PEMF Therapy in Shoulder Tendinopathy
Effect of Pulsed Electromagnetic Field (PEMF) Therapy Delivered Via the Super Inductive System (SIS) Combined With Balneophysiotherapy in Patients With Shoulder Tendinopathies: A Randomized Controlled Trial
Balnear and Rehabilitation Sanatorium Techirghiol
60 participants
Apr 1, 2026
INTERVENTIONAL
Summary
The goal of this clinical trial is to evaluate whether pulsed electromagnetic field (PEMF) therapy delivered via the Super Inductive System (SIS), integrated into a multimodal rehabilitation program, improves pain, function, pressure pain threshold, muscle strength, psychological status, and quality of life in adults with shoulder tendinopathies. The main questions it aims to answer are: * Does the addition of PEMF (SIS) therapy reduce pain intensity and improve pressure pain threshold compared to standard balneophysiotherapy? * Does PEMF (SIS) therapy improve shoulder function, muscle strength, psychological status, and quality of life? The study will compare a multimodal rehabilitation program supplemented with PEMF (SIS) therapy to standard balneophysiotherapy to determine whether the addition of PEMF (SIS) provides superior clinical outcomes. Participants will: * Undergo a multimodal rehabilitation program including balneophysiotherapy * Be assigned to receive either standard treatment or treatment supplemented with PEMF (SIS) therapy * Be evaluated at baseline (admission), immediately after treatment completion (discharge), and at 4 weeks after treatment using validated clinical instruments assessing pain, function, pressure pain threshold, muscle strength, psychological status, depressive symptoms, and quality of life.
Eligibility
Inclusion Criteria6
- Adults aged between 18 and 70 years.
- Patients with chronic shoulder pain lasting more than 3 months, of non-traumatic origin, persistent despite prior conservative treatment.
- Clinical diagnosis of shoulder tendinopathy and/or subacromial pain syndrome based on medical history and physical examination.
- Presence of shoulder pain and functional limitation confirmed by clinical assessment and baseline functional evaluation (SPADI).
- Ability to comply with the treatment protocol and attend scheduled follow-up assessments.
- Provision of written informed consent prior to participation.
Exclusion Criteria13
- Full-thickness rotator cuff tears with surgical indication.
- Recent major shoulder trauma (within the last 6 months).
- Active systemic inflammatory or rheumatologic diseases.
- Presence of metallic implants in the treatment area or implanted electronic devices (e.g., pacemaker).
- Neurological disorders affecting the upper limb.
- Contraindications to balneotherapy (e.g., severe cardiovascular disease, renal failure, severe dermatological conditions).
- Decompensated chronic diseases at the time of enrollment (cardiovascular, hepatic, renal, respiratory, or neurological).
- Skin lesions at the site of treatment application.
- Pregnancy or breastfeeding.
- Active neoplastic disease.
- Decompensated psychiatric disorders.
- History of hypersensitivity to natural therapeutic factors used in balneotherapy.
- Refusal to participate or inability to provide informed consent.
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Interventions
Nanopulsed electromagnetic field therapy is delivered using the Super Inductive System (SIS) device applied to the affected shoulder. The intervention is administered daily over a two-week period, with a total of 10 sessions. Each session lasts approximately 10-15 minutes. The therapy delivers high-intensity electromagnetic pulses with adjustable frequency and intensity, aiming to reduce pain, stimulate tissue regeneration, and improve functional outcomes.
The intervention is based on the region's specific natural therapeutic resources and is conducted under continuous medical supervision. The treatment program includes saline therapeutic baths combined with exercise therapy and applications of sapropelic therapeutic mud, administered daily over a two-week period, five days per week. In addition, patients receive electrotherapy according to a standardized protocol, including magnetotherapy, interferential current therapy, and therapeutic ultrasound. The rehabilitation program also incorporates massage therapy and individualized therapeutic exercises.
Locations(1)
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NCT07550543