Skip to main content
SpringerLink
Log in

Comparative Study of Therapeutic Ultrasound and Copaiba Oil Phonophoresis Therapies for Shoulder Tendinitis

  • Conference paper
  • First Online:
IX Latin American Congress on Biomedical Engineering and XXVIII Brazilian Congress on Biomedical Engineering (CLAIB 2022, CBEB 2022)

Part of the book series: IFMBE Proceedings ((IFMBE,volume 101))

  • 50 Accesses

Abstract

Shoulder tendinitis is characterized by inflammation of the rotator cuff tendons, resulting in pain, instability, and limitation of shoulder movements. The injury can be caused by stress, excess movements in daily activities or excessive load on the muscles. The study aimed to evaluate the effectiveness of shoulder tendinitis treatment using therapeutic ultrasound associated with the Copaiba oil incorporated into the coupler gel. The study assessed 30 patients divided into groups: TUS–conventional ultrasound and CP–ultrasound with 10% Copaiba oil gel. Ultrasound parameters: 1 MHz acoustic frequency, 0.5 W/cm2 intensity, 100 Hz repetition rate, 20% duty cycle, and 3.5 cm2 irradiation area. Ultrasound was applied for 4 min each session, with 12 sessions treatment. The treatment was evaluated by the parameters: quality-of-life, pain intensity, muscle strength (abduction and flexion), and the amplitude of the joint movement of the shoulder (abduction, adduction, flexion, extension, medial and lateral rotations). The treatment evaluation was made by introducing the evolution score index, which compare the values measured post-treatment with the pre-treatment. The ANOVA and Student tests were used for intra and intergroup statistical analysis, respectively, with a significance level of α < 0.05. Results show that the group of phonophoresis with Copaiba oil gel presented an improvement in functional capacity, with pain reduction, increase in muscle strength and in joint movement amplitude, when compared with therapeutic ultrasound (p < 0.05). Concluding, the anti-inflammatory and analgesic properties of ultrasound can be enhanced by phonophoresis using gel with Copaiba oil.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Mitchell, C., Adebajo, A., Hay, E., Carr, A.: Shoulder pain: diagnosis and management in primary care. BMJ. 331, 1124–1128 (2005). https://doi.org/10.1136/bmj.331.7525.1124

  2. Gomoll, A.H., Katz, J.N., Warner, J.J.P., Millett, P,J.: Rotator cuff disorders: recognition and management among patients with shoulder pain. Arthritis & Rheumatol. 50, 3751–3761 (2004). https://doi.org/10.1002/art.20668

  3. Answer, S., Alghadir, A.H., Al-Eisa, E.S., Iqbal, Z.A.: The relationships between shoulder pain, range of motion, and disability in patients with shoulder dysfunction. J. Back Musculoskelet. Rehabil. 31, 163–167 (2018). https://doi.org/10.3233/BMR-169762

  4. Oyama, S.: Baseball pitching kinematics, joint loads, and injury prevention. J. Sport. Health Sci. 80e91 (2012). https://doi.org/10.1016/j.jshs.2012.06.004

  5. Weiss, L.J., Wang. D., Hendel. M., Buzzerio, P., Rodeo, S.A.: Management of rotator cuff injuries in the elite athlete. Curr. Rev. Musculoskelet. Med. 11, 102–112 (2018). https://doi.org/10.1007/s12178-018-9464-5

  6. Joeng, H.S., Na, Y.M., Lee, S.Y., Cho, Y.J.: Injuries among Korean female professional golfers: a prospective study. J. Sport. Sci. Medicine. 17, 492–500 (2018). PMID: 30116123; PMCID: PMC6090400

    Google Scholar 

  7. Goodman, A.D., Raducha, J.E., De Froda, S.F., Gil, J.A., Owens, B.D.: Shoulder and elbow injuries in NCAA football players, 2009–2010. through 2013–2014. Physician Sport. 47, 323–328 (2019). https://doi.org/10.1080/00913847.2018.1554167

  8. Nam, H.S, Lee, S.U.: Conservative management of shoulder pain with common causes. J Korean Med Assoc. 57, 661–666 (2014). https://doi.org/10.5124/.2014.57.8.661

  9. Robertson, V.J., Baker, K.G.: A review of therapeutic ultrasound: effectiveness studies. Phys. Ther. 81, 1339–1350 (2001). PMID: 11444997

