Manual Therapy, Posturology & Rehabilitation Journal
http://mtprehabjournal.com/article/doi/10.17784/mtprehabjournal.2017.15.514
Manual Therapy, Posturology & Rehabilitation Journal
Case Report

Effects of phonophoresis with acetic acid in the treatment of calcific tendinitis of the shoulder: case report

Pamplona, Edilene Araújo; Araújo, Andressa Medeiros; Santos, Heleodório Honorato dos

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Abstract

Background: The calcific tendinitis of the shoulder is a dysfunction conservatively treated by shock waves, iontophoresis, and phonophoresis, associated or not with the use of acetic acid. Objective: To check the effects of phonophoresis with acetic acid in the treatment of calcific tendinitis of the shoulder in resorption stage. Methods: Measurements of ROM, muscle strength and functionality of the shoulder (SPADI) were made pre and post-physiotherapeutic treatment. The treatment protocol consisted of 10 sessions of therapeutic ultrasound with acetic acid (frequency = 3 MHz; intensity = 1.4 W/cm2; pulsed mode of 1:4), for 10 minutes, 3 times a week. The data were analyzed using the SPSS software (20.0), through the Student’s t-test (paired) considering a significance level of 5%. Results: There was significant improvement regarding the ROM, muscle strength and functionality of the right shoulder (SPADI) comparing pre vs. post-treatment (P<0.01). In addition, there were no statistically significant differences (P>0.05), in the comparison between the shoulders (right X left) in the post-treatment. Conclusion: According to the results of this case study, the protocol used (10 sessions of therapeutic ultrasound + 5% acetic acid) was effective in the treatment of calcific tendinitis of shoulder, improving the ROM, muscle strength and functional capacity, in addition to eliminating the pain of the shoulder affected.

Keywords

Shoulder Pain, Calcinosis, Physiotherapy, Acid-base Imbalance.

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