DIABETES-INDUCED ADHESIVE CAPSULITIS: THE ROLE OF RADIAL EXTRACORPOREAL SHOCK WAVE THERAPY ON THE SHOULDER MUSCLES MECHANICAL PROPERTIES
- Tülay Çevik saldıran, Turkey
- Tülay Çevik saldıran, Turkey
- Ahmet C. Akgöl, Turkey
- Pelin Yazgan, Turkey
- Fatma Karantay mutluay, Turkey
Abstract
Background and Aims
The study aimed to determine the changes in the shoulder muscle mechanical properties in patients with diabetes-induced adhesive capsulitis when the different dose of Radial Extracorporeal Shock Wave Therapies (rESWT) applied.
Methods
The randomized clinical trial conducted at Okan University Research Hospital (Istanbul). Participants were≥ 45years (mean 53.49±5.81 years), had T2D for≥3 years (mean duration 9.92±5.70 years), and had HbA1c≤9.0% (mean 7.38±0.76%); were being treated with inadequately basal insulin (20.5%) and oral antidiabetic drugs (79.5%) were enrolled. The rESWT was applied with Enraf Nonius Endoplus device with a 25mm applicator, at 8Hz, and with 2000 beats. The participants were randomly assigned to three groups as follows: high dose rESWT (n=13), moderate dose rESWT (n=13) or placebo rESWT group (n=13). The primary outcome was biceps brachialis, infraspinatus, deltoideus, trapezius upper muscle properties evaluations with calibrated,MyotonPro device for over the 4th, and 6th week of the trial. Analyses were performed according to intention to treat.
Results
In the hrESWT group biceps brachialis, infraspinatus muscles tone and stiffness decreased together and the trapezius upper only has reduced tone at 4th week (p˂0.05). Only biceps brachialis muscle tone decreased (mean change:1.38±0.38, p˂0.001) in hrESWT group at the 6th week. In the mrESWT group, the tone of the deltoideus muscle decreased and biceps brachialis and deltoideus muscle stiffness decreased in the sixth week (p˂0.001).
Conclusions
In the diabetes-induced adhesive capsulitis the rESWT seems like an effective treatment intervention because of reduces the tone of the muscles around the shoulder joint and causes increased muscle compliance.