    Article  Google Scholar 

  10. Pribicevic, M., Pollard, H.: A multi-modal treatment approach for the shoulder: a 4 patient case series. Chiropr Osteopat. 13, 20 (2005). https://doi.org/10.1186/1746-1340-13-20

  11. Naredo, E., Aguado, P., De Miguel, E., Uson, J., Mayordomo, L., Gijon-Baños, J., Martin-Mola, E.: Painful shoulder: comparison of physical examination and ultrasonographic findings. Ann. Rheum. Dis. 61, 132–136 (2002). https://doi.org/10.1136/ard.61.2.132

  12. Draper, D.O., Castel, J.C., Castel, D.: Rate of temperature increase in human muscle during 1 MHz and 3 MHz continuous ultrasound. J. Orthop. & Sport. Phys. Ther. 22, 142–150 (1995). https://doi.org/10.2519/jospt.1995.22.4.142

  13. Byll, N.N.: The use of ultrasound as an enhancer for transcutaneous drug delivery: phonophoresis. Phys. Ther. 75, 539–553 (1995). https://doi.org/10.1093/ptj/75.6.539

  14. Karatay, S., Aygul, R., Melikoglu, M.A., Yildirim, K., Ugur, M., Erdal, A., Akkus, S., Senel, K.: The comparison of phonophoresis, iontophoresis and local steroid injection in carpal tunnel syndrome treatment. Jt. Bone Spine 76, 719–721 (2009). https://doi.org/10.1016/j.jbspin.2009.02.008

  15. Chan, K.O., Tong, H.H., Ng, G.Y.: Topical fish oil application coupling with therapeutic ultrasound improves tendon healing. Ultrasound Med. Biol. 42, 2983–2989 (2016). https://doi.org/10.1016/j.ultrasmedbio.2016.08.018

  16. Nakhostin-Roochi, B., Khoshkhahesh, F., Bohlooli, S.: Effect of virgin olive oil versus piroxicam phonophoresis on exercise-induced anterior knee pain. Avicenna J Phytomed. 6, 535–541 (2016). PMID: 27761423; PMCID: PMC5052416

    Google Scholar 

  17. Altan, L., Kasapoğlu Aksoy, M., Kösegil Öztürk, E.: Efficacy of diclofenac & thiocolchioside gel phonophoresis comparison with ultrasound therapy on acute low back pain; a prospective, double-blind, randomized clinical study. Ultrasonics 91, 201–205 (2019). https://doi.org/10.1016/j.ultras.2018.08.008

  18. Boonhong, J., Thienkul, W.: Effectiveness of phonophoresis treatment in carpal tunnel syndrome: a randomized double-blind, controlled trial. PMR 12(1), 8–15 (2020). https://doi.org/10.1002/pmrj.12171

  19. Barbosa, P.C.S., Wiedemann, L.S.M., Medeiros, R.S., Sampaio, P.T.B., Vieira, G., da Veiga-Junior, V.F.: Phytochemical fingerprints of copaíba oils (Copaifera multijuga Hayne) determined by multivariate analysis. Chem. & Biodivers. 10, 1350–1360 (2013). https://doi.org/10.1002/cbdv.201200356

  20. Cascon, V., Gilbert, B.: Characterization of the chemical composition of oleoresins of Copaifera guianensis Desf., Copaifera duckei Dwyer and Copaifera multijuga Hayne. Phytochem. 55, 773–778 (2000). https://doi.org/10.1016/S0031-9422(00)00284-3

  21. Tung, Y.T., Chua, M.T., Wang, S.Y., Chang, S.T.: Anti-inflammation activities of essential oil and its constituents from indigenous cinnamon (Cinnamomum osmophloeum) twigs. Bioresour. Technol. 99, 3908–3913 (2008). https://doi.org/10.1016/j.biortech.2007.07.050

  22. Chavan, M.J., Wakte, P.S., Shinde, D.B.: Analgesic and anti-inflammatory activity of caryophyllene oxide from Annona squamosa L. bark. Phytomedicine 17, 149–151 (2010). https://doi.org/10.1016/j.phymed.2.009.05.016

