Abstract 4

The Journal of Orthopedic and Sports Physical Therapy, 4:52-54, 1982.

A Comparative Study of Three Methods of Treatment for Shoulder Girdle Myofascial Syndrome

Fred G. Delacerda, Ph.D., P.T.
Human Performance Laboratory
Oklahoma State University
Stillwater, Oklahoma

In order to determine the most effective method of treatment for a work-induced shoulder problem diagnosed as shoulder girdle myofascial syndrome, a comparative study of three different treatment procedures was conducted. The treatment procedures were as follows. 1) treatment with muscle relaxant and analgesic medication; 2) treatment with hydrocollator/ ultrasound modalities; and 3) treatment with medication administered by iontophoresis. Results of the study indicated iontophoresis to be the most effective treatment.

?The average degree of pain-free abduction increased with each successive day of treatment for the three procedures. However, those subjects receiving medication had the least increase, whereas those receiving iontophoresis had the greatest increase. By day 10 three subjects on medication were still experiencing shoulder pain. Two subjects receiving hydrocollator pad/ ultrasound treatment were experiencing pain on day 10; however, by day 9 no subject receiving inotophoresis had any pain symptom.

?The results indicated that administrating dexamthasone sodium phosphate and lidocaine hydrochloride with ionphoresis directly to the trigger area was the most effective method of treatment. Treatment with antipasmodic and analgesic medication was the least effective method.

?Each of the three treatment procedures used are effective for treatment of muscle spasm. The improvement of all subjects regardless of treatment procedure supports this fact. However, iontophoresis concentrated the medication directly into the problem area resulting in a more rapid resolution of the muscle problem.
Live Chat Software