Effectiveness of High-Intensity Laser Therapy in Subacromial Impingement Syndrome

Karaca, Burcu

doi:10.1089/pho.2015.4005

Cited by 18 publications

(12 citation statements)

References 33 publications

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“…Karaca 13 analysed a series of 42 cases, the effect seen by Karaca lengthens one month more in this study, but this effect was not better than placebo. Santamato et al 15 reported finding better results in the high-intensity group than in the ultrasound group.…”

Section: Discussionmentioning

confidence: 67%

“…We applied the premise that for any given wavelength, the higher the power, the greater the ensuing penetration effects and the less the dispersion of energy. Even though Karaca 13 used a similar protocol to this study, with two phases per session, they used less power than we did (8 and 7 W, respectively). Other studies used a three-phase protocol.…”

Section: Discussionmentioning

confidence: 99%

“…9 It has some advantages over low-level, particularly its greater tissue-penetration capacity owing to its high power and the lower absorption of 1064 nm wavelength by subcutaneous chromophores, 10 which make for a reduction in the high-intensity versus the low-level exposure time required to achieve treatment goals, 11 as well as recovery times when a power of more than 1 W is used. 12 In subacromial syndrome, studies with highintensity laser therapy have been limited to a series of cases, 13 or studies without a placebo-controlled group, 14,15 using short follow-up periods. Accordingly, the main objective of this study was to evaluate the efficacy of 15 sessions of highintensity laser therapy versus sham laser after the end of the intervention and at one-and threemonth follow-up on pain and functionality levels among subjects diagnosed with subacromial syndrome.…”

Section: Introductionmentioning

confidence: 99%

“…In subacromial syndrome, studies with high-intensity laser therapy have been limited to a series of cases, 13 or studies without a placebo-controlled group, 14,15 using short follow-up periods. Accordingly, the main objective of this study was to evaluate the efficacy of 15 sessions of high-intensity laser therapy versus sham laser after the end of the intervention and at one- and three-month follow-up on pain and functionality levels among subjects diagnosed with subacromial syndrome.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of high-intensity laser therapy in subacromial impingement syndrome: a three-month follow-up controlled clinical trial

et al. 2019

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Objectives: To evaluate the effectiveness of high-intensity laser therapy on shoulder pain and function in subacromial impingement syndrome. Design: Clinical controlled trial with alternate allocation. Setting: Hospital Department of Rehabilitation. Subjects: A total of 46 participants with subacromial impingement syndrome. Intervention: Participants were sequence allocated to an intervention group (high-intensity laser therapy + exercise therapy) and control group (sham-laser + exercise therapy) and received 15 sessions (five days a week during three weeks). Main measures: Patiens were evaluated at baseline, after 15 sessions, and at one month and at three months after completing the intervention. The main outcome variables were pain and functionality as measured by visual analogue scale; pressure pain threshold; Shoulder Pain and Disability Index; Constant-Murley Score; and QuickDASH. Secondary outcomes were number of sessions at discharge and drug use. Results: A total of 21 patients in high-intensity laser therapy group (56.7 ± 8.9 years) and 22 patients in sham-laser group (61.3 ± 8.9 years) concluded the study. Visual analogue scale (cm) at baseline, one-month,

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy of high-intensity laser therapy in subacromial impingement syndrome: a three-month follow-up controlled clinical trial

et al. 2019

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“…These findings with HILT (versus LLLT) were also confirmed in a study by Alayat et al 120 in patients with Bell’s palsy. HILT was also effective in the short-term management of pain and disability related to subacromial impingement syndrome, frozen shoulder and lateral epicondylitis 121 – 123 . HILT at wavelengths of 830 and 1,064 nm was better than TENS in improving control of pain and paresthesias secondary to carpal tunnel syndrome 124 .…”

Section: Laser Therapymentioning

confidence: 99%

Use of electroanalgesia and laser therapies as alternatives to opioids for acute and chronic pain management

White

Elvir-Lazo

Galeas³

et al. 2017

F1000Res

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The use of opioid analgesics for postoperative pain management has contributed to the global opioid epidemic. It was recently reported that prescription opioid analgesic use often continued after major joint replacement surgery even though patients were no longer experiencing joint pain. The use of epidural local analgesia for perioperative pain management was not found to be protective against persistent opioid use in a large cohort of opioid-naïve patients undergoing abdominal surgery. In a retrospective study involving over 390,000 outpatients more than 66 years of age who underwent minor ambulatory surgery procedures, patients receiving a prescription opioid analgesic within 7 days of discharge were 44% more likely to continue using opioids 1 year after surgery. In a review of 11 million patients undergoing elective surgery from 2002 to 2011, both opioid overdoses and opioid dependence were found to be increasing over time. Opioid-dependent surgical patients were more likely to experience postoperative pulmonary complications, require longer hospital stays, and increase costs to the health-care system. The Centers for Disease Control and Prevention emphasized the importance of finding alternatives to opioid medication for treating pain. In the new clinical practice guidelines for back pain, the authors endorsed the use of non-pharmacologic therapies. However, one of the more widely used non-pharmacologic treatments for chronic pain (namely radiofrequency ablation therapy) was recently reported to have no clinical benefit. Therefore, this clinical commentary will review evidence in the peer-reviewed literature supporting the use of electroanalgesia and laser therapies for treating acute pain, cervical (neck) pain, low back pain, persistent post-surgical pain after spine surgery (“failed back syndrome”), major joint replacements, and abdominal surgery as well as other common chronic pain syndromes (for example, myofascial pain, peripheral neuropathic pain, fibromyalgia, degenerative joint disease/osteoarthritis, and migraine headaches).

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Short-term effects of high-intensity laser therapy, manual therapy, and Kinesio taping in patients with subacromial impingement syndrome

Pekyavaş

Baltaci

2016

Lasers Med Sci

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Subacromial impingement syndrome (SAIS) is a major contributing factor of shoulder pain; and treatment approaches (Kinesio® taping [KT], Exercise [EX], manual therapy [MT], and high-intensity laser therapy [HILT]) have been developed to treat the pain. The key objective of this study was to compare the effects of KT, MT, and HILT on the pain, the range of motion (ROM), and the functioning in patients with SAIS. Seventy patients with SAIS were randomly divided into four groups based on the treatment(s) each group received [EX (n = 15), KT + EX (n = 20), MT + KT + EX (n = 16), and MT + KT + HILT + EX (n = 19)]. All the patients were assessed before and at the end of the treatment (15th day). The main outcome assessments included the evaluation of severity of pain by visual analogue scale (VAS) and shoulder flexion, abduction, and external rotation ROM measurements by a universal goniometry. Shoulder pain and disability index (SPADI) was used to measure pain and disability associated with shoulder pathology. Statistically significant differences were found in the treatment results of all parameters in MT + KT + EX and HILT + MT + KT + EX groups (p < 0.05). When the means of ROM and SPADI results of three groups were compared, statistically significant differences were found between all the groups (p < 0.05). These differences were significant especially between the groups MT + KT + EX and KT + EX (p < 0.05) and HILT + MT + KT + EX and KT + EX (p < 0.05). HILT and MT were found to be more effective in minimizing pain and disability and increasing ROM in patients with SAIS. Further studies with follow-up periods are required to determine the advantages of these treatments conclusively.

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Effectiveness of High-Intensity Laser Therapy in Subacromial Impingement Syndrome

Abstract: HILT was found to be effective in the short term in the treatment of pain and disability in patients with SAIS.

Cited by 18 publications

References 33 publications

Efficacy of high-intensity laser therapy in subacromial impingement syndrome: a three-month follow-up controlled clinical trial

Efficacy of high-intensity laser therapy in subacromial impingement syndrome: a three-month follow-up controlled clinical trial

Use of electroanalgesia and laser therapies as alternatives to opioids for acute and chronic pain management

Short-term effects of high-intensity laser therapy, manual therapy, and Kinesio taping in patients with subacromial impingement syndrome

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