High and Low Laser for Subacromial Impingement Syndrome

NCT04784377 | Completed

• 1 other identifier: Laser and impingement syndrome
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

Shoulder pain is the third most common musculoskeletal problem after lumbar and neck diseases in clinical practice, and the most common cause of shoulder pain is subacromial impingement syndrome. The main goal of treatment is to reduce pain and to solve the mechanical problem that causes functional impairment. Low-level laser treatment is an increasingly used treatment modality in the treatment of subacromial impingement syndrome as in many musculoskeletal diseases, as it promotes cell proliferation and tissue regeneration by its anti-inflammatory and photobiostimulation properties. Also, High-intensity laser therapy is a treatment method that is gaining popularity in the recent years. These ultra-short impulses effect a deep action in the biological tissue (3-4 cm), with a homogeneous distribution of the light source in the irradiated soft tissue, but without excessive thermal enhancements. It reduces pain and edema with photomechanic effects in deep tissues. As far as the investigators know, there are no studies comparing these two treatment modalities in subacromial impingement syndrome yet. This study was planned to compare the efficacy of High-intensity laser therapy and low-intensity laser therapy in treatment of patients with subacromial impingement syndrome.

Conditions

Subacromial Impingement Syndrome

Outcome Measures

Primary Outcomes (1)

• pain intensity

  Pain will be evaluated by a visual analogue scale (VAS). The patient will be asked to mark the severity of pain on a 100-mm line with "no pain" on one end and "most unbearable pain" on the other end

  change from base line at three weeks

Secondary Outcomes (4)

• shoulder range of motion

  change from baseline at three weeks

• pain pressure threshold

  change from baseline at three weeks

• Shoulder Pain and Disability Index

  change from baseline at three weeks

• Pittsburgh Sleep Quality Index (PSQI)

  change from baseline at three weeks

Study Arms (3)

High laser group

EXPERIMENTAL

Other: high intensity laser in addition to traditional physical therapy exercises

low laser group

EXPERIMENTAL

Other: low level laser in addition to traditional physical therapy exercises

control group

OTHER

Other: traditional physical therapy exercises

Interventions

high intensity laser in addition to traditional physical therapy exercises OTHER

high intensity laser will be used with 1064 nm wavelength and maximum of 25 W power. Analgesic and biostimulant modes were used in the present study. Also the patients will receive traditional physical therapy exercises in the form of flexibility and strengthening exercises for shoulder muscles.

High laser group

low level laser in addition to traditional physical therapy exercises OTHER

patients will receive low level Laser Therapy in addition to traditional physical therapy exercises. diode laser device with a wavelength of 850nm, power output of 100mV, continuous wave and 0.07cm2 spot area laser will be used. The laser will be applied with a dosage of 5 joule/cm2 (totally 15-20 joule) at the most 5 painful points for 1 minute at each point over subacromial region of the shoulder. Also the patients will receive traditional physical therapy exercises in the form of flexibility and strengthening exercises for shoulder muscles.

low laser group

traditional physical therapy exercises OTHER

Also the patients will receive traditional physical therapy exercises in the form of flexibility and strengthening exercises for shoulder muscles.

control group

Eligibility Criteria

• Age: 25 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• shoulder pain for at least one month
• male and female patients with age range from 25-45 years old
• positive impingement test results
• stage I or II disease according to the Neer classification, confirmed by MRI
• visual analog scale score greater than 40 mm.

You may not qualify if:

• patients will be excluded if they have:
• major trauma to the shoulder
• stage III subacromial impingement syndrome
• diabetes mellitus
• hypothyroidism
• calcific tendinitis
• adhesive capsulitis (forward flexion less than 160, horizontal abduction less than 160
• installation of cardiac pacemaker
• history of a physical therapy program for the same shoulder in the last 6 months.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy, Cairo University

Giza, 12613, Egypt

Location

Related Publications (3)

• Bal A, Eksioglu E, Gurcay E, Gulec B, Karaahmet O, Cakci A. Low-level laser therapy in subacromial impingement syndrome. Photomed Laser Surg. 2009 Feb;27(1):31-6. doi: 10.1089/pho.2007.2222.

  PMID: 19250050 BACKGROUND

• Alfredo PP, Bjordal JM, Junior WS, Marques AP, Casarotto RA. Efficacy of low-level laser therapy combined with exercise for subacromial impingement syndrome: A randomised controlled trial. Clin Rehabil. 2021 Jun;35(6):851-860. doi: 10.1177/0269215520980984. Epub 2020 Dec 14.

  PMID: 33307783 BACKGROUND

• Aceituno-Gomez J, Avendano-Coy J, Gomez-Soriano J, Garcia-Madero VM, Avila-Martin G, Serrano-Munoz D, Gonzalez-Gonzalez J, Criado-Alvarez JJ. Efficacy of high-intensity laser therapy in subacromial impingement syndrome: a three-month follow-up controlled clinical trial. Clin Rehabil. 2019 May;33(5):894-903. doi: 10.1177/0269215518824691. Epub 2019 Jan 23.

  PMID: 30672303 BACKGROUND

MeSH Terms

Conditions

Shoulder Impingement Syndrome

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Wounds and Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistance professor doctor

Study Record Dates

• First Submitted: March 2, 2021
• First Posted: March 5, 2021
• Study Start: March 15, 2021
• Primary Completion: August 15, 2022
• Study Completion: September 15, 2022
• Last Updated: January 25, 2023

Record last verified: 2021-03

Locations

EG (1)