Evaluation of the effectiveness of dexamethasone iontophoresis in patients with subacromial impingement syndrome

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dc.authorscopusid57202356529
dc.authorscopusid57136424500
dc.contributor.authorEker Büyükşireci, Dilek
dc.contributor.authorÇağlıyan Türk, Ayla
dc.date.accessioned2021-11-01T14:51:33Z
dc.date.available2021-11-01T14:51:33Z
dc.date.issued2021
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractBackground: Subacromial impingement syndrome is the most common shoulder disease in individuals. There is no study evaluating the effectiveness of steroid iontophoresis in subacromial impingement syndrome. We aimed to assess the effectiveness of dexamethasone iontophoresis as treatment for impingement syndrome with respect to pain and function. Methods: Forty-six patients with subacromial impingement syndrome were recruited to the study and divided randomly into two groups (21 patients in iontophoresis group and 25 patients in control group). Demographic, clinical features and MRI findings of patients were recorded. Detailed physical examination of all patients were performed and Numerical rating scale (NRS) during rest and exercise, The Disabilities of the Arm, Shoulder and Hand (DASH) scores were recorded at baseline, week 2 and week 6. Both group received physiotherapy program for ten days. Additionally the patients in iontophoresis group recieved dexamethasone iontophoresis (1 mg dexamethasone per 1 g administered under the active electrode) with an intensity of 0.1–0.2 mA/cm2 galvanic current for ten days. Results: No significant difference was observed between the groups in terms of gender, job status, MRI findings, painful shoulder and pain duration. Baseline range of motion, Neer, Hawkins, Yocum and painful arc tests, numerical rating scale (NRS) and DASH scores were similar between groups. A significant improvement was found in terms of the NRS (resting and exercise) and DASH scores at week 2 and week 6 in both group (p < 0.001). A significant difference was found in terms of improvement NRS (resting) and DASH scores between baseline and week 6 in iontophoresis group (p = 0.007, p = 0.011 respectively). Conclusions: Adding dexamethasone iontophoresis to physiotherapy for patients with subacromial impingement syndrome seems to provide a better clinical and functional improvement. © 2020 The Japanese Orthopaedic Association
dc.description.sponsorshipThe authors declare that they have no competing interests.en_US
dc.identifier.citationBuyuksireci, D. E., & Turk, A. C. (2021). Evaluation of the effectiveness of dexamethasone iontophoresis in patients with subacromial impingement syndrome. Journal of Orthopaedic Science, 26(5), 786-791.
dc.identifier.doi10.1016/j.jos.2020.09.007
dc.identifier.endpage791en_US
dc.identifier.issn0949-2658
dc.identifier.issue5en_US
dc.identifier.pmid33127212
dc.identifier.scopus2-s2.0-85094599555
dc.identifier.scopusqualityQ2
dc.identifier.startpage786en_US
dc.identifier.urihttps://doi.org/10.1016/j.jos.2020.09.007
dc.identifier.urihttps://hdl.handle.net/11491/6174
dc.identifier.volume26en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorEker Büyükşireci, Dilek
dc.institutionauthorÇağlıyan Türk, Ayla
dc.language.isoen
dc.publisherElsevier B.V.
dc.relation.ispartofJournal of Orthopaedic Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.titleEvaluation of the effectiveness of dexamethasone iontophoresis in patients with subacromial impingement syndrome
dc.typeArticle

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