Treatment of calcifying tendinitis of the shoulder by acetic acid iontophoresis: a double-blind randomized controlled trial11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors(s) or upon any organization with which the author(s) is/are associated
| Autor: | Marc Dumont, Jocelyne Caya, Bernard E. Leduc, Nathalie J. Bureau, Sylvie Tremblay |
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| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
business.industry Rehabilitation Physical Therapy Sports Therapy and Rehabilitation medicine.disease Placebo Interim analysis law.invention medicine.anatomical_structure Randomized controlled trial Tendinitis law Ambulatory Physical therapy Clinical endpoint Medicine Shoulder joint business Range of motion |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 84:1523-1527 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/s0003-9993(03)00284-3 |
| Popis: | Leduc BE, Caya J, Tremblay S, Bureau NJ, Dumont M. Treatment of calcifying tendinitis of the shoulder by acetic acid iontophoresis: a double-blind randomized controlled trial. Arch Phys Med Rehabil 2003;84:1523–7. Objective To assess the effects of acetic acid iontophoresis on the treatment of calcifying tendinitis of the shoulder. Design Double-blind randomized controlled trial. Setting Ambulatory academic hospital in Quebec, Canada. Participants Thirty-six subjects with a calcifying tendinitis of the shoulder. Interventions Subjects were randomized into 1 of 2 groups: physiotherapy during 6 weeks (10 sessions) plus acetic acid iontophoresis for the treatment group (n=18) and sham acetic acid iontophoresis for the control group (n=18). Main outcome measures The Shoulder Pain and Disability Index (SPADI), shoulder range of motion (ROM); and radiologic evaluation of shoulder calcifications. Results Nine patients dropped out, leaving 27 assessable subjects for analysis. Interim analysis showed that, in both groups, treatment led to improvement, as measured by the SPADI score ( P =.004), ROM of the shoulder for abduction ( P P =.001), external rotation ( P P =.010). Although no formal significant intervention effects ( P =.13) were found for the primary endpoint (SPADI), exploratory analyses suggest a greater improvement in the treatment group ( P =.001) than in the control group ( P =.33). Conclusions Despite a trend toward greater improvement in the SPADI score in the treatment group, the use of acetic acid iontophoresis and physiotherapy for the treatment of calcifying tendinitis of the shoulder did not result in better clinical and radiologic effects than those observed in subjects treated by physiotherapyalone. |
| Databáze: | OpenAIRE |
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