Effect of Extracorporeal Shock Wave Therapy in Conjunction with Kinetic Chain Based Exercises on Pain, Kinesiophobia, and Functional Outcome in Chronic Subacromial Pain Syndrome Participants -A Case Series

Background and Objectives: Chronic Subacromial Pain Syndrome (CSAPS) is a common condition characterized by persistent shoulder pain and functional limitations. Despite existing non-operative treatments, patients often experience chronic pain, fear of movement (kinesiophobia) and impact shoulder...

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Main Authors: R., Kamalakannan, P., Madhuripu, Bhavika, Gohel, Vinosh Kumar, Purushothaman, HemaShangkari, Poobalan, Priyashini, Batu Malai
Format: Article
Language:English
Published: INTI International University 2024
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Online Access:http://eprints.intimal.edu.my/1987/1/525
http://eprints.intimal.edu.my/1987/
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spelling my-inti-eprints.19872024-08-19T08:26:02Z http://eprints.intimal.edu.my/1987/ Effect of Extracorporeal Shock Wave Therapy in Conjunction with Kinetic Chain Based Exercises on Pain, Kinesiophobia, and Functional Outcome in Chronic Subacromial Pain Syndrome Participants -A Case Series R., Kamalakannan P., Madhuripu Bhavika, Gohel Vinosh Kumar, Purushothaman HemaShangkari, Poobalan Priyashini, Batu Malai Q Science (General) QP Physiology R Medicine (General) RC1200 Sports Medicine Background and Objectives: Chronic Subacromial Pain Syndrome (CSAPS) is a common condition characterized by persistent shoulder pain and functional limitations. Despite existing non-operative treatments, patients often experience chronic pain, fear of movement (kinesiophobia) and impact shoulder function. The primary objective of this study is to evaluate the effects of extracorporeal shock wave therapy in conjunction with kinetic chain-based exercises on pain, kinesiophobia, and shoulder functional outcomes in individuals with CSAPS. Methodology: This case series included ten participants with unilateral shoulder pain lasting at least three months. Participants received extracorporeal shock wave therapy biweekly for six weeks alongside a structured kinetic chain exercise program. Outcome measures included the Numeric Pain Rating Scale for pain, the Tampa Scale for fear of movement, and the Shoulder Pain and Disability Index for functional assessment. Pre- and post-intervention data were analyzed using paired t-tests to determine statistical significance. Results and Discussion: Statistically significant improvements (p<0.05) were observed after the intervention. The average NPRS score reduced from 7.5±0.84 to 1.90±0.99, showing a significant reduction in pain. The SPADI scores exhibited a significant improvement, decreasing from 66.79±9.48 to 51.90±8.90, indicating a reduction in both shoulder pain and disability. The TSK scores decreased from 48.10±3.03 to 37.60±4.47, indicating a decrease in kinesiophobia. Conclusion: The combination of ESWT and kinetic chain exercises resulted in significant enhancements in pain reduction, reduction in fear of movement, and improvement in shoulder function. This demonstrates the potential effectiveness of this integrated strategy in controlling CSAPS. INTI International University 2024-08 Article PeerReviewed text en cc_by_4 http://eprints.intimal.edu.my/1987/1/525 R., Kamalakannan and P., Madhuripu and Bhavika, Gohel and Vinosh Kumar, Purushothaman and HemaShangkari, Poobalan and Priyashini, Batu Malai (2024) Effect of Extracorporeal Shock Wave Therapy in Conjunction with Kinetic Chain Based Exercises on Pain, Kinesiophobia, and Functional Outcome in Chronic Subacromial Pain Syndrome Participants -A Case Series. INTI JOURNAL, 2024 (30). pp. 1-7. ISSN e2600-7320 https://intijournal.intimal.edu.my
institution INTI International University
building INTI Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider INTI International University
content_source INTI Institutional Repository
url_provider http://eprints.intimal.edu.my
language English
topic Q Science (General)
QP Physiology
R Medicine (General)
RC1200 Sports Medicine
spellingShingle Q Science (General)
QP Physiology
R Medicine (General)
RC1200 Sports Medicine
R., Kamalakannan
P., Madhuripu
Bhavika, Gohel
Vinosh Kumar, Purushothaman
HemaShangkari, Poobalan
Priyashini, Batu Malai
Effect of Extracorporeal Shock Wave Therapy in Conjunction with Kinetic Chain Based Exercises on Pain, Kinesiophobia, and Functional Outcome in Chronic Subacromial Pain Syndrome Participants -A Case Series
description Background and Objectives: Chronic Subacromial Pain Syndrome (CSAPS) is a common condition characterized by persistent shoulder pain and functional limitations. Despite existing non-operative treatments, patients often experience chronic pain, fear of movement (kinesiophobia) and impact shoulder function. The primary objective of this study is to evaluate the effects of extracorporeal shock wave therapy in conjunction with kinetic chain-based exercises on pain, kinesiophobia, and shoulder functional outcomes in individuals with CSAPS. Methodology: This case series included ten participants with unilateral shoulder pain lasting at least three months. Participants received extracorporeal shock wave therapy biweekly for six weeks alongside a structured kinetic chain exercise program. Outcome measures included the Numeric Pain Rating Scale for pain, the Tampa Scale for fear of movement, and the Shoulder Pain and Disability Index for functional assessment. Pre- and post-intervention data were analyzed using paired t-tests to determine statistical significance. Results and Discussion: Statistically significant improvements (p<0.05) were observed after the intervention. The average NPRS score reduced from 7.5±0.84 to 1.90±0.99, showing a significant reduction in pain. The SPADI scores exhibited a significant improvement, decreasing from 66.79±9.48 to 51.90±8.90, indicating a reduction in both shoulder pain and disability. The TSK scores decreased from 48.10±3.03 to 37.60±4.47, indicating a decrease in kinesiophobia. Conclusion: The combination of ESWT and kinetic chain exercises resulted in significant enhancements in pain reduction, reduction in fear of movement, and improvement in shoulder function. This demonstrates the potential effectiveness of this integrated strategy in controlling CSAPS.
format Article
author R., Kamalakannan
P., Madhuripu
Bhavika, Gohel
Vinosh Kumar, Purushothaman
HemaShangkari, Poobalan
Priyashini, Batu Malai
author_facet R., Kamalakannan
P., Madhuripu
Bhavika, Gohel
Vinosh Kumar, Purushothaman
HemaShangkari, Poobalan
Priyashini, Batu Malai
author_sort R., Kamalakannan
title Effect of Extracorporeal Shock Wave Therapy in Conjunction with Kinetic Chain Based Exercises on Pain, Kinesiophobia, and Functional Outcome in Chronic Subacromial Pain Syndrome Participants -A Case Series
title_short Effect of Extracorporeal Shock Wave Therapy in Conjunction with Kinetic Chain Based Exercises on Pain, Kinesiophobia, and Functional Outcome in Chronic Subacromial Pain Syndrome Participants -A Case Series
title_full Effect of Extracorporeal Shock Wave Therapy in Conjunction with Kinetic Chain Based Exercises on Pain, Kinesiophobia, and Functional Outcome in Chronic Subacromial Pain Syndrome Participants -A Case Series
title_fullStr Effect of Extracorporeal Shock Wave Therapy in Conjunction with Kinetic Chain Based Exercises on Pain, Kinesiophobia, and Functional Outcome in Chronic Subacromial Pain Syndrome Participants -A Case Series
title_full_unstemmed Effect of Extracorporeal Shock Wave Therapy in Conjunction with Kinetic Chain Based Exercises on Pain, Kinesiophobia, and Functional Outcome in Chronic Subacromial Pain Syndrome Participants -A Case Series
title_sort effect of extracorporeal shock wave therapy in conjunction with kinetic chain based exercises on pain, kinesiophobia, and functional outcome in chronic subacromial pain syndrome participants -a case series
publisher INTI International University
publishDate 2024
url http://eprints.intimal.edu.my/1987/1/525
http://eprints.intimal.edu.my/1987/
https://intijournal.intimal.edu.my
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score 13.211869