- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05210036
HILT and US Therapies in Adhesive Capsulitis
Comparison of The Effectiveness of High-intensity Laser and Ultrasound Therapies in Adhesive Capsulitis: A Randomized Controlled Study
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.
Study Overview
Status
Conditions
Intervention / Treatment
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.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Clinically diagnosed with primary (idiopathic) AC,
- Pain and movement restriction in his or her shoulder for at least 3 months,
- Restriction of passive external rotation in the involved shoulder restricted with less than 50% of the contralateral shoulder,
- Normal radiography findings
Exclusion Criteria:
- Both shoulders were involved,
- Other shoulder pathologies (glenohumeral osteoarthritis, calcific tendinitis, rotator cuff tear, etc.),
- Cervical radiculopathy,
- Brachial plexus lesion,
- Neuromuscular disorders,
- Inflammatory rheumatic disorders,
- Malignancy,
- Acute trauma,
- Patients who had fracture affecting the involved shoulder joint, patients who underwent a surgical intervention, patients who underwent intraarticular injection for the involved shoulder within the last 6 months,
- Patients who received physical therapy for the glenohumeral joint within the last 1 year, and
- Photoallergy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Ultrasound Therapy
The patients in group 1 received therapeutic US with BTL-4710 ultrasound device. The therapeutic US was administered at the frequency of 3 megahertz, intensity of 1.5 w/cm2 and an area of 25 cm2 for 5 minutes in the continue mode. The procedure of therapeutic US was performed by a physiotherapist experienced in using the device for 15 sessions in total 5 times a week for 3 weeks. |
All the patients included in the study received a total of 15 sessions of physical therapy program 5 times a week for 3 weeks. Physical Therapy Program;
Other Names:
|
Active Comparator: High-Intensity Laser Therapy
The patients in group 2 received HILT with BTL-6000 high-intensity laser device. The therapy consisted of 2 stages in each session.
The total length of administration was approximately 8.5 minutes for each stage. The procedure of the therapy was performed by a physiotherapist experienced in using the device for 9 sessions in total 3 times a week for 3 weeks. |
All the patients included in the study received a total of 15 sessions of physical therapy program 5 times a week for 3 weeks. Physical Therapy Program;
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Visual analogue scale (VAS)-pain,
Time Frame: "at the end of the treatment, week 3", "at the end of the treatment, month 1" "at the end of the treatment, month 6"
|
Detection of improvements in VAS-pain,
|
"at the end of the treatment, week 3", "at the end of the treatment, month 1" "at the end of the treatment, month 6"
|
Shoulder Pain and Disability Index (SPADI)
Time Frame: "at the end of the treatment, week 3", "at the end of the treatment, month 1" "at the end of the treatment, month 6"
|
Detection of improvements in SPADI
|
"at the end of the treatment, week 3", "at the end of the treatment, month 1" "at the end of the treatment, month 6"
|
Joint range of motion (ROM)
Time Frame: "at the end of the treatment, week 3", "at the end of the treatment, month 1" "at the end of the treatment, month 6"
|
Detection of improvements in joint range of motion (ROM) with goniometer
|
"at the end of the treatment, week 3", "at the end of the treatment, month 1" "at the end of the treatment, month 6"
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Physical Medicine
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Adhesive Capsulitis of Shoulder
-
Daniel G. RendeiroCompletedAdhesive Capsulitis of Shoulder | Frozen Shoulder | Shoulder Adhesive CapsulitisUnited States
-
Vanderbilt University Medical CenterOrthopedic Research and Education FoundationCompletedAdhesive Capsulitis | Frozen Shoulder | Adhesive Capsulitis of Unspecified ShoulderUnited States
-
University of VirginiaRecruitingAdhesive Capsulitis of Shoulder | Adhesive Capsulitis | Frozen ShoulderUnited States
-
University of MalayaNot yet recruitingAdhesive Capsulitis of Shoulder
-
Taipei Veterans General Hospital, TaiwanRecruitingAdhesive Capsulitis of ShoulderTaiwan
-
Taif UniversityRecruitingAdhesive Capsulitis of ShoulderSaudi Arabia
-
Cairo UniversityNot yet recruitingAdhesive Capsulitis of Shoulder
-
Health Education Research Foundation (HERF)RecruitingAdhesive Capsulitis of ShoulderPakistan
-
Riphah International UniversityCompletedAdhesive Capsulitis of ShoulderPakistan
-
Ege UniversityCompletedAdhesive Capsulitis of Shoulder | Adhesive Capsulitis | Frozen Shoulder
Clinical Trials on Ultrasound Therapy (US)
-
Petz Aladar County Teaching HospitalUnknown
-
Washington University School of MedicineNational Cancer Institute (NCI)Completed
-
Quiropraxia y EquilibrioNot yet recruitingMyofascial Trigger Point Pain (MTrP)Chile
-
University of TennesseeLe Bonheur Children's HospitalCompletedGastrostomy Complications | Gastrostomy Tube Site ComplicationUnited States
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)Withdrawn
-
Mayo ClinicNational Cancer Institute (NCI); National Institute for Biomedical Imaging...RecruitingBreast CarcinomaUnited States
-
University of Wisconsin, MadisonNot yet recruitingAnterior Cruciate Ligament Reconstruction | Patellar TendinopathyUnited States
-
University of Southern CaliforniaNational Cancer Institute (NCI)WithdrawnTransitional Cell Carcinoma | Infiltrating Bladder Urothelial Carcinoma | Stage II Bladder Urothelial Carcinoma
-
Ottawa Hospital Research InstituteCompleted
-
University of CadizCompleted