Effect of Transfer Energy Capacitive and Resistive Therapy on Shoulder Pain, Disability, and Passive Range of Motion in Patients With Shoulder Adhesive Capsulitis: A Preliminary Randomized Trial

Journal of chiropractic medicine Pub Date : 2025-01-01 Epub Date: 2025-10-14 DOI:10.1016/j.jcm.2025.09.015
Maryam Raeisi MSc , Hosein Kouhzad Mohammadi PhD , Mojtaba Heshmatipour MSc , Mohammad Javad Tarrahi PhD , Navid Taheri PhD
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Abstract

Objective

This study evaluated the effects of transfer energy capacitive and resistive (TECAR) therapy on primary shoulder adhesive capsulitis by assessing the Shoulder Pain and Disability Index (SPADI) and shoulder passive range of flexion, abduction, and external rotation.

Methods

Thirty subjects with shoulder adhesive capsulitis, having a minimum 3 months history of shoulder pain, aged 41 to 72 years, were randomized to receive either physiotherapy (PT) or PT plus TECAR therapy (TT). Both groups received 8 sessions of PT treatment, including modalities and exercises, and the TT group received an additional 10 minutes of TECAR treatment in the resistive mode. SPADI and shoulder passive range of motion were evaluated before treatment, 1 day after the 8th session, and after 1 month.

Results

Significant changes in all variables were observed in both groups (P < .001), except the passive external rotation range and disability subscale of SPADI, which were significant only in the TT group. Changes in all variables (except the disability subscale of SPADI and total SPADI scores) did not have any relationship with the membership of patients in the groups, means there was no interaction between time and type of intervention. There were no significant between-group differences (P > .05).

Conclusion

In this preliminary study, TT and PT treatment both showed improvements in shoulder passive ROM, pain, and disability. There were no significant differences between the groups.
转移能量、电容性和抵抗性治疗对肩粘连性囊炎患者肩关节疼痛、残疾和被动活动度的影响:一项初步随机试验
目的通过评估肩关节疼痛和失能指数(SPADI)以及肩关节屈曲、外展和外旋的被动活动范围,评价转移能量-电容性和电阻性(TECAR)治疗原发性肩关节粘连性囊炎的效果。方法30例肩粘连性囊炎患者,年龄41 ~ 72岁,至少有3个月的肩痛病史,随机分为物理治疗组(PT)和PT + TECAR治疗组(TT)。两组均接受8次PT治疗,包括模式和运动,TT组在抵抗模式下接受额外10分钟的TECAR治疗。治疗前、第8期后1天和1个月后分别评估SPADI和肩部被动活动度。结果两组患者除被动外旋范围和SPADI失能分量表仅在TT组有显著性变化外,其他变量均有显著性变化(P < .001)。所有变量的变化(除了SPADI的残疾分量表和SPADI总得分)与组中患者的成员关系没有任何关系,这意味着时间和干预类型之间没有相互作用。组间差异无统计学意义(P > 0.05)。在这项初步研究中,TT和PT治疗均能改善肩部被动ROM、疼痛和残疾。两组之间没有显著差异。
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CiteScore
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