- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05469672
The Effect of Laser Therapy in the Management of Adhesive Capsulitis: a Randomized Clinical Trial
The Effect of Low-level Laser Versus High-intensity Laser Therapy in the Management of Adhesive Capsulitis: a Randomized Clinical Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: BANU ORDAHAN
- Phone Number: 5058741256
- Email: banuordahan@gmail.com
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 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.
Exclusion Criteria:
- 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.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: low-level laser therapy
LLLT will be performed 3 times a week for a period of 3 weeks
|
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.
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.
|
Active Comparator: high-intensity laser therapy
HILT will be performed 3 times a week for a period of 3 weeks
|
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.
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.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
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
Time Frame: Baseline-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 Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Shoulder Pain and Disability Index
Time Frame: Baseline and week 3
|
The severity of pain and limitation experienced by individuals during certain activities will be evaluated with the Shoulder Pain and Disability Index (SPADI). SPADI is an evaluation method filled by the individual, lasting approximately 5-10 minutes, which questions the state of pain and disability in the shoulder. [11] SPADI consists of 2 sections and 13 sub-headings, namely pain and disability. The first part consists of 5 questions which evaluate the worst pain level being experienced in the last 14 days, lying on the affected side, and level of pain during reaching up, reaching behind the neck, and pushing activity. The second part evaluates the disability level by questioning the level of limitation experienced by the individual during personal care, dressing and carrying activities. The total score range in the scale ranges from 0 to 130. Change from baseline in pain and disability on the Shoulder Pain and Disability Index at week 3 |
Baseline and week 3
|
Measuring the range of motion at shoulder joint
Time Frame: Baseline and week 3
|
Shoulder active range of motion (flexion, abduction, internal and external rotation) will be measured with a universal goniometry. Change from baseline in shoulder joint on the measuring the range of motion at shoulder joint at week 3 |
Baseline and week 3
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: BANU ORDAHAN, Meram Medical School, Necmettin Erbakan University, Konya, Turkey
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
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
- BOrdahan
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
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.
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