title: [Effectiveness of physiotherapy on painful shoulder impingement syndrome].
abstract: BACKGROUND
  Painful shoulder impingement syndrome is one of the first reasons for care in rehabilitation centres. As the evidence regarding the effectiveness of physical measures as adjuvant treatment is limited, the aim of this study was to determine the effectiveness of physiotherapy on shoulder pain.
  
  
  METHODS
  A retrospective and analytical study was conducted using the medical records of patients with shoulder pain who attended in a rehabilitation centre from October 2010 to September 2011. The demographic and clinical data were collected, and the clinical improvement was determined as: complete, incomplete, or no improvement.
  
  
  METHODS
  Chi squared was used to determine whether there were differences between the different modalities of physiotherapy, as well as the level of improvement.
  
  
  RESULTS
  The study included a total of 181 patients, with a mean age of 54.3 years, and a mean of 4.6 months of onset of pain. The physiotherapy treatments included: warm compresses plus interferential current (60.2%), and warm compresses plus ultrasound (17.1%). Just over half (53.6%) obtained a moderate recovery, 36.4% slight improvement, and 9.9% no improvement. No significant differences were found between the different forms of therapy.
  
  
  CONCLUSIONS
  The supervised rehabilitation program consists of 9 sessions of physiotherapy. A functional improvement of 90% was obtained, without finding any statistical differences between the therapies used.
authors.affiliation: Unidad de Medicina Física y Rehabilitación Centro, Unidad de Medicina de Alta Especialidad, Hospital de Traumatología y Ortopedia Lomas Verdes, Instituto Mexicano del Seguro Social, Ciudad de México, D.F., México.
authors.forename: Mónica
authors.initials: M
authors.lastname: Gomora-García
authors.affiliation: Unidad de Medicina Física y Rehabilitación Centro, Unidad de Medicina de Alta Especialidad, Hospital de Traumatología y Ortopedia Lomas Verdes, Instituto Mexicano del Seguro Social, Ciudad de México, D.F., México. Electronic address: rojanodavid@gmail.com.
authors.forename: David
authors.initials: D
authors.lastname: Rojano-Mejía
authors.affiliation: Servicio de Laboratorio de Análisis Clínicos, Unidad de Medicina Familiar No. 20, Instituto Mexicano del Seguro Social, Ciudad de México, D.F., México.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Solis-Hernández
authors.affiliation: Unidad de Medicina Física y Rehabilitación Centro, Unidad de Medicina de Alta Especialidad, Hospital de Traumatología y Ortopedia Lomas Verdes, Instituto Mexicano del Seguro Social, Ciudad de México, D.F., México.
authors.forename: Carolina
authors.initials: C
authors.lastname: Escamilla-Chávez
mesh_terms: D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D004599:Electric Stimulation Therapy; D005260:Female; D006358:Hot Temperature / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D020127:Recovery of Function; D012189:Retrospective Studies; D019534:Shoulder Impingement Syndrome / Q000534:rehabilitation / Q000628:therapy*; D016896:Treatment Outcome; D014464:Ultrasonic Therapy
keywords: Fisioterapia especializada; Medios físicos; Painful shoulder impingement syndrome; Physical measures; Physiotherapy specialty; Síndrome de abducción dolorosa de hombro