{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T19:24:01Z","timestamp":1791487441973,"version":"4.3.4"},"reference-count":43,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,4,13]],"date-time":"2017-04-13T00:00:00Z","timestamp":1492041600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective\nThe aim of this study was to assess and compare the effects of different electrotherapy methods and exercise therapy on pain, function and quality of life in shoulder impingement syndrome.\nMethods\nEighty-three patients (66 females, 17 males; mean age: 48.2 \u00b1 7.33 years) with shoulder impingement syndrome were selected and 79 of them were randomly allocated into four groups. Group 1 (n = 19, mean age: 47.89 \u00b1 7.12 years) was given hot pack and exercises, Group 2 (n = 20, mean age: 47.70 \u00b1 6.51 years) was given hot packs, exercises and interferential current, Group 3 (n = 20, mean age: 48.50 \u00b1 8.34 years) was given hot packs, exercises and TENS and Group 4 (n = 20, mean age: 48.55 \u00b1 7.89 years) was given hot packs, exercises and ultrasound three times a week for four weeks. Assessments were made before treatment, right after it and three months after that using the visual analog scale (VAS), Short Form-36 (SF-36) and the Disabilities of the Arm, Shoulder and Hand (DASH) outcome measures.\nResults\nAt the fourth week and third month assessments, all groups showed significant improvements in terms of pain, DASH and SF-36 physical component scores (p &lt; 0.05). In intragroup comparisons, a significant difference between pre- and post-treatment results was found only in SF-36 mental component scores of Group 2. No significant difference was observed between the groups in any stage of the study period (p &gt; 0.05).\nConclusion\nApplication of ultrasound, interferential current and TENS in addition to exercise therapy in shoulder impingement syndrome treatment had similar improvements in terms of pain, function and physical component of quality of life. However, interferential current treatment showed significantly better outcomes for the mental component of quality of life.\nLevel of evidence\nLevel I, Therapeutic study.\nER -<\/jats:p>","DOI":"10.1016\/j.aott.2018.03.005","type":"journal-article","created":{"date-parts":[[2018,4,25]],"date-time":"2018-04-25T00:06:03Z","timestamp":1524614763000},"page":"249-255","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":51,"title":["Comparison of different electrotherapy methods and exercise therapy in shoulder impingement syndrome: A prospective randomized controlled trial"],"prefix":"10.5152","volume":"52","author":[{"given":"Sevtap","family":"Gunay UCURUM","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derya","family":"Ozer KAYA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasemin","family":"KAYAL\u0130","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayhan","family":"ASK\u0130N","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Agah TEK\u0130NDAL","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"issue":"Suppl 1","key":"10.1016\/j.aott.2018.03.005_bib1","first-page":"27","article-title":"Subacromial impingement syndrome: pathogenesis, clinical features, and examination methods","volume":"37","author":"Akman","year":"2003","journal-title":"Acta Orthop Traumatol Turc"},{"issue":"1","key":"10.1016\/j.aott.2018.03.005_bib2","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1123\/jsr.22.1.72","article-title":"Effectiveness of low-level laser therapy combined with an exercise program to reduce pain and increase function in adults with shoulder pain: a critically appraised topic","volume":"22","author":"Thornton","year":"2013","journal-title":"J Sport Rehabil"},{"issue":"1","key":"10.1016\/j.aott.2018.03.005_bib3","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.jelekin.2012.09.007","article-title":"EMG biofeedback effectiveness to alter muscle activity pattern and scapular Kinematics in subjects with and without shoulder impingement","volume":"23","author":"Huang","year":"2013","journal-title":"J Electromyogr Kinesiol"},{"issue":"45","key":"10.1016\/j.aott.2018.03.005_bib4","first-page":"1","article-title":"The impact of Subacromial Impingement Syndrome on muscle activity patterns of the shoulder complex: a systematic review of electromyographic studies","volume":"11","author":"Chester","year":"2010","journal-title":"BMC Musculoskelet Disord"},{"issue":"Suppl 1","key":"10.1016\/j.aott.2018.03.005_bib5","first-page":"112","article-title":"Conservative treatment of subacromial impingement syndrome","volume":"37","author":"Cakmak","year":"2003","journal-title":"Acta Orthop Traumatol Turc"},{"issue":"5","key":"10.1016\/j.aott.2018.03.005_bib6","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1590\/bjpt-rbf.2014.0109","article-title":"Prevention of shoulder injuries in overhead athletes: a science-based approach","volume":"19","author":"Cools","year":"2015","journal-title":"Braz J Phys Ther"},{"issue":"2","key":"10.1016\/j.aott.2018.03.005_bib7","doi-asserted-by":"crossref","first-page":"79","DOI":"10.3944\/AOTT.2011.2425","article-title":"The relationship of muscle strength and pain in subacromial impingement syndrome","volume":"45","author":"Celik","year":"2011","journal-title":"Acta Orthop Traumatol Turc"},{"issue":"2","key":"10.1016\/j.aott.2018.03.005_bib8","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/S0030-5898(05)70148-6","article-title":"Shoulder impingement","volume":"31","author":"Morrison","year":"2000","journal-title":"Orthop Clin North Am"},{"key":"10.1016\/j.aott.2018.03.005_bib9","series-title":"Omuz Yaralanmalar\u0131nda Rehabilitasyon","article-title":"Subakromial S\u0131k\u0131\u015fma Sendromu Konservatif Tedavi","author":"Aytar","year":"2015"},{"issue":"3","key":"10.1016\/j.aott.2018.03.005_bib10","first-page":"375","article-title":"Are ultrasound, laser and exercise superior to each other in the treatment of subacromial impingement syndrome? 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