Laser Therapy in Adhesive Capsulitis
Maneno muhimu
Kikemikali
Maelezo
Adhesive capsulitis is an idiopathic disease characterized by a decrease in the volume of the glenoid capsule, the development of fibrosis and a progressive decrease in the range of joint movement with pain. Shoulder pain and stiffness are accompanied by disability. It is thought that the incidence is 3% to 5% in the general population and 20% in people with diabetes. Although usually reported to be self-limiting in 2 to 3 years, studies have reported that 40% of patients have persistent pain and stiffness for more than 3 years.
Therefore, various therapies are used to reduce pain and increase the range of motion more rapidly without waiting for spontaneous recovery. Adhesive capsulitis treatment includes conservative and surgical treatment options. The options for non-surgical treatments are pharmacological treatments including intra-articular injection and physical therapy modalities. As for physical therapy modalities, various interventions are used. These include heat or ice, therapeutic ultrasound, transcutaneous electrical nerve stimulation and laser therapies.
The aim of exercise programs consisting of joint range of motion (ROM), strengthening and stretching exercises, proprioceptive neuromuscular facilitation and mobilization techniques is to alleviate pain caused by the capsular contracture and to improve glenohumeral ROM.
The purpose of the study is to evaluate and compare the effects of high-intensity laser therapy on pain, disease - related disability and quality of life in patients with shoulder restriction and pain due to adhesive capsulitis.
Tarehe
| Imethibitishwa Mwisho: | 03/31/2020 |
| Iliyowasilishwa Kwanza: | 04/21/2019 |
| Uandikishaji uliokadiriwa Uliwasilishwa: | 04/24/2019 |
| Iliyotumwa Kwanza: | 04/25/2019 |
| Sasisho la Mwisho Liliwasilishwa: | 04/25/2020 |
| Sasisho la Mwisho Lilichapishwa: | 04/27/2020 |
| Tarehe halisi ya kuanza kwa masomo: | 04/21/2019 |
| Tarehe ya Kukamilisha Msingi iliyokadiriwa: | 09/21/2019 |
| Tarehe ya Kukamilisha Utafiti: | 09/21/2019 |
Hali au ugonjwa
Uingiliaji / matibabu
Device: high-intensity laser therapy & exercises
Device: Shame laser & exercises
Other: exercise
Awamu
Vikundi vya Arm
| Mkono | Uingiliaji / matibabu |
|---|---|
| Experimental: high-intensity laser therapy & exercises High-intensity laser therapy application with iLux Laser device + exercise program | Device: high-intensity laser therapy & exercises A total of 15 sessions of high-dose laser treatment- i Lux Laser (Mectronic Medicale, Italy)- (in the first phase, 8 Watt for the analgesic effect; in the second phase, 12 Watt in burst mode for the biostimulation effect; and finally in the third phase with 8 Watt) will be applied. |
| Placebo Comparator: Shame laser & exercises Sham high-intensity laser therapy application with iLux Laser device + exercise program | Device: Shame laser & exercises Sham laser treatment (the same device to be used, 0 watts) will be given. |
| Active Comparator: control - exercises only group exercise program |
Vigezo vya Kustahiki
| Zama zinazostahiki Kujifunza | 18 Years Kwa 18 Years |
| Jinsia Inastahiki Kujifunza | All |
| Hupokea Wajitolea wa Afya | Ndio |
| Vigezo | Inclusion Criteria: - Subjects with adhesive capsulitis diagnosis by physical examination (Compared with intact side, there is more than 25% limitation in at least two directions of shoulder range of motion) - Subjects have complaints for at least 1 month - No pregnancy / breastfeeding Exclusion Criteria: - History of bilateral adhesive capsulitis - History of shoulder trauma, fracture, shoulder shoulder surgery, calcific tendinopathy, glenohumeral osteoarthritis, inflammatory rheumatic diseases, tumor, infection - History of corticosteroid injection in the shoulder during the last 3 months - History of recent lung, breast or bypass surgery - History of cervical radiculopathy / brachial plexus lesion - History of neuromuscular disease - History of physical therapy program for the same shoulder in the last 6 months |
Matokeo
Hatua za Matokeo ya Msingi
1. Visual analogue scale for pain (VAS- pain) [2 weeks]
Hatua za Matokeo ya Sekondari
1. Shoulder pain and disability index [2 weeks]
2. Short Form Health Survey 36 (SF-36) [2 weeks]
3. Range of motion of shoulder joint measurements [2 weeks]
