High intensity laser therapy versus radial shock wave therapy in treatment of shoulder impingement syndrome

Hend Mohamed Mahmoud, Mohammed Shawki Abdelsalam, Khaled E Ayad, Mona S Faggal

Hend Mohamed Mahmoud, Mohammed Shawki Abdelsalam, Khaled E Ayad, Mona S Faggal – High intensity laser therapy versus radial shock wave therapy in treatment of shoulder impingement syndrome. Fizjoterapia Polska 2023; 23(5); 245-252

DOI: https://doi.org/10.56984/8ZG20B475

Abstract
Background. Shoulder pain is very common problem in medical practice, ranked third after lower back and neck issues. Shoulder impingement syndrome is thought to be the most common reason for shoulder pain. It accounts for around 44% to 65% of all shoulder problems. Purpose. to compare between the effects of High Intensity Laser Therapy versus Radial Shock Wave Therapy in treatment of shoulder impingement syndrome. Methods. 45 patients were randomly enrolled into three equal groups. Group A (n = 15) received HILT plus conventional physical therapy program, Group B (n = 15) received RSWT plus the same conventional physical therapy program, and Group C (n = 15) received a conventional physical therapy program. The assessment were conducted pre and post treatment using the Visual Analogue Scale, Shoulder pain and disability index and electro goniometer to active shoulder flexion and abduction range of motion. Results. MANOVA test demonstrated a significant (P < 0.05) decrease in VAS and SPADI and a significant (P < 0.05) increase in shoulder flexion and abduction ROM in the three groups. VAS, SPADI, shoulder flexion, abduction ROM revealed that there was more improvement in-group A (P < 0.05). Conclusion: HILT showed a superior effect compared with RSWT on pain, function and shoulder flexion and abduction ROM in treatment of SIS.

Keywords
high-intensity laser therapy, radial shockwave therapy, shoulder impingement syndrome

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Effect of Core Stability Exercises on the Acromiohumeral Distance in patients with Shoulder Impingement Syndrome: A Randomized Controlled Trial

Amany M Abbas, Salwa A Fadel, Hamed M El khozamy, Waleed Ewais, Manal Hamisa

Amany M Abbas, Salwa A Fadel, Hamed M El khozamy, Waleed Ewais, Manal Hamisa – Effect of Core Stability Exercises on the Acromiohumeral Distance in patients with Shoulder Impingement Syndrome: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(2); 178-185

Abstract
Purpose. The aim of this study was to investigate the effect of adding the core stability exercises program to the conventional physical therapy program on the acromiohumeral distance in patients with SIS. Material and methods. Thirty male and female patients were diagnosed as SIS, their age ranged between 25-50 years were participated in this study. They would be randomly distributed into two equal experimental groups. Patients in the group (A): Received conventional physical therapy program. (B): Received the core stability exercises combined with conventional physical therapy program. Patients were received 12 sessions over four weeks, three sessions per week. The acromiohumeral distance was measured with 0 degree, 45 degrees’ abduction. Results. Statistical analysis revealed that there was significant increase the acromiohumeral distance at rest with (0° shoulder abduction) in favor of group (B) in compared to group (A). In spite of there was no statistical significant difference in the acromiohumeral distance at rest with (45° shoulder abduction) between group, there was clinical difference and high percent of improvement in favor to group B. Conclusion: Core stability exercises combined with conventional physical therapy program yield improvement in the AHD distance at rest with (zero shoulder abduction) than conventional physical therapy program.

Key words:
Shoulder impingement syndrome, Core stability exercises, The acromiohumeral distance

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Evaluation of the effectiveness of two rehabilitation programmes for the patients with the shoulder impingement syndrome

Katarzyna Ogrodzka, Karolina Leśniak, Aneta Bac, Tomasz Ridan, Marek Żak

K. Ogrodzka, K. Leśniak, A. Bac, T. Ridan, M. Żak: Evaluation of the effectiveness of two rehabilitation programmes for the patients with the shoulder impingement syndrome. FP 2015;15(4); 42-52

Abstract

Aim. The study aimed to compare two specific programmes of rehabilitation for patients with the shoulder impingement syndrome, as well as to assess to what extent the National Health Service refunded rehabilitation scheme was able to restore the possibility of recovering the function in a shoulder joint, in comparison to the programme of rehabilitation devised and developed by the Authors.
Material and method. The assessment embraced the two groups of patients, 7 in each, all diagnosed with shoulder impingement syndrome. The first group only used the refunded treatments, whereas the second group underwent the Authors’ programme of rehabilitation specifically tailored to address the patients’ individual needs.
Results. Having completed the course of respective rehabilitation programmes, the patients from both groups were found to have increased the range of motion in their shoulder joints, as well as experience an appreciably reduced level of pain when pursuing their daily activities, and also when at rest.
Conclusion. The Authors’ rehabilitation programme proved an appreciably more effective procedure for tackling the shoulder impingement syndrome.

Key words:
shoulder impingement syndrome, physical therapy, efficiency

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