PHONOPHORESIS VERSUS IONTOPHORESIS IN TREATMENT OF SUPRASPINATUS TENDINITIS

Ali R.R.¹, Elhafez H.M.¹, Hamza H.M.², Hussein H.A.-R.³

¹Cairo University, Faculty of Physical Therapy, Basic Science Department, Giza, Egypt, ²Ministry of Health, Ahmed Maher Hospital, Physical Therapy, Cairo, Egypt, ³Ministry of Health, Ahmed Maher Teaching Hospital, Physical Therapy, Cairo, Egypt

Background: Shoulder pain is common complaint in general medical practice, impairing the quality of life and job performance. Shoulder pain often arises from tendons, muscles or burse and less frequently has articular region. The most common pathology of the shoulder pain syndrome is supraspinatus tendinitis.

Purpose: The purpose of this study was to compare the effect of Phonophoresis versus Iontophoresis in relieving pain and increase ROM in patients with supraspinatus tendinitis.

Methods: 30 patients with supraspinatus tendinitis were divided in two groups (A) 15 patients received lidocaine hydrochloride 2% gel Phonophoresis with 1 MHz and intensity 1.5W/cm2 for 5 min for the session, (B) 15 patients received lidocaine hydrocloride 2% solution Iontophoresis with current intensity 0.5mA/min for 2.5 min.

Results: Statistical analysis revealed that there was a significant increase in shoulder ROM (flexion, abduction, external rotation) measured by inclinometer between before and after treatment in group A. (17.77%,23.43%,27.27%) in group B (18.97%, 39.82%,52.83%)and significant decrease in the pain level measured by VAS between before and after treatment in the two experimental groups with percentages of (43.03%,89.87%).

Conclusion(s): there is a significant improvement in ROM of both groups with increased percentage in iontophoresis application. Pain is deceased significantly in iontophoresis group than phonophoresis group.

Implications: Use of iontophoresis as a modality in the treatment of supraspinatus tendinitis

Funding acknowledgements: No funds

Topic: Electrophysical & isothermal agents

Ethics approval: Ethical Review Committee of the Faculty of Physical Therapy, Cairo University Ethical approval No. is ERC6482C31

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