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Intramuscular electrical stimulation combined with therapeutic exercises in patients with shoulder adhesive capsulitis: a randomised controlled trial

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Shanmugam, S, Mathias, L, Manickaraj, N, Kumar, KUD, Kandakurti, PK, Dorairaj, SK and Muthukrishnan, R 2021 , 'Intramuscular electrical stimulation combined with therapeutic exercises in patients with shoulder adhesive capsulitis: a randomised controlled trial' , International Journal of Surgery Protocols, vol. 25, no. 1 , pp. 71-83 , doi: 10.29337/ijsp.25.

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Abstract

Background: Myofascial trigger points (MTrPs) precipitate the shoulder pain severity and disability in patients with shoulder adhesive capsulitis (SAC). This study aims to compare the effectiveness of intramuscular electrical stimulation (IMES) combined with therapeutic exercises versus dry needling (DN) combined with therapeutic exercises in improving the clinical outcomes in patients with SAC.Methods and Materials: In this randomized controlled trial, IMES (n = 45) and DN (43) groups had received respectively IMES, and DN twice weekly for three consecutive weeks. Both groups received therapeutic exercises 15–20 minutes, five days in a week during the second and third week. Pain, disability, kinesiophobia, number of active and latent MTrPs, shoulder abduction and external rotation range of motion were assessed at baseline, week-1, week-2, week-3 and follow-up at 3 months. A repeated measures ANOVA performed to find out the significant differences in the clinical outcomes between the groups.Results: The results of repeated measures of ANOVA shows that the post intervention timelines assessment scores of VAS, DASH, shoulder abduction and external rotation ROM, number of active and latent MTrPs and kinesiophobia were significantly (p. Conclusion: IMES combined with therapeutic exercises is an effective treatment to reduce the shoulder pain severity and upper limb disability by deactivating the active and latent MTrPs and improving the shoulder abduction and external rotation range of motion in patients with SAC.

Item Type: Article
Authors/Creators:Shanmugam, S and Mathias, L and Manickaraj, N and Kumar, KUD and Kandakurti, PK and Dorairaj, SK and Muthukrishnan, R
Keywords: dry needling, electrical stimulation. myofascial pain, shoulder exercises, trigger points, adhesive capsulitis, frozen shoulder, shoulder pain
Journal or Publication Title: International Journal of Surgery Protocols
Publisher: Elsevier Ltd.
ISSN: 2468-3574
DOI / ID Number: 10.29337/ijsp.25
Copyright Information:

© 2021 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.

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