Comparative Study Of Hot Pack Along With Therapeutic Ultrasound And Exercise Verses Therapeutic Tecar Along With Myofacial Release And Exercise On Supraspinatus Tendinitis In Female

Abstract

Background and objective: This study aimed to compare the efficacy of two treatment protocols for supraspinatus tendinitis in female patients: (1) hot pack combined with therapeutic ultrasound and exercise, and (2) therapeutic TECAR combined with myofascial release and exercise. The primary outcomes measured were pain reduction, improvement in range of motion (ROM), and functional recovery.

Methods: A randomized controlled trial was conducted with 60 female participants diagnosed with supraspinatus tendinitis, equally divided into two treatment groups. Group A received hot pack, therapeutic ultrasound, and exercise, while Group B received therapeutic TECAR, myofascial release, and exercise. Pain intensity was assessed using the Visual Analog Scale (VAS), ROM was measured for shoulder flexion, abduction, and external rotation, and functional recovery was evaluated using the Shoulder Pain and Disability Index (SPADI). Assessments were made at baseline, mid-point (three weeks), and post-treatment (six weeks).

Results: Both groups showed significant improvements in all measured outcomes. However, Group B demonstrated superior results across all parameters. At the mid-point and post-treatment assessments, Group B had significantly lower VAS scores compared to Group A, indicating greater pain reduction (p < 0.05). ROM improvements were also more pronounced in Group B, with significant differences in shoulder flexion, abduction, and external rotation (p < 0.05). Functional recovery, as measured by SPADI scores, was significantly better in Group B at both the mid-point and post-treatment evaluations (p < 0.05).

Conclusion: The combination of therapeutic TECAR and myofascial release with exercise proved to be more effective than hot pack and therapeutic ultrasound with exercise for managing supraspinatus tendinitis in female patients.