Volume 31, Issue 149 (November & December 2023)                   J Adv Med Biomed Res 2023, 31(149): 541-548 | Back to browse issues page

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Beyrami M, Soltani A, Eftekharsadat B, Sarbakhsh P, Habibi M, E. Oskouei A. Effects of High Power Laser Therapy on Clinical and Sonographic Findings in People with Chronic Rotator Cuff Tendinitis. J Adv Med Biomed Res 2023; 31 (149) :541-548
URL: http://journal.zums.ac.ir/article-1-7065-en.html
Effects of High Power Laser Therapy on Clinical and Sonographic Findings in People with Chronic Rotator Cuff Tendinitis
Morteza Beyrami1 , Abbas Soltani1 , Bina Eftekharsadat2 , Parvin Sarbakhsh3 , Mehrdad Habibi1 , Ali E. Oskouei * 4
1- Dept. of Physiotherapy, Faculty of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran
2- Dept. of Physical Medicine and Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran
3- Dept. of Epidemiology and Biostatics, Tabriz University of Medical Sciences, Tabriz, Iran
4- Dept. of Physiotherapy, Faculty of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran , eterafoskouei@tