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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Effects of low level laser therapy and median nerve mobilization after carpal tunnel release: A randomized controlled trial

Moussa A. Sharaf, Mona S. Faggal, Marwa S. Saleh, Nagwa I. Rehab

Moussa A. Sharaf, Mona S. Faggal, Marwa S. Saleh, Nagwa I. Rehab – Effects of low level laser therapy and median nerve mobilization after carpal tunnel release: A randomized controlled trial. Fizjoterapia Polska 2020; 20(5); 128-134

Abstract

Background. Although various rehabilitation methods have been used to enable patients to return to their normal activities after carpal tunnel release (CTR) such as low level laser therapy (LLLT) and median nerve mobilization, up till now, there is no evidence for the comparison of effects of these two techniques in patients with CTR. Purpose. To investigate and compare the effectiveness of LLLT and median nerve mobilization after CTR on the electrophysiological parameters of median nerve, pain, hand grip and pinch strength. Methods. Forty-five patients of both sexes with unilateral CTR participated in the study. They were randomly assigned into three equal groups. Group I received LLLT and group II received median nerve mobilization three sessions per week for five successive weeks. Group III was the control group. Electrophysiological parameters of the median nerve, visual analogue scale (VAS), hand grip and pinch strength were assessed pre, post-treatment and after three months (follow-up). Results. There was no significant difference between GI and GII in all variables at post-treatment and follow-up. However, there was significant difference in all variables at post-treatment in GI and GII as compared to GIII. At follow-up for all variables, there was no significant difference between GI and GIII (except for pain) with significant difference between GII and GIII. Conclusion. Both of neural mobilization and LLLT lead to better improvement in the electrophysiological parameters of the median nerve, pain and hand function after CTR (in favor of neural mobilization group). Also, median nerve mobilization is more effective on improving hand function than LLLT at follow-up.

Key words:
Carpal tunnel release, low level laser therapy, median nerve mobilization, electrophysiological parameters, hand grip, pinch strength
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