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

NCT07657637 | Not Yet Recruiting DMC

• 1 other identifier: Pending
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Shock Wave; Subacromial Impingement Syndrome

Outcome Measures

Primary Outcomes (2)

• subacromial space

  before the first session and after the last session ( four weeks)

• shoulder pain

  shoulder pain will be measured by numerical pain scale

  before the first session and after the last session ( four weeks)

Secondary Outcomes (1)

• shoulder function

  Time Frame: before the first session and after the last session ( four weeks)

Study Arms (2)

sodium diclofenac radial shock wave Phonophoresis plus conventional physical therapy

EXPERIMENTAL

sodium diclofenac radial shock wave Phonophoresis plus conventional physical therapyc

Device: sodium diclofenac radial shock wave phonophoresis plus conventional physical therapy

radial shock wave plus conventional physical therapy

ACTIVE COMPARATOR

radial shock wave plus conventional physical therapy

Device: radial shock wave therapy plus conventional physical therapy

Interventions

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).

sodium diclofenac radial shock wave Phonophoresis plus conventional physical therapy

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).

radial shock wave plus conventional physical therapy

Eligibility Criteria

• Age: 25 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• 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.

You may not qualify if:

• 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

Sponsors & Collaborators

• MTI University: lead

Study Sites (1)

Modern University for Technology and Information, Cairo, , Egypt

Cairo, Egypt

Location

MeSH Terms

Conditions

Shoulder Impingement Syndrome

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Wounds and Injuries

Central Study Contacts

radwa fayek lecturer, Phd

CONTACT

02-01004466229; radwa26fayek@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of basic science department faculty of physical therapy

Study Record Dates

• First Submitted: June 14, 2026
• First Posted: June 18, 2026
• Study Start: June 30, 2026
• Primary Completion (Estimated): October 1, 2026
• Study Completion (Estimated): October 30, 2026
• Last Updated: June 18, 2026

Record last verified: 2026-06

Locations

EG (1)