitation therapy for rotator cuff tendinopathy. We conducted randomized control, blinded, clinical trial study designed for 18 months starting from January 2019. 45 participants were sampled from patients diagnosed with “Rotator cuff tendinopathy” at the Second State Central Hospital and Jointmed hospital. We compared Shockwave therapy with conventional physiotherapy. STATA 12.0 program was used for statistical analysis calculated by quantitative and qualitative variables. Our result showed that Shockwave therapy was more effective than conventional physiotherapy on reducing pain, improving ROM of shoulder and functional status.