Efficacy of Diclofenac Sodium Shock Wave Phonophoresis on Patients With Subacromial Impingement Syndrome

NCT07657637 — Not applicable, Not yet recruiting, 70 participants, MTI University

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Efficacy of Diclofenac Sodium Shock Wave Phonophoresis on Patients With Subacromial Impingement Syndrome: A Randomized Controlled Trial

Registry	NCT07657637
Status	Not yet recruiting
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: double, treatment
Enrollment	70 (Estimated)
Sponsor	MTI University (Other)
Conditions	Shock Wave, Subacromial Impingement Syndrome
Interventions	sodium diclofenac radial shock wave phonophoresis plus conventional physical therapy, radial shock wave therapy plus conventional physical therapy (Device)
Dates	start 2026-06-30 (estimated), primary completion 2026-10-01 (estimated), completion 2026-10-30 (estimated), first posted 2026-06-18, last updated 2026-06-18
Locations	1 site in Egypt

-Summary

The goal of the study is to determine the effect of radial shock wave Phonophoresis on patients with impingement syndromes. to answer the following questions:

does shock wave Phonophoresis have and effect on pain? does shock wave Phonophoresis have and effect on shoulder function? does shock wave Phonophoresis have and effect on subacromial space? patients will be randomized to two groups: Group (A): patients will receive shock wave Phonophoresis plus conventional physical therapy.

Group (B): Patients will receive shock wave plus conventional Physical therapy.

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+Arms and interventions

Arm	Type	Interventions	Description
sodium diclofenac radial shock wave Phonophoresis plus conventional physical therapy	Experimental	Device: sodium diclofenac radial shock wave phonophoresis plus conventional physical therapy	sodium diclofenac radial shock wave Phonophoresis plus conventional physical therapyc
radial shock wave plus conventional physical therapy	Active comparator	Device: radial shock wave therapy plus conventional physical therapy	radial shock wave plus conventional physical therapy

sodium diclofenac radial shock wave phonophoresis plus conventional physical therapy (Device): patients will receive radial shock wave Phonophoresis by ibuprofen in the form of 2000 shocks, 2.4 bars, 10 MHz frequency plus (strengthening and stretching exercises for subraspinatus muscle).
radial shock wave therapy plus conventional physical therapy (Device): patients will receive radial shock wave therapy ( 2000 shocks, 2.4 bars, 10 MHz), plus conventional physical therapy (strengthening and stretching exercises for subraspinatus muscle).

+Outcome measures

Primary outcomes

subacromial space [before the first session and after the last session ( four weeks)]
shoulder pain [before the first session and after the last session ( four weeks)]: shoulder pain will be measured by numerical pain scale

Secondary outcomes

shoulder function [Time Frame: before the first session and after the last session ( four weeks)]: function will be measured by shoulder pain and disability index

+Eligibility

Sex: All, ages: 25 Years to 40 Years

Inclusion Criteria:

* Patients age range between 25-40 years ago.
* Shoulder pain between 60- 120° with shoulder elevation (positive painful arch test).
* Grade 2 impingement syndrome according to neer classification.

Exclusion Criteria:

* Shoulder affected bilaterally
* Receiving anesthetic or corticosteroid injections within 4 weeks of study enrollment
* Surgery or previous fractures of the ipsilateral humeral head of the affected shoulder
* Osteoarthritis in the acromioclavicular or glenohumeral joints

+Locations (1)

Facility	City	Country	Status
Modern University for Technology and Information, Cairo, , Egypt	Cairo	Egypt