{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T07:03:59Z","timestamp":1780383839457,"version":"3.54.1"},"reference-count":27,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,4,10]],"date-time":"2015-04-10T00:00:00Z","timestamp":1428624000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To estimate the effectiveness of ultrasonophoresis and iontophoresis with sodium diclofenac used in addition to an exercise program for patients with impingement syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Multicentre, double-blind, placebo randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>\u201cMancha Centro\u201d Outpatient primary care clinic (Spain).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>A total of 175 patients were considered, of whom 88 met criteria and agreed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>The patients were randomly assigned to one of three groups: a) standard treatment (supervised exercises and cryotherapy) along with placebo iontophoresis and placebo ultrasonophoresis; b) standard treatment, iontophoresis, and placebo ultrasonophoresis; and c) standard treatment, ultrasonophoresis, and placebo iontophoresis. All patients received 15 treatment sessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures:<\/jats:title>\n                    <jats:p>Baseline, 6-, and 12-week evaluations were carried out. Functionality, pain, range of motion, strength and quality of life were assessed with the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), Constant-Murley score, and SF-36 scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Ultrasonophoresis group experienced significant decreases in pain compared to the standard treatment group (12.7 and 13.5 points in \u201cbodily pain\u201d dimension of SF-36; and 1,5 and 2,2 points in \u201cpain\u201d dimension of Constant Murley after 6 and 12 weeks of therapy, respectively). They also reported improved range of motion compared to the exercises group (2,1 points in Constant-Murley after 6 weeks and 12 weeks), better vitality and overall health (SF-36 dimensions). Iontophoresis, however, led to no significant improvements when added to the standard treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In patients with impingement syndrome, a combination of ultrasonophoresis and an exercise program are better than a combination of iontophoresis and the same exercise program or the exercise program alone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215515578293","type":"journal-article","created":{"date-parts":[[2015,4,10]],"date-time":"2015-04-10T21:12:56Z","timestamp":1428700376000},"page":"347-358","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Comparative effectiveness of ultrasonophoresis and iontophoresis in impingement syndrome: a double-blind, randomized, placebo controlled trial"],"prefix":"10.1177","volume":"30","author":[{"given":"Isabel","family":"Garc\u00eda","sequence":"first","affiliation":[{"name":"Healthcare Centre Tomelloso I and Healthcare centre Madridejos (La Mancha Centro), Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Lobo","sequence":"additional","affiliation":[{"name":"Healthcare Centre Argamasilla de Alba (La Mancha Centro), Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"L\u00f3pez","sequence":"additional","affiliation":[{"name":"Healthcare Centre Alc\u00e1zar II (La Mancha Centro), Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Luis","family":"Serv\u00e1n","sequence":"additional","affiliation":[{"name":"Healthcare Centre Alc\u00e1zar II (La Mancha Centro), Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Mar\u00eda","family":"Ten\u00edas","sequence":"additional","affiliation":[{"name":"Research Support Unit (La Mancha Centro), Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,4,10]]},"reference":[{"key":"bibr1-0269215515578293","doi-asserted-by":"publisher","DOI":"10.1007\/BF02599999"},{"key":"bibr2-0269215515578293","doi-asserted-by":"publisher","DOI":"10.1197\/j.jht.2004.02.004"},{"key":"bibr3-0269215515578293","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197254010-00003"},{"key":"bibr4-0269215515578293","first-page":"519","volume":"46","author":"Van der windt DA","year":"1996","journal-title":"Br. 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