Effect of TECAR (Transfer of Energy Capacitive and Resistive) Therapy on Chronic Supraspinatus Tendinitis

Обзор

This study aims to investigate the effect of TECAR therapy on pain, shoulder range of motion, functional disability, and handgrip strength in patients with grade II supraspinatus tendinitis.

Подробное описание

Tendinopathy occurs when pain arises in a tendon near its origin or insertion due to repetitive activities and reduced functional levels. It happens when the tendon does not properly heal. Thirty percent of tendinopathies related to musculoskeletal conditions are associated with shoulder pain, and supraspinatus tendinitis is the third most prevalent problem.

The supraspinatus tendon, part of the rotator cuff of the shoulder joint, is particularly affected. Aging is also a common factor leading to supraspinatus tendon injuries. The primary function of the supraspinatus muscle is shoulder abduction, particularly during movements that elevate the arm overhead. During these motions, the supraspinatus tendon repeatedly passes beneath the acromion process of the scapula, which can result in impingement and subsequent inflammation. An unexpected force or trauma may cause a partial or complete tendon rupture if this condition progresses.

Transfer of Energy Capacitive and Resistive (TECAR) offers a unique variety of treatments for chronic and acute pathologies, with contraindications such as pregnancy, pacemakers, and sensitivity to high temperatures. It should be noted that this new technology is a valuable tool in treating various pathologies, particularly when compared with other therapies in terms of the presence and/or absence of specific positive effects. TECAR also has distinct characteristics that are effective even when other treatments fail. This therapy balances the therapist's manual skills and the specialized energy that this technology offers, resulting in increasingly satisfactory outcomes for therapists and patients.

Вмешательства

• Другое Conventional treatment
  All patients in both groups will receive conventional treatment, 3 sessions per week for 3 weeks. The conventional methods for treating supraspinatus tendinitis include shoulder swings, painless range of motion (ROM) exercises, shoulder joint active-assisted exercises, resistance exercises to improve muscle strength, and pain-reducing physiotherapy modalities like ultrasound.
• Устройство TECAR (Transfer of Energy Capacitive and Resistive) Therapy
  Patients in the experimental group only will receive TECAR therapy, 3 sessions per week for 3 weeks. The treatment will start with an automatic capacitive energy transfer for 10 minutes. Next, the capacitive plaque will be replaced by the resistive electrode, and the neutral electrode will be fixed

Первичные конечные точки

• Assessment of Pain Intensity of Shoulder Joint by Numerical Rating Scale (NRS) [Срок оценки: 3 weeks]

Вторичные конечные точки (4)

• Assessment of Shoulder abduction range of motion [Срок оценки: 3 weeks]
• Assessment of Shoulder External Rotation range of motion [Срок оценки: 3 weeks]
• Assessment of Handgrip strength by handheld dynamometer [Срок оценки: 3 weeks]
• Assessment of Functional disability by QuickDASH Scale (Arabic Version) [Срок оценки: 3 weeks]

Критерии участия

Критерии включения

• Supraspinatus Tendinitis grade II based on Neer's classification, confirmed by special tests, signs, and symptoms of grade I and II Supraspinatus Tendinitis for the past month, and taking non-steroidal anti-inflammatory drugs as suggested by the physician.
• All patients will have a body mass index between 18.5 and 29.9 kg/m².

Критерии исключения

• Other grades of Supraspinatus Tendinitis.
• Any past shoulder surgical interventions.
• Instability of the shoulder joint due to other reasons, Acromioclavicular Joint Arthritis.
• Non-cooperative subjects.
• Diabetes
• Pregnant or lactating women.
• Serious neuromuscular or cardiovascular diseases.
• Systemic illness and severe COVID-19 cases will be excluded from this study.
• Pacemakers
• Heat Sensitivity
• Metal Implants

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• CAN Center outpatient clinic — Cairo

Идентификаторы

NCT: NCT07316712 · P.T.REC/012/005900

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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