The Effect of Laser Therapy in the Management of Adhesive Capsulitis: a Randomized Clinical Trial

NCT05469672 | Completed

• 1 other identifier: BOrdahan
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, it was aimed to compare the effects of low-level laser therapy (LLLT) and high-intensity laser therapy (HILT) on shoulder joint range of motion, level of pain and functional status in patients with adhesive capsulitis

Conditions

Pain Disorder; Low Level Laser Therapy

Keywords

Adhesive capsulitis Pain; High-intensity laser therapy; Low-level laser therapy; Pain

Outcome Measures

Primary Outcomes (1)

• Visual Analog Scale (VAS) is used to measure and monitor the intensity of pain. Change from baseline in pain on the VAS at week 3

  This is a 10 cm ruler that describes painlessness at one end and the most severe pain at the other. A patient scores his/her pain from 0 to 10.

  Baseline-Week 3

Secondary Outcomes (2)

• Shoulder Pain and Disability Index

  Baseline and week 3

• Measuring the range of motion at shoulder joint

  Baseline and week 3

Study Arms (2)

low-level laser therapy

ACTIVE COMPARATOR

LLLT will be performed 3 times a week for a period of 3 weeks

Other: Low-level laser therapy; Other: High-intensity laser therapy

high-intensity laser therapy

ACTIVE COMPARATOR

HILT will be performed 3 times a week for a period of 3 weeks

Other: Low-level laser therapy; Other: High-intensity laser therapy

Interventions

Low-level laser therapy OTHER

For LLLT, laser treatment will be applied using gallium-aluminum-arsenide (GaAIAs, infrared laser) diode laser (Chattanooga, Mexico, USA) at a wavelength of 904 nm, output power of 240 Mw and a frequency of 5000 Hz. The spot area is about 0.5 cm2. A total of 9 points will irradiated along the glenohumeral joint, with a power density of 3 j/cm2 at each point. The application time was 50 seconds to each point. The total dose per shoulder was 27 J per treatment. Three sessions of LILT therapy per week will administered over a three-week period.

high-intensity laser therapy; low-level laser therapy

High-intensity laser therapy OTHER

HILT: A hot laser derived from a Nd: YAG laser has 12 W (watt) and 1064 nm characteristics. The device will administered to the shoulder area in two steps in the HILT group: phase I and phase II. The application will made utilizing continuous circular movements in both phases I and II. The first three sessions consisted of a 75-second intermittent phase analgesic effect at 8 W and 10 J/cm2 for a total energy of 100 J. The following six sessions consisted of a continuous 30-second bio stimulating effect with a dosage of 12 W 120 J/cm2. Over the course of three weeks, nine treatment sessions of HILT will be given.

high-intensity laser therapy; low-level laser therapy

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• patients aged between 25-65 years
• patients clinically diagnosed with adhesive capsulitis, characterized by limitation of passive external rotation of the affected shoulder to less than 50% of the contralateral shoulder and normal radiographic finding of the affected shoulder
• patients with severe pain and shoulder limitation for at least 3 months
• patients who are literate and able to understand verbal instructions in our language.

You may not qualify if:

• Calcific tendinopathy, glenohumeral osteoarthritis, fracture, shoulder surgery, shoulder trauma, history of malignancy and infection, history of inflammatory rheumatic diseases
• History of bilateral simultaneous adhesive capsulitis
• Recent history of lung, breast, or bypass surgery/radiotherapy
• History of corticosteroid injection to the same shoulder in the last 1 year
• History of cervical radiculopathy/brachial plexus lesion
• Neuromuscular disease history
• History of physical therapy program for the same shoulder in the last 6 months.

Sponsors & Collaborators

• Necmettin Erbakan University: lead

Study Sites (1)

Banu Ordahan

Konya, Turkey (Türkiye)

Location

Related Publications (1)

• Ordahan B, Yigit F, Mulkoglu C. Efficacy of Low-level Laser Versus High-intensity Laser Therapy in the Management of Adhesive Capsulitis: A Randomized Clinical Trial. Saudi J Med Med Sci. 2023 Jul-Sep;11(3):201-207. doi: 10.4103/sjmms.sjmms_626_22. Epub 2023 Jul 15.

  PMID: 37533657 DERIVED

MeSH Terms

Conditions

Somatoform Disorders; Pain

Interventions

Low-Level Light Therapy

Condition Hierarchy (Ancestors)

Mental Disorders; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Laser Therapy; Therapeutics; Phototherapy

Study Officials

• BANU ORDAHAN

  Meram Medical School, Necmettin Erbakan University, Konya, Turkey

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Professor

Study Record Dates

• First Submitted: July 18, 2022
• First Posted: July 22, 2022
• Study Start: December 25, 2020
• Primary Completion: November 25, 2021
• Study Completion: November 27, 2021
• Last Updated: April 14, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)