Ignite Creation Date:
2024-05-06 @ 5:10 PM
Last Modification Date:
2024-10-26 @ 2:23 PM
Study NCT ID:
NCT05210036
Status:
COMPLETED
Last Update Posted:
2022-01-27
First Post:
2021-12-30
Brief Title:
HILT and US Therapies in Adhesive Capsulitis
Sponsor:
Balikesir University
Organization:
Balikesir University
Study Overview
Official Title:
Comparison of The Effectiveness of High-intensity Laser and Ultrasound Therapies in Adhesive Capsulitis A Randomized Controlled Study
Status:
COMPLETED
Status Verified Date:
2022-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Background Adhesive capsulitis AC is a common musculoskeletal disease characterized by pain and limitation of movement in the shoulders of patients
Purpose This study aimed to assess the effectiveness of short- and long-term therapeutic ultrasound US and high-intensity laser therapy HILT in the treatment of AC
Methods A total of 60 patients with AC were randomized into two groups Group I received US 15 sessions in total and Group II received HILT 9 sessions in total for 3 weeks In addition all the patients received 15 sessions of physical therapy programs hot pack TENS and therapeutic exercises Assessments were made using VAS-Pain Shoulder Pain and Disability Index SPADI and range of motion ROM with goniometer before and at the end of the treatment and in the posttreatment 1st and 6th months
Purpose This study aimed to assess the effectiveness of short- and long-term therapeutic ultrasound US and high-intensity laser therapy HILT in the treatment of AC
Methods A total of 60 patients with AC were randomized into two groups Group I received US 15 sessions in total and Group II received HILT 9 sessions in total for 3 weeks In addition all the patients received 15 sessions of physical therapy programs hot pack TENS and therapeutic exercises Assessments were made using VAS-Pain Shoulder Pain and Disability Index SPADI and range of motion ROM with goniometer before and at the end of the treatment and in the posttreatment 1st and 6th months
Detailed Description:
INTRODUCTION AC is a common musculoskeletal disease characterized with pain on the patients shoulder movement restriction and insufficiency in daily life activities 1 The prevalence of AC is between 2-5 in general population and higher between the ages of 40 and 60 and among women 2
The aim in the treatment of AC is to relieve pain and increase the joint range of motion ROM and functioning 5 The treatment of AC remains controversial because the level of evidence for various treatments is limited 6 Controlled prospective studies are difficult to design and perform because of controversies in the definition classification diagnosis and stages of AC 6 Many different treatment methods such as medical treatment physical therapy exercises intraarticular steroid injections suprascapular nerve block manipulation under anesthesia and surgical interventions are used in the treatment of AC 7 Although many different treatment methods are used in the treatment of AC there is no consensus on the standard treatment method Positive effects of physical therapy practices on AC in the short and long term have been revealed 8
Among physical therapy practices superficial and deep heating agents infrared radiation hot pack shortwave diathermy low-density laser therapy HILT and US etc electrotherapy modalities Transcutaneous Electrical Nerve Stimulation TENS diadinamic current galvanic current etc and exercises are used alone or in combination in the treatment of AC 9 Therapeutic US is often used in physical therapy practices in the treatment of AC and the interest in HILT has recently been increasing as well 10
This study aimed to investigate whether there was a difference between therapeutic US and HILT in terms of the short-term and long-term effects on pain ROM and functional condition in the treatment of AC
METHODS The study was designed as a prospective randomized controlled and single-blind study A total of 60 patients who were admitted to the physical therapy and rehabilitation outpatient clinic with pain and movement restriction in their shoulder and who signed the patient information consent form were included in the study
A total of 60 patients who met the inclusion criteria of the study were divided into 2 groups 30 patients in each group with simple randomization method by using a table of random numbers created on the computer The researchers who made the assessment measurements were unaware of which patient was in which group Statistical analysis of the results was performed by a biostatistician who had no information about the therapies the patient groups received
All the patients included in the study received a total of 15 sessions of physical therapy program 5 times a week for 3 weeks All the patients received hot pack at 60oC for 20 minutes and conventional TENS at 80 Hz for 20 minutes for their involved shoulder In addition to these therapies the patients in group 1 received US and those in group 2 received HILT After physical therapy all the participants received therapeutic exercise program 3 sets of 10 reps with 3-minute intervals between the sets consisting of active-assisted ROM passive stretching and Codman exercises for their shoulder joint for 30 minutes in accompany with a physiotherapist Interventions for groups Grup 1 US US Hot Pack TENS Therapeutic Exercise Program Grup 2 HILT HILT Hot Pack TENS Therapeutic Exercise Program The patients were assessed with the measurements of visual analogue scale VAS-pain Shoulder Pain and Disability Index SPADI and ROM with goniometer before and at the end of the treatment and in the posttreatment 1st and 6th months
The aim in the treatment of AC is to relieve pain and increase the joint range of motion ROM and functioning 5 The treatment of AC remains controversial because the level of evidence for various treatments is limited 6 Controlled prospective studies are difficult to design and perform because of controversies in the definition classification diagnosis and stages of AC 6 Many different treatment methods such as medical treatment physical therapy exercises intraarticular steroid injections suprascapular nerve block manipulation under anesthesia and surgical interventions are used in the treatment of AC 7 Although many different treatment methods are used in the treatment of AC there is no consensus on the standard treatment method Positive effects of physical therapy practices on AC in the short and long term have been revealed 8
Among physical therapy practices superficial and deep heating agents infrared radiation hot pack shortwave diathermy low-density laser therapy HILT and US etc electrotherapy modalities Transcutaneous Electrical Nerve Stimulation TENS diadinamic current galvanic current etc and exercises are used alone or in combination in the treatment of AC 9 Therapeutic US is often used in physical therapy practices in the treatment of AC and the interest in HILT has recently been increasing as well 10
This study aimed to investigate whether there was a difference between therapeutic US and HILT in terms of the short-term and long-term effects on pain ROM and functional condition in the treatment of AC
METHODS The study was designed as a prospective randomized controlled and single-blind study A total of 60 patients who were admitted to the physical therapy and rehabilitation outpatient clinic with pain and movement restriction in their shoulder and who signed the patient information consent form were included in the study
A total of 60 patients who met the inclusion criteria of the study were divided into 2 groups 30 patients in each group with simple randomization method by using a table of random numbers created on the computer The researchers who made the assessment measurements were unaware of which patient was in which group Statistical analysis of the results was performed by a biostatistician who had no information about the therapies the patient groups received
All the patients included in the study received a total of 15 sessions of physical therapy program 5 times a week for 3 weeks All the patients received hot pack at 60oC for 20 minutes and conventional TENS at 80 Hz for 20 minutes for their involved shoulder In addition to these therapies the patients in group 1 received US and those in group 2 received HILT After physical therapy all the participants received therapeutic exercise program 3 sets of 10 reps with 3-minute intervals between the sets consisting of active-assisted ROM passive stretching and Codman exercises for their shoulder joint for 30 minutes in accompany with a physiotherapist Interventions for groups Grup 1 US US Hot Pack TENS Therapeutic Exercise Program Grup 2 HILT HILT Hot Pack TENS Therapeutic Exercise Program The patients were assessed with the measurements of visual analogue scale VAS-pain Shoulder Pain and Disability Index SPADI and ROM with goniometer before and at the end of the treatment and in the posttreatment 1st and 6th months
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
False
Is an FDA AA801 Violation?:
None