Phonophoresis with 2% lidocaine and kinesitherapy as a treatment for subacromiodeltoid bursitis
Keywords:
Bursitis, Phonophoresis, Physical Therapy, Shoulder Pain, Ultrasound Therapy, Functional RecoveryAbstract
Introduction: subacromiodeltoid bursitis is a common cause of shoulder pain and disability, significantly impacting patients' functionality and quality of life. The search for effective treatments that combine modalities for pain control and functional recovery is essential in rehabilitation.
Objective: to determine the efficacy of phonophoresis with 2% lidocaine combined with physical therapy in the treatment of subacromiodeltoid bursitis.
Methods: A quasi-experimental, longitudinal, and analytical study was conducted in 72 patients. The intervention consisted of 15 sessions of pulsed therapeutic ultrasound (3 MHz, 0.6 W/cm², 10 min) applied as phonophoresis with 2 % lidocaine, combined with a kinesitherapy program that included isometric exercises, Codman pendulum exercises, active mobilizations, and pulley exercises. Pain intensity was assessed using the Likert test, and joint range of motion was assessed using goniometry at the beginning and end of treatment.
Results: the majority of patients were male (63,9 %) and in the 40-49 age group (38,9 %). Traumatic causes predominated (86,1 %). After treatment, a highly significant improvement (p < 0.01) was observed in pain intensity and joint mobility 72,2 % of patients achieved a final evaluation of excellent or good.
Conclusion: the combination of phonophoresis with 2 % lidocaine and physical therapy proved to be an effective intervention for relieving pain and improving function in patients with acute or subacute subacromiodeltoid bursitis.
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