Anesthesiology and Pain Medicine

Published by: Kowsar

Comparative Study of Pain Relief in Two Non-Pharmacological Treatments in Patients with Partial Rotator Cuff Tears: A Randomized Trial

Sotiria Vrouva 1 , 2 , Chrysanthi Batistaki 1 , * , Efterpi Paraskevaidou 2 , Konstantinos Chanopoulos 3 , Dimitrios Kostopoulos 4 , Efthimios Stamoulis 5 and Georgia Kostopanagiotou 1
Authors Information
1 Second Department of Anesthesiology, School of Medicine, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, Greece
2 Department of Physical Therapy, 401 Army General Hospital of Athens, Athens, Greece
3 Computational of Mathematics and Decision Making, 401 Army General Hospital of Athens, Athens, Greece
4 First Department of Orthopedics, 401 Army General Hospital of Athens, Athens, Greece
5 Department of Radiology, 401 Army General Hospital of Athens, Athens, Greece
Article information
  • Anesthesiology and Pain Medicine: 9 (2); e88327
  • Published Online: April 10, 2019
  • Article Type: Research Article
  • Received: December 27, 2018
  • Revised: March 7, 2019
  • Accepted: March 10, 2019
  • DOI: 10.5812/aapm.88327

To Cite: Vrouva S, Batistaki C, Paraskevaidou E, Chanopoulos K, Kostopoulos D, et al. Comparative Study of Pain Relief in Two Non-Pharmacological Treatments in Patients with Partial Rotator Cuff Tears: A Randomized Trial, Anesth Pain Med. Online ahead of Print ; 9(2):e88327. doi: 10.5812/aapm.88327.

Copyright © 2019, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Page MJ, Green S, Mrocki MA, Surace SJ, Deitch J, McBain B, et al. Electrotherapy modalities for rotator cuff disease. Cochrane Database Syst Rev. 2016;(6). CD012225. doi: 10.1002/14651858.CD012225. [PubMed: 27283591].
  • 2. Itoi E. Rotator cuff tear: Physical examination and conservative treatment. J Orthop Sci. 2013;18(2):197-204. doi: 10.1007/s00776-012-0345-2. [PubMed: 23306597]. [PubMed Central: PMC3607722].
  • 3. Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain (review). Cochrane Lib. 2007;(4).
  • 4. Ryosa A, Laimi K, Aarimaa V, Lehtimaki K, Kukkonen J, Saltychev M. Surgery or conservative treatment for rotator cuff tear: A meta-analysis. Disabil Rehabil. 2017;39(14):1357-63. doi: 10.1080/09638288.2016.1198431. [PubMed: 27385156].
  • 5. Varela E, Valero R, Kucukdeveci AA, Oral A, Ilieva E, Berteanu M, et al. Shoulder pain management. The role of physical and rehabilitation medicine physicians. The European perspective based on the best evidence. A paper by the UEMS-PRM Section Professional Practice Committee. Eur J Phys Rehabil Med. 2013;49(5):743-51. [PubMed: 24145232].
  • 6. Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev. 2003;(2). CD004258. doi: 10.1002/14651858.CD004258. [PubMed: 12804509].
  • 7. Bialoszewski D, Zaborowski G. Usefulness of manual therapy in the rehabilitation of patients with chronic rotator cuff injuries. Preliminary report. Ortop Traumatol Rehabil. 2011;13(1):9-20. [PubMed: 21393644].
  • 8. Ellman H. Diagnosis and treatment of incomplete rotator cuff tears. Clin Orthop Relat Res. 1990;(254):64-74. [PubMed: 2182260].
  • 9. Vrouva S, Batistaki C, Koutsioumpa E, Kostopoulos D, Stamoulis E, Kostopanagiotou G. The Greek version of Shoulder pain and disability index (SPADI): Translation, cultural adaptation, and validation in patients with rotator cuff tear. J Orthop Traumatol. 2016;17(4):315-26. doi: 10.1007/s10195-016-0425-8. [PubMed: 27623841]. [PubMed Central: PMC5071243].
  • 10. Breckenridge JD, McAuley JH. Shoulder pain and disability index (SPADI). J Physiother. 2011;57(3):197. doi: 10.1016/S1836-9553(11)70045-5. [PubMed: 21843839].
  • 11. Yfantopoulos J. Measuring quality of life and the European health model. Arch Hell Med. 2007;24(supl 1):6-18.
  • 12. Eyigor C, Eyigor S, Kivilcim Korkmaz O. Are intra-articular corticosteroid injections better than conventional TENS in treatment of rotator cuff tendinitis in the short run? A randomized study. Eur J Phys Rehabil Med. 2010;46(3):315-24. [PubMed: 20926997].
  • 13. Santos CM, Francischi JN, Lima-Paiva P, Sluka KA, Resende MA. Effect of transcutaneous electrical stimulation on nociception and edema induced by peripheral serotonin. Int J Neurosci. 2013;123(7):507-15. doi: 10.3109/00207454.2013.768244. [PubMed: 23336713].
  • 14. Edwards P, Ebert J, Joss B, Bhabra G, Ackland T, Wang A. Exercise rehabilitation in the non-operative management of rotator cuff tears: A review of the literature. Int J Sports Phys Ther. 2016;11(2):279-301. [PubMed: 27104061]. [PubMed Central: PMC4827371].
  • 15. Rached RA, Rampim DB, Yamauti RH, Azeka MS, Santos RM, Guidolin B. Rotator cuff syndrome: Rehabilitation. Acta Fisiatr. 2013;20(2):96-105.
  • 16. Galanis P. Number of randomized clinical trials. Appl Med Res Arch Hellenic Med. 2009;26(4):544-57.
  • 17. Fleiss JL. Statistical methods for rates and proportions. 2nd ed. New York: Wiley; 1981.
  • 18. David C. Fundamental statistics for the behavioral sciences. Howell: Duxbury Press; 1985.
  • 19. Mordkoff JT. The assumption(s) of normality. 2016.
  • 20. van der Heijden GJ. Shoulder disorders: A state-of-the-art review. Baillieres Best Pract Res Clin Rheumatol. 1999;13(2):287-309. doi: 10.1053/berh.1999.0021. [PubMed: 10952865].
  • 21. Lech O, Valenzuela Neto C, Severo A. Conservative treatment of partial and complete tears of the rotator cuff. Acta Ortop Bras. 2000;8(3):144-56. doi: 10.1590/s1413-78522000000300008.
  • 22. Angst F, Schwyzer HK, Aeschlimann A, Simmen BR, Goldhahn J. Measures of adult shoulder function: Disabilities of the arm, shoulder, and hand questionnaire (DASH) and its short version (QuickDASH), shoulder pain and disability index (SPADI), American Shoulder and Elbow Surgeons (ASES) Society standardized shoulder assessment form, constant (Murley) score (CS), simple shoulder test (SST), Oxford shoulder score (OSS), shoulder disability questionnaire (SDQ), and Western ontario shoulder instability index (WOSI). Arthritis Care Res (Hoboken). 2011;63 Suppl 11:S174-88. doi: 10.1002/acr.20630. [PubMed: 22588743].
  • 23. Steuri R, Sattelmayer M, Elsig S, Kolly C, Tal A, Taeymans J, et al. Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: A systematic review and meta-analysis of RCTs. Br J Sports Med. 2017;51(18):1340-7. doi: 10.1136/bjsports-2016-096515. [PubMed: 28630217]. [PubMed Central: PMC5574390].
  • 24. Hawk C, Minkalis AL, Khorsan R, Daniels CJ, Homack D, Gliedt JA, et al. Systematic review of nondrug, nonsurgical treatment of shoulder conditions. J Manipulative Physiol Ther. 2017;40(5):293-319. doi: 10.1016/j.jmpt.2017.04.001. [PubMed: 28554433].
  • 25. DeSantana JM, Walsh DM, Vance C, Rakel BA, Sluka KA. Effectiveness of transcutaneous electrical nerve stimulation for treatment of hyperalgesia and pain. Curr Rheumatol Rep. 2008;10(6):492-9. [PubMed: 19007541]. [PubMed Central: PMC2746624].
  • 26. Desmeules F, Boudreault J, Roy JS, Dionne CE, Fremont P, MacDermid JC. Efficacy of transcutaneous electrical nerve stimulation for rotator cuff tendinopathy: A systematic review. Physiotherapy. 2016;102(1):41-9. doi: 10.1016/ [PubMed: 26619821].
  • 27. Curtis D, Fallows S, Morris M, McMakin C. The efficacy of frequency specific microcurrent therapy on delayed onset muscle soreness. J Bodyw Mov Ther. 2010;14(3):272-9. doi: 10.1016/j.jbmt.2010.01.009. [PubMed: 20538225].
  • 28. Kwon DR, Kim J, Kim Y, An S, Kwak J, Lee S, et al. Short-term microcurrent electrical neuromuscular stimulation to improve muscle function in the elderly: A randomized, double-blinded, sham-controlled clinical trial. Medicine (Baltimore). 2017;96(26). e7407. doi: 10.1097/MD.0000000000007407. [PubMed: 28658177]. [PubMed Central: PMC5500099].
  • 29. Ainsworth R, Lewis JS. Exercise therapy for the conservative management of full thickness tears of the rotator cuff: A systematic review. Br J Sports Med. 2007;41(4):200-10. doi: 10.1136/bjsm.2006.032524. [PubMed: 17264144]. [PubMed Central: PMC2658945].
  • 30. Pegreffi F, Paladini P, Campi F, Porcellini G. Conservative management of rotator cuff tear. Sports Med Arthrosc Rev. 2011;19(4):348-53. doi: 10.1097/JSA.0b013e3182148dc6. [PubMed: 22089284].
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments