Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Musculoskeletal Disorders

The purpose of this study: Was to determine the effectiveness of shock wave therapy versus phonophoresis on diabetic frozen shoulder. Subjects and methods: 30 patients with diabetic frozen shoulder with stage 2 and 3 who didn't receive medications; were selected from Agouza police hospital. The ages of all participants ranged from 40 to 60 years, patients were classified into two groups. Group (A) is the shock wave group and consisted of 15 patients with diabetic frozen shoulder. They received extracorporeal shock waves therapy for one session per week for 4 weeks. Group (B) Is the phonophoresis group and was consisted of 15 patients. They received phonophoresis for 12 sessions as 3sessions/week. Both groups performed pendulum exercises, stretching for include doorway pectoral stretch, cross-body posterior shoulder stretching, shoulder external rotation cane stretch and shoulder internal rotation towel stretch and if the patient was able to tolerate it then followed by wall walking and wall bar. Data measured include, pain and disability by shoulder pain and disability Index (SPADI) and shoulder range of motions by a digital inclinometer. Results: The results of this study demonstrated that application of shock wave versus application of phonophoresis on patients with diabetic frozen shoulder showed a statistically significant difference between the two groups in favor of shock wave group as pain improved by (44.97%), disability improved by (24.86%) and patient's range of motion increased by (53.51%) for flexion ,by (34.26%) for extension, by (31.21%) for abduction, by (23.11%) for external rotation and by (23.05%) for internal rotation. Conclusion:It was concluded that the application of shock wave therapy on patients with diabetic frozen shoulder showed better results than application of phonophoresis

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