  23. Ansari, N.N., Fathali, M., Naghdi, S., Hasson, S., Jalaie, S., Rastak, M.S.: A randomized, double-blind clinical trial comparing the effects of continuous and pulsed ultrasound in patients with chronic rhinosinusitis. Physiother.: Theory Pract. 28, 85–94 (2012). https://doi.org/10.3109/09593985.2011.571751

  24. Casarotto, R.A., Adamowski, J.C., Fallopa, F., Bacanelli, F.: Coupling agents in therapeutic ultrasound: acoustic and thermal behavior. Arch. Phys. Med. Rehabil. 85, 162–165 (2004). https://doi.org/10.1016/S0003-9993(03)00293-4

  25. Zhao, J., Wang, Q., Wu, J., Shi, X., Qi, Q., Zheng, H., Lang, S., Yang, L., Zhang, D.: Therapeutic effects of low-frequency phonophoresis with a Chinese herbal medicine versus sodium diclofenac for treatment of knee osteoarthritis: a double-blind, randomized, placebo-controlled clinical trial. J. Tradit. Chin. Med. 36, 613–617 (2016). https://doi.org/10.1016/S0254-6272(16)30080-2

  26. Ghelardini, C., Galeotti, N., Mannelli, L.D.C., Mazzanti, G., Bartolini, A.: Local anaesthetic activity of beta-caryophyllene. Il Farmaco 56, 387–389 (2001). https://doi.org/10.1016/S0014-827X(01)01092-8

Download references

Author information

Authors and Affiliations

  1. Institute of Biomedical Engineering, Distrito de Eugênio de Melo, Anhembi Morumbi University (UAM), Estrada Dr. Altino Bondensan 500, Distrito de Eugênio de Melo, CEP: 12.247–016, São José Dos Campos, SP, Brazil

    J. P. S. Martins, A. B. Fernandes, R. A. Lazo-Osório, L. P. Alves, A. B. Villaverde & C. J. de Lima

  2. Center of Innovation, Technology and Education, CITE. Estrada Dr. Altino Bondensan 500, Distrito de Eugênio de Melo, CEP: 12.247–016 , São José Dos Campos, SP, Brazil

    J. P. S. Martins, A. B. Fernandes, R. A. Lazo-Osório, L. P. Alves, A. B. Villaverde & C. J. de Lima

Authors
  1. J. P. S. Martins
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. B. Fernandes
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. A. Lazo-Osório
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. L. P. Alves
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A. B. Villaverde
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. C. J. de Lima
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J. P. S. Martins .

Editor information

Editors and Affiliations

  1. Department of Electrical and Electronic Engineering, Federal University of Santa Catarina, Florianópolis, Brazil

    Jefferson Luiz Brum Marques

  2. Department of Electrical and Electronic Engineering, Federal University of Santa Catarina, Florianópolis, Brazil

    Cesar Ramos Rodrigues

  3. Department of Electrical and Electronic Engineering, Federal University of Santa Catarina, Florianópolis, Brazil

    Daniela Ota Hisayasu Suzuki

  4. Department of Electrical and Electronic Engineering, Federal University of Santa Catarina, Florianópolis, Brazil

    José Marino Neto

  5. Department of Electrical and Electronic Engineering, Federal University of Santa Catarina, Florianópolis, Brazil

    Renato García Ojeda

Ethics declarations

JPSM thanks the Coordination for the Improvement of Higher Education Personnel (CAPES) for the PhD scholarship. ABF, RAL-Z, LPA, ABV, and CJL thank the Anima Institute (Brazil) for the grating of their Research Scholarships.

Conflict of Interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

Copyright information

© 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Martins, J.P.S., Fernandes, A.B., Lazo-Osório, R.A., Alves, L.P., Villaverde, A.B., de Lima, C.J. (2024). Comparative Study of Therapeutic Ultrasound and Copaiba Oil Phonophoresis Therapies for Shoulder Tendinitis. In: Marques, J.L.B., Rodrigues, C.R., Suzuki, D.O.H., Marino Neto, J., García Ojeda, R. (eds) IX Latin American Congress on Biomedical Engineering and XXVIII Brazilian Congress on Biomedical Engineering. CLAIB CBEB 2022 2022. IFMBE Proceedings, vol 101. Springer, Cham. https://doi.org/10.1007/978-3-031-49410-9_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-49410-9_20

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-49409-3

  • Online ISBN: 978-3-031-49410-9

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics

Search

Navigation