Long-Term Effect of Pulsed Nd:YAG Laser in the Treatment of Patients with Rotator Cuff Tendinopathy: A Randomized Controlled Trial

Elsodany, Ahmed Mohamed; Alayat, Mohamed Salaheldien Mohamed; Ali, Mohamed I. Hassan; Khaprani, Hussien Mosa

doi:10.1089/pho.2018.4476

Cited by 24 publications

(35 citation statements)

References 41 publications

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“…For example, one study showed that pulsed yttrium aluminium garnet (YAG) laser combined with exercise was more effective for treatment of rotator cuff tendinopathy than sham laser treatment with exercise. 34 Future randomized controlled trials should examine the combined effects of CARE and exercise, as most studies have shown no difference in outcome between impingement syndrome patients randomized to surgical decompression or conservative management. 35 Thus, it is always desirable to start with conservative rehabilitation treatment, administering surgical treatment only in select cases.…”

Section: Discussionmentioning

confidence: 99%

Effects of capacitive and resistive electric transfer therapy in patients with painful shoulder impingement syndrome: a comparative study

et al. 2019

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Objective Capacitive and resistive electric transfer therapy (CARE) reduces pain and improves quality of life for many orthopaedic degenerative and inflammatory disorders. The research aim was to determine the effects of CARE on painful shoulder. The outcomes were pain reduction and recovery of shoulder function. Methods A retrospective, observational case-control study was conducted. Participants were 46 patients (22 in the CARE group and 24 in the SHAM group). Clinical data, pain (visual analogic scale, VAS) and functional scale scores (Disabilities of the Arm, Shoulder and Hand scale, and Constant–Murley Scale) were measured at baseline T0 (before treatment), T1 (after treatment) and follow-up T2 (2 months after the end of the treatment). Results VAS scores in the CARE group improved from 7.23 ± 1.11 at baseline to 2.68 ± 0.99 at follow-up. The SHAM group did not experience any improvement. Similarly, functional scale scores improved in the CARE group compared with the SHAM group. Conclusion Considering the small number of sessions needed, low cost and long-term benefits, CARE could be a useful therapeutic option for the conservative management of shoulder pain to restore pain-free and powerful movement to the shoulder joint.

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Section: Discussionmentioning

confidence: 99%

Effects of capacitive and resistive electric transfer therapy in patients with painful shoulder impingement syndrome: a comparative study

et al. 2019

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“…The effectiveness of laser therapy should be judged with caution; however, as only one trial ( n = 60 participants) provided direct evidence regarding its effect. 35 Pooled results suggested that exercise remained favourable over both corticosteroid injection (SMD 0.28, 95% CI 0.07, 0.49) and control arms (SMD 0.39, 95% CI 0.18, 0.59), as seen in pairwise meta-analysis, as well as compared with regenerative injections (0.53, 95% CI 0.15, 0.91).…”

Section: Resultsmentioning

confidence: 91%

“…For example, our results indicate that both laser therapy and exercise may provide benefits for patients for both pain and function outcomes across different follow-up time-points, with larger effects for exercise in the longer term. It must be noted, however, that only one relatively small trial 35 ( n = 60) with large uncertainty around its estimate of effects and with considerable risk of bias provided direct evidence regarding the effect of laser therapy. A larger number of trials provided evidence for the benefits of exercise, and these results (up until 3-month follow-up) were considered robust in sensitivity analyses excluding trials at increased risk of bias related to randomisation and data presentation or analysis.…”

Section: Discussionmentioning

confidence: 99%

Comparative effectiveness of treatment options for subacromial shoulder conditions: a systematic review and network meta-analysis

Babatunde

Ensor

Littlewood

et al. 2021

Therapeutic Advances in Musculoskeletal

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Background: There are currently many treatment options for patients with subacromial shoulder conditions (SSCs). Clinical decision-making regarding the best treatment option is often difficult. This study aims to evaluate the comparative effectiveness of treatment options for relieving pain and improving function in patients with SSCs. Methods: Eight databases [including MEDLINE, Embase, CINAHL, AMED, PEDro, Cochrane Database of Systematic Reviews and World Health Organization (WHO) International Clinical Trials Registry] were searched from inception until April 2020. Randomised clinical/controlled trials of adult patients investigating the effects of nonsurgical (e.g. corticosteroid injections, therapeutic exercise, shockwave therapy) and surgical treatment for SSCs, compared with each other, placebo, usual care or no treatment, were retrieved. Pairs of reviewers screened studies independently, quality appraised eligible studies using the Cochrane risk of bias tool, extracted and checked data for accuracy. Primary outcomes were pain and disability in the short term (⩽3 months) and long term (⩾6 months). Direct and indirect evidence of treatment effectiveness was synthesised using random-effects network meta-analysis. Results: The review identified 177 eligible trials. Summary estimates (based on 99 trials providing suitable data, 6764 patients, 20 treatment options) showed small to moderate effects for several treatments, but no significant differences on pain or function between many active treatment comparisons. The primary analysis indicated that exercise and laser therapy may provide comparative benefit in terms of both pain and function at different follow-up time-points, with larger effects found for laser in the short term at 2–6 weeks, although direct evidence was provided by one trial only, and for exercise in the longer term [standardised mean difference (SMD) 0.39, 95% confidence interval (CI) 0.18, 0.59 at 3–6 months] compared with control. Sensitivity analyses excluding studies at increased risk of bias confirmed only the comparative effects of exercise as being robust for both pain and function up until 3-month follow-up. Conclusion: Current evidence shows small to moderate effect sizes for most treatment options for SSCs. Six treatments had a high probability of being most effective, in the short term, for pain and function [acupuncture, manual therapy, exercise, exercise plus manual therapy, laser therapy and Microcurrent (MENS) (TENS)], but with low certainty for most treatment options. After accounting for risk of bias, there is evidence of moderate certainty for the comparative effects of exercise on function in patients with SSCs. Future large, high-quality pragmatic randomised trials or meta-analyses are needed to better understand whether specific subgroups of patients respond better to some treatments than others.

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“…Ambos efectos se producen por la generación de calor en el tejido enfermo -un aumento de aprox. 2 ° C -3 ° C-y la estimulación mecánica de nociceptores y otras terminales nerviosas (21)(22) . En consecuencia, la HIL se ha convertido en una opción de tratamiento fiable, segura y eficaz en el tratamiento de diversas afecciones musculoesqueléticas (23) .…”

Section: Discussionunclassified

Patellar tendon rupture after radial pressure wave therapy – also known as radial shock wave therapy – for patellar tendinopathy: Report of two Cases

Abarca

Delgado

Vela

et al. 2021

RFMH

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La tendinopatía rotuliana se caracteriza por dolor anterior de la rodilla localizado en el polo inferior de la rótula en la unión del tendón rotuliano. Esta es, a menudo, una condición discapacitante que limita la calidad de vida de los pacientes, afecta su capacidad para participar en deportes e incluso dificulta sus actividades cotidianas. El tratamiento de ondas de choque extracorpóreas (ESWT por sus siglas en inglés) ha sido reconocido como una alternativa prometedora y segura para el tratamiento de diversos trastornos musculoesqueléticos, incluida la tendinopatía rotuliana crónica. Sin embargo, existe evidencia limitada con respecto a sus efectos secundarios, en particular las lesiones de tendones asociadas con ESWT. Según el conocimiento de los autores, este es el primer artículo que demuestra evidencia clínica y radiológica de dos pacientes sin factores de riesgo que presentan desgarros parciales del tendón rotuliano después de haber recibido terapia de ondas de presión radiales, también conocida como terapia de ondas de choque radiales, como tratamiento para la tendinopatía rotuliana. El tratamiento con ondas de choque debe ser aplicada por profesionales debidamente capacitados para que se cumplan los requisitos específicos necesarios para garantizar una técnica de aplicación adecuada, minimizar los posibles efectos adversos y mejorar la seguridad del paciente.

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Long-Term Effect of Pulsed Nd:YAG Laser in the Treatment of Patients with Rotator Cuff Tendinopathy: A Randomized Controlled Trial

Abstract: Pulsed Nd:YAG laser combined with an exercise program seems to be more effective in the treatment of patients with rotator cuff tendinopathy than a sham laser with exercises.

Cited by 24 publications

References 41 publications

Effects of capacitive and resistive electric transfer therapy in patients with painful shoulder impingement syndrome: a comparative study

Effects of capacitive and resistive electric transfer therapy in patients with painful shoulder impingement syndrome: a comparative study

Comparative effectiveness of treatment options for subacromial shoulder conditions: a systematic review and network meta-analysis

Patellar tendon rupture after radial pressure wave therapy – also known as radial shock wave therapy – for patellar tendinopathy: Report of two Cases

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