Fisioterapia em Movimento
On-line version ISSN 1980-5918
SANTOS, Josiane Sena dos et al. Ultrasound is effective in treating calcifying tendinitis of the shoulder?. Fisioter. mov. [online]. 2012, vol.25, n.1, pp.195-205. ISSN 1980-5918. http://dx.doi.org/10.1590/S0103-51502012000100020.
Introduction: The calcifying tendinitis of the shoulder is a calcification characterized by calcium deposit in the rotator cuff tendons, causing pain and loss of shoulder range of motion (ROM). The ultrasound is suggested as a promising alternative to facilitate the reabsorption of calcium deposits. The mechanisms underlying this effect are still controversial in literature and the clinical use of ultrasound in the calcifying tendinitis has been based more on empirical evidence than scientific. Objectives: To review the ultrasound biological and therapeutic effects for the purpose to identify the true role of this resource in the treatment of calcifying tendinitis of the shoulder. Materials and methods: It made a literature search in electronic databases and a manual research. Results: Among the selected studies, two demonstrated pain and size of the calcification reduction and two studies not showed positive results. Discussion: The benefits promoted by ultrasound are dependent on parameters used. Variables such as the size of treated area, tissue differences, duration of application and therapeutic aim should also be considered. Conclusion: Based in this review, it can be affirmed that ultrasound therapy is an effective resource in the treatment of calcifying shoulder tendinitis.
Keywords : Ultrasonic therapy; Tendon; Calcinosis; Phonophoresis.