Low-Level Laser Therapy in Subacromial Impingement Syndrome

Bal, Amanjit; Ekşioğlu, Emel; Gürçay, Eda; Gulec, Berna; Karaahmet, Özgür Zeliha; Çakçı, Aytül

doi:10.1089/pho.2007.2222

Cited by 43 publications

(62 citation statements)

References 20 publications

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“…Of the three that did not, one study (Walther et al, 2004) subsequently demonstrated clinically significant changes by 12 weeks but the other two (Giombini et al, 2006;Calis et al, 2011) did not follow-up to this time point. At and beyond the 12-week follow-up point, seven of eight studies (Walther et al, 2004;Bal et al, 2009;Engebretsen et al, 2009Engebretsen et al, , 2011Østerås et al, 2009Yiasemides et al, 2011;Kromer et al, 2013;Littlewood et al, 2014a) reported clinically significant changes with a general trend towards greater change over time.…”

Section: Outcome Measures and Outcomesmentioning

confidence: 99%

“…Six studies reported the Shoulder Pain and Disability Index (SPADI) (Kachingwe et al, 2008;Bal et al, 2009;Engebretsen et al, 2009Engebretsen et al, , 2011Yiasemides et al, 2011;Kromer et al, 2013;Littlewood et al, 2014a), three 1 Shoulder pain or shoulder impingement* or shoulder tend* or shoulder burs* or rotator cuff* or subacromial impingement* or subacromial burs* or supraspinatus* or impingement* or contractile dysfunction or painful arc* Title and abstract 2 Exercise* or eccentric* or concentric* or loaded* or resistance* or muscle* or physiotherapy* or physical therapy* or rehabilitation* or conservative management Title and abstract 3 Randomized controlled* or randomized controlled* or controlled clinical trial or randomized or placebo or randomly or trial or groups Title and abstract 4 1 and 2 and 3 …”

Section: Outcome Measures and Outcomesmentioning

confidence: 99%

“…At and beyond the 12-week follow-up point the mean change in SPADI score was 26 (range 21.5-36) [Bal et al (2009) excluded from this analysis due to reporting of SPADI as median]; only one study provided a Constant score which indicated a 16.0 point change (Walther et al, 2004); the mean change in Shoulder Rating Questionnaire score was 19 (range 7.7-35.4). At the 12-week follow-up point; the mean change in SPADI score was 24 (range 21.5-29).…”

Section: Outcome Measures and Outcomesmentioning

confidence: 99%

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Therapeutic exercise for rotator cuff tendinopathy

Littlewood

Malliaras

Chance-Larsen

2015

International Journal of Rehabilitation Research

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Exercise is widely regarded as an effective intervention for symptomatic rotator cuff tendinopathy but the prescription is diverse and the important components of such programmes are not well understood. The objective of this study was to systematically review the contextual factors and prescription parameters of published exercise programmes for rotator cuff tendinopathy, to generate recommendations based on current evidence. An electronic search of AMED, CiNAHL, CENTRAL, MEDLINE, PEDro and SPORTDiscus was undertaken from their inception to June 2014 and supplemented by hand searching. Eligible studies included randomized controlled trials evaluating the effectiveness of exercise in participants with rotator cuff tendinopathy. Included studies were appraised using the Cochrane risk of bias tool and synthesized narratively. Fourteen studies were included, and suggested that exercise programmes are widely applicable and can be successfully designed by physiotherapists with varying experience; whether the exercise is completed at home or within a clinic setting does not appear to matter and neither does pain production or pain avoidance during exercise; inclusion of some level of resistance does seem to matter although the optimal level is unclear, the optimal number of repetitions is also unclear but higher repetitions might confer superior outcomes; three sets of exercise are preferable to two or one set but the optimal frequency is unknown; most programmes should demonstrate clinically significant outcomes by 12 weeks. This systematic review has offered preliminary guidance in relation to contextual factors and prescription parameters to aid development and application of exercise programmes for rotator cuff tendinopathy.

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Section: Outcome Measures and Outcomesmentioning

confidence: 99%

Section: Outcome Measures and Outcomesmentioning

confidence: 99%

Section: Outcome Measures and Outcomesmentioning

confidence: 99%

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Therapeutic exercise for rotator cuff tendinopathy

Littlewood

Malliaras

Chance-Larsen

2015

International Journal of Rehabilitation Research

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“…Mann-Whitney U test for independent samples was used to compare the groups. Wilcoxon signed- 0.700 40 [20,60] 40 [15,60] 0.976 50 [25,60] 50 [20,60] 0.973 40 [20,80] 40 [20,80] 0 …”

Section: Materıal and Methodsmentioning

confidence: 99%

“…Both groups showed significant improvements; however, there were no significant intergroup differences regarding pain, functional assessment, and disability after the treatment . Bal et al (20) compared LLLT (904 nm, 5500 Hz, GaAs diode laser) and a home exercise program with a home exercise program alone. The exercise program included a pendulum exercise, a passive shoulder self-stretching exercise, isometrics, elastic band (Thera-Band®) exercises, strengthening exercises for scapular stabilizers, and advanced muscle strengthening exercises with dumbbells in a progressive manner.…”

Section: Dıscussıonmentioning

confidence: 99%

Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: a randomized, placebo controlled, prospective study

Öztürk¹,

Altınay²,

Karatepe³

et al. 2015

Tepecik Dergisi

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Objective: To assess the effectiveness of low-level laser therapy [LLLT] in patients with subacromial impingement syndrome (SIS). Methods: A total of 60 patients with SIS were randomly assigned into a laser or a placebo group. All participants also received 15 sessions of superficial heat treatment, transcutaneous electrical nerve stimulation therapy, and an exercise program. Outcomes were global pain severity, active and passive shoulder range of motion (ROM), and disability assessed by the Turkish Disabilities of the Arm, Shoulder and Hand (DASH-T) Outcome Measurement. Results: There were statistically significant improvements in all outcome measurements in both groups. In comparison of both groups, median active and passive flexion, active and passive abduction, passive internal rotation, and passive external rotation scores were significantly higher in the laser group after the treatment (p=0.015, P=0.004, p=0.048, p=0.014, p=0.031, and p=0.044, respectively), but median differences in both groups were similar (P>0.05). The median differences for global visual analogue scale pain and DASH-T scores, in both groups were also similar (P>0.05). Conclusion:The results of our study demonstrated that both treatments provided improvement in pain, ROM, and disability status, but LLLT did not provide additional improvements.Key words: Subacromial impingement syndrome, low-level laser therapy, shoulder disability ÖZET Amaç: Subakromiyal sıkışma sendromu (SSS) olan hastalarda düşük doz lazer tedavisinin (DDLT) etkinliğini değerlendirmek. Yöntemler: SSS olan toplam 60 hasta lazer ve plasebo lazer gruplarına randomize edildi. Tüm katılımcılar aynı zamanda 15 seans boyunca yüzeyel sıcak uygulama, transkutanöz elektriksel sinir stimülasyon (TENS) tedavisi ve bir egzersiz programı aldı. Sonuç ölçümleri global ağrı şiddeti, aktif ve pasif omuz hareket açıklığı (EHA) ve Kol, Omuz ve El Sorunları Anketi [(Turkish Disabilities of the Arm, Shoulder and Hand Outcome Measurement (DASH-T)] idi. Bulgular: Her iki grupta da tüm sonuç ölçümlerinde istatistiksel olarak anlamlı düzelme vardı. Tedavi sonrasında iki grubun karşılaştırılmasında ortanca aktif ve pasif fleksiyon, aktif ve pasif abduksiyon, pasif iç rotasyon ve pasif dış rotasyon lazer grubunda anlamlı olarak daha yüksekken (sırasıyla p=0.015, p=0.004, p=0.048, p=0.031 ve p=0.044), farkların ortancası iki grup arasında benzerdi (p>0.05). Yine VAS ağrı farklarının ortancası ve DASH-T farklarının ortancası iki grupta benzerdi (p>0.05). Sonuç: Çalışmamızın sonuçları her iki tedavinin de ağrı, EHA ve yetersizlik durumunda iyileşme sağladığını, ancak DDLT'nin ilave iyileşmeye katkısının olmadığını gösterdi.

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Electrotherapy modalities for rotator cuff disease

Page

Green

Mrocki

et al. 2016

Cochrane Database of Systematic Reviews

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Based on low quality evidence, therapeutic ultrasound may have short-term benefits over placebo in people with calcific tendinitis, and LLLT may have short-term benefits over placebo in people with rotator cuff disease. Further high quality placebo-controlled trials are needed to confirm these results. In contrast, based on low quality evidence, PEMF may not provide clinically relevant benefits over placebo, and therapeutic ultrasound, LLLT and PEMF may not provide additional benefits when combined with other physical therapy interventions. We are uncertain whether TENS is superior to placebo, and whether any electrotherapy modality provides benefits over other active interventions (e.g. glucocorticoid injection) because of the very low quality of the evidence. Practitioners should communicate the uncertainty of these effects and consider other approaches or combinations of treatment. Further trials of electrotherapy modalities for rotator cuff disease should be based upon a strong rationale and consideration of whether or not they would alter the conclusions of this review.

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Low-Level Laser Therapy in Subacromial Impingement Syndrome

Abstract: Our study was unable to demonstrate any distinct advantage of low-level laser therapy over exercise alone. Comprehensive home exercise programs should be the primary therapeutic option in the rehabilitation process in SIS.

Cited by 43 publications

References 20 publications

Therapeutic exercise for rotator cuff tendinopathy

Therapeutic exercise for rotator cuff tendinopathy

Effectiveness of low-level laser therapy in patients with subacromial impingement syndrome: a randomized, placebo controlled, prospective study

Electrotherapy modalities for rotator cuff disease

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