THE EFFECTIVENESS OF PIROXICAM PHONOPHORESIS FOR TREATMENT OF STAGE II ROTATOR CUFF INJURIES
Arzu GENÇ, Ayşe ÖZCAN, Nihal GELECEK
Dokuz Eylül Üniversitesi Fizik Tedavi ve Rehabilitasyon Yüksekokulu
Keywords: Rotator Cuff Injuries, Rehabilitation, Phonophoresis.
Purpose: This study was aimed to determine the effectiveness of piroxicam phonophoresıs combined with exercises for treatment of stage II rotator cuff injuries. Material and
Methods: Between February 1995 and September 2000, 68 patients who had stage II rotator cuff injury were included in this study. All patients received rehabilitation programme of rotator cuff stretching, and proprioceptive exercises and piroxicam phonophoresis. Age, gender, causes of injury, and hand dominancy were recorded. Range of motion (ROM), Constant Score, pain severity, and muscle strength of the shoulders were evaluated before and after treatment. Average treatment session was 20.35±8.95 and average follow up was 2.82±9.51 months.
Results: The statistical analysis indicated that posttreatment values of shoulder ROM, Constant Score, and rotator cuff muscles strength were significantly higher than pre-treatment values (p<0.05). Posttreatment pain severity was significantly lower than pre-treatment score (p<0.05).
Discussion: We conclude that piroxicam phonophoresis is an effective method for the treatment of stage II rotator cuff injuries with well designed and individualized exercise prescriptions.