High-Intensity Laser Therapy Versus Multimodal Physiotherapy in Subacromial Impingement Syndrome
Short-Term Effects of High-Intensity Laser Therapy Compared With Multimodal Physiotherapy in Subacromial Impingement Syndrome: A Randomized Controlled Trial
연구 개요
상태
상세 설명
Subacromial impingement syndrome (SIS) is one of the most common causes of shoulder pain and functional limitation. Conservative treatment strategies, particularly exercise-based rehabilitation, are recommended as first-line therapy. High-intensity laser therapy (HILT) has recently gained attention because of its potential analgesic and anti-inflammatory effects; however, its comparative effectiveness against multimodal physiotherapy remains unclear.
This single-centre, assessor-blinded randomized controlled trial was conducted at the Department of Physical Medicine and Rehabilitation, Inonu University Hospital, Malatya, Türkiye. Adults aged 18-65 years with clinically and radiologically confirmed SIS were enrolled. Participants were allocated to either a high-intensity laser therapy group or a combined conventional physiotherapy group. Both groups additionally participated in an identical supervised exercise program.
The HILT group received class IV Nd:YAG laser therapy (1064 nm), whereas the control group received hot pack therapy, transcutaneous electrical nerve stimulation, and therapeutic ultrasound. Treatment duration was three weeks.
The primary outcome measure was pain intensity assessed using the visual analogue scale (VAS). Secondary outcomes included the Constant-Murley Score, Shoulder Pain and Disability Index (SPADI), and Short Form-36 quality-of-life assessment. Outcomes were evaluated at baseline, post-treatment, and short-term follow-up.
The study was approved by the Inonu University Clinical Research Ethics Committee (Approval No: 2015/123). The trial was retrospectively submitted for registration at ClinicalTrials.gov.
연구 유형
등록 (실제)
단계
- 해당 없음
참여기준
자격 기준
공부할 수 있는 나이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:Inclusion Criteria:
- Adults aged 18 to 65 years
- Clinically and radiologically confirmed subacromial impingement syndrome
- Shoulder pain lasting at least 1 month and less than 6 months
- At least one positive impingement test (Neer, Hawkins-Kennedy, painful arc, or Jobe test)
- MRI findings consistent with stage I-II rotator cuff changes
Exclusion Criteria:
- Previous shoulder surgery or trauma
- Inflammatory rheumatic disease
- Recent myocardial infarction
- Active infection
- Previous physiotherapy or corticosteroid injection within the last 6 months
- Pregnancy
- Calcific tendinitis
- Adhesive capsulitis
- Cervical radiculopathy
- Neurological disorders affecting the shoulder
- Full-thickness rotator cuff tear
- Contraindications to electrotherapy or laser therapy
Exclusion Criteria:
-
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
실험적: High-Intensity Laser Therapy
Participants received class IV Nd:YAG high-intensity laser therapy three times weekly for three weeks in addition to a supervised exercise program.
|
Class IV Nd:YAG laser therapy (1064 nm wavelength) administered to the shoulder region for treatment of subacromial impingement syndrome.
|
|
활성 비교기: Multimodal Physiotherapy
Participants received hot pack therapy, transcutaneous electrical nerve stimulation, and therapeutic ultrasound combined with a supervised exercise program.
|
Combined physiotherapy program consisting of hot pack therapy, transcutaneous electrical nerve stimulation, and therapeutic ultrasound.
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Shoulder Pain Intensity Assessed by Visual Analogue Scale (VAS)
기간: Baseline, 3 weeks, and 7 weeks
|
Pain intensity at rest, during movement, and at night assessed using a 10-cm visual analogue scale.
|
Baseline, 3 weeks, and 7 weeks
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Shoulder Function Assessed by Constant-Murley Score
기간: Baseline, 3 weeks, and 7 weeks
|
Shoulder functional status assessed using the Constant-Murley Score.
|
Baseline, 3 weeks, and 7 weeks
|
|
Shoulder Disability Assessed by SPADI
기간: Baseline, 3 weeks, and 7 weeks
|
Shoulder Pain and Disability Index (SPADI) used to assess disability related to shoulder pain.
|
Baseline, 3 weeks, and 7 weeks
|
공동 작업자 및 조사자
스폰서
수사관
- 수석 연구원: Tulay Yildirim, MD, Inonu University Faculty of Medicine
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- IUFM-PMR-2015-123
- 2015/123 (기타 식별자: Inonu University Clinical Research Ethics Committee)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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