COMPARISON OF THERAPEUTIC EFFICACY BETWEEN RADIAL EXTRACORPOREAL SHOCKWAVE THERAPY AND SHORTWAVE DIATHERMY ON FROZEN SHOULDER STAGE 2 PATIENT: A RANDOMIZED CONTROLLED TRIAL

Abstract

Frozen shoulder is condition associated with pain and limitation of movement of the shoulder joint, which affects the daily life of the patient. The duration of the disease is not less than 1 month. At present, many patients came to receive treatment for frozen shoulder joint in physical therapy at Panyananthaphikkhu Chonprathan medical Center, Srinakharinwirot University. The treatment period from the first admission to the discharge of the patient is not less than 1month. It was found at the problem of patient waiting in queues for treatment take so long. Therefore, there is interest in using Radial Extracorporeal shockwave therapy in the treatment of patients with frozen shoulder, whether it can reduce pain and increase the range of motion or treatment using Shortwave Diathermy. The objectives of this research were to compare the decreased pain scale and increased range of motion of glenohumeral during Radial Extracorporeal shockwave therapy and Shortwave Diathermy in patients with frozen shoulder. The methods of this study were forty-two patients diagnosed with stage 2 frozen shoulder were randomized into 2 groups of 21 patients each with bending treatment pulled the shoulder joint and was taught how to exercise for the specific disease by themselves once a week. Pulling the shoulder join 5 times a week and being taught how to do specific exercises by themselves. One time/week both group were assessed the pain scale using visual analog scale and the range of motion of glenohumeral using a universal goniometer once a week for 5 weeks. The result was found that the Radial Extracorporeal shockwave therapy treatment group had a greater range of motion in the direction of outstretched arms. There was statistically significant increase of (p < 0.05). The level of pain sensation in the shoulder joint decreased but there was no statistically significant difference. It increase the range of motion of glenohumeral in all directions and the range of motion in the arm position better than using Shortwave Diathermy.