Manual Therapy, Posturology & Rehabilitation Journal
http://www.mtprehab.periodikos.com.br/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

Downloads: 3
Views: 1135

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.

References

1. Speed A, Hazleman L. Calcific tendinitis of the shoulder. N Engl J Med. 1999; 340 (20):1582-4.

2. Ebenbichler GD, Erdogmus CB, Resch KL, Funovics MA, Kainberger F, Barisani G, et al. Ultrasound therapy for calcific tendinitis of the shoulder. N Engl J Med. 1999; 340(20):1533-8.

3. Ejnismann B, Monteiro GC, Uyeda LF. Ombro doloroso. Einstein. 2008; 6(Supl 1):S133-S7.

4. De Palma AF. Calcareous tendinitis. In: DePalma AF. Surgery of the shoulder. 3rd ed. Philadelphia: Lippincott; 1983. p. 257-85.

5. Perron M, Malouin F. Acetic acid iontophoresis and ultrasound for the treatment of calcifying tendinitis of the shoulder: a randomized control trial. Arch Phys Med Rehabil. 1997; 78(4):379-84.

6. Santos JS, Marinho RBDM, Araújo AR, Chaves MEA, Nascimento MP, Pereira AM. O ultrassom é efetivo no tratamento da tendinite calcárea do ombro? Fisioter. Mov. 2012; 25(1):207-17.

7. Kachewar SG, Kulkarni DS. Calcific tendinitis of the rotator cuff. J Clin Diag Res. 2013; 7(7):1482-5.

8. Rompe JD, Zoellner J, Nafe B. Shock wave therapy versus conventional surgery in the treatment of calcifying tendinitis of the shoulder. Clin Orthop Relat Res. 2001; 387(1):72-82.

9. Wageck JPZ, Fernandez JS, Bender FL, Gervini FM. Tendinite calcárea do ombro. Acta Med (Porto Alegre). 2007; 28:270-9.

10. Khan J. Acetic acid iontophoresis for calcium deposits: suggestion from the field. Phys Ther. 1977; 57 (5):658-9.

11. Toro JR, Monje MR, Puentes EC, Rebollo AG, Sánchez EB. Tratamiento de la tendinitis calcificante del hombro mediante iontoforesis con ácido acético y ultrasonidos. Rehabil. (Madr). 2001; 35(3):166-70.

12. 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(10):1523-7.

13. Henriques M, Henriques R. Acetic acid iontophoresis in the treatment of calcifying tendinitis of the shoulder. Rev Soc Port Med Fís Reabil. 2014; 25(1):38-43.

14. Martins J, Napoles BV, Hoffman CB, Oliveira AS. versão brasileira do Shoulder Pain and Disability Index: tradução, adaptação cultural e confiabilidade. Ver Bras Fisioter. 2010; 14(6):527-36.

15. Gosling AA, Laucas BP. Abordagem fisioterapêutica da tendinite calcificante do músculo supra-espinhal: uma revisão da literatura [TCC de Fisioterapia]. Belo Horizonte (MG): Universidade Federal de Minas Gerais; 2009.

16. Jesus GS, Ferreira AS, Mendonça AC. Fonoforese x permeação cutânea. Fisioter Mov. 2006; 19(4):83-8.

17. Paliwal S, Mitragotri S. Ultrasound-induced cavitation: applications in drug and gene delivery. Expert Opin Drug Deliv, 2006; 3(6):713-26.

18. Wieder DL. Treatment of traumatic myositis ossificans with acetic acid iontophoresis. Phys Ther. 1992; 72(2):133–7.

5aa02ecc0e8825015677d85f mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections