The Effects of Photobiomodulation on Shoulder Pain, Muscle Thickness, and Function in Subjects With Adhesive Capsulitis

Ezzati, Kamran; Salari, Amir; Khani, Samira; Aris, Arash

doi:10.32598/cjns.8.29.1

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some studies presented consent, and others indicated contrary findings with the effect of LLLT on pain. Recently, Ezzati et al [29] approved that the LLLT showed better analgesic effects than normal physical therapy. However, the effects on RoM, muscle thickness, and function were insignificant in the short term and one-month follow-up.…”

Section: Discussionmentioning

confidence: 99%

Effect of proprioceptive neuromuscular facilitation versus low level laser therapy on shoulder adhesive capsulitis post-neck dissection surgery

Mohammed Shams,

Sherif,

Saafan

2024

Physiother Quart.

View full text Add to dashboard Cite

IntroductionNeck dissection (ND) operations are performed to treat known metastatic neck illness. These operations have been associated with chronic neck and shoulder problems. In patients who have had a ND, adhesive capsulitis (AC) is one of the causes of shoulder dysfunction.MethodsForty patients with AC following modified radical neck dissection (MRND) surgeries were chosen at random and divided into two groups of equal size. The low-level laser therapy (LLLT) group (group A) received LLLT with: wavelength – 830 nm, output – 50 mw, maximum frequency – 5000 Hz, pulse duration – 50 ns, and average dose – 9 J/cm2 for 20 min, plus traditional physical therapy (mobilisation technique, myofascial release, range of motion (ROM), and strengthening exercises) for 30 min. The proprioceptive neuromuscular facilitation (PNF) group (group B) received PNF for 25–30 min in addition to traditional physical therapy. The treatment period was 3 times each week and lasted for eight weeks. The discomfort in the shoulder was measured using the visual analogue scale (VAS). Shoulder impairment and pain were assessed by the SPADI scale and the shoulder ranges of motion were assessed using the universal goniometer technique. All measures were taken before and after the intervention.ResultsThe findings reveal that there was a significant enhancement in all variables in both groups A and B after therapy compared to before the treatment (p < 0.001). After therapy, there were no obvious changes in the VAS and SPADI values among the groups (p > 0.05). However, statistical analysis showed significant improvement in the PNF group (group B) in shoulder flexion, abduction and external rotation in comparison to that of the LLLT group (group A) after treatment (p < 0.001).ConclusionsPNF proved to be more effective than LLLT in increasing ROM but was as effective as LLLT in decreasing shoulder pain and dysfunction in AC post ND surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of proprioceptive neuromuscular facilitation versus low level laser therapy on shoulder adhesive capsulitis post-neck dissection surgery

Mohammed Shams,

Sherif,

Saafan

2024

Physiother Quart.

View full text Add to dashboard Cite

show abstract

“…In such cases, laser applications are more effective in providing the analgesic effect. [ 28 , 29 ] However, adequate time is required to improve muscle function and the range of motion, and thus longer duration follow-up studies are required to substantiate the long-term effects of laser application.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of low-level laser versus high-intensity laser therapy in the management of adhesive capsulitis: A randomized clinical trial

Mülkoglu,

Ordahan,

Yigit

2023

Saudi J Med Med Sci

View full text Add to dashboard Cite

Background: Low-level laser therapy (LLLT) and high-intensity laser therapy (HILT) are effective in alleviating pain and improving functionality in patients with adhesive capsulitis (AC); however, no study has compared the efficacy of these two laser treatments. Objective: To compare the effectiveness of LLLT and HILT in improving the shoulder joint range of motion and functional status and in reducing pain level in patients with AC. Trial Design: Prospective, randomized, parallel group, patient- and assessor-blinded. Methods: A total of 45 patients (aged: 18–65 years) with complaint of shoulder pain were evaluated for inclusion criteria, which included being aged 18–65 years and a diagnosis of AC based on physical examinations. Using computer-generated random numbers, eligible patients were randomized into two groups: HILT + stretching exercise and LLLT + stretching exercise groups. Both HILT and LLLT were performed three times/week for 3 weeks. Functional status and pain of the patients were evaluated with Shoulder Pain and Disability Index (SPADI) and Visual Analog Scale (VAS), while shoulder joint range of motion was measured with goniometry. All assessments were done before and 3 weeks after treatment. Results: A total of 40 patients (20 in each group) completed the study. At baseline, there was no statistically significant difference in the demographic and clinical characteristics between both groups. Both the LLLT and HILT groups showed significant improvement in the VAS and SPADI scores 3 weeks after treatment; however, the improvement was significantly higher in the HILT group than the LLLT group. There was no significant improvement in goniometric scores in both groups compared with baseline. No injury or other musculoskeletal complications were recorded during or after the treatments. Conclusion: HILT + stretching exercise treatment was more effective than LLLT + stretching exercise for improving functional parameters and pain in patients with AC. Trial Registration: ClinicalTrials.gov Identifier: NCT05469672. Funding: None

show abstract

The Effects of Photobiomodulation on Shoulder Pain, Muscle Thickness, and Function in Subjects With Adhesive Capsulitis

Cited by 2 publications

References 0 publications

Effect of proprioceptive neuromuscular facilitation versus low level laser therapy on shoulder adhesive capsulitis post-neck dissection surgery

Effect of proprioceptive neuromuscular facilitation versus low level laser therapy on shoulder adhesive capsulitis post-neck dissection surgery

Efficacy of low-level laser versus high-intensity laser therapy in the management of adhesive capsulitis: A randomized clinical trial

Contact Info

Product

Resources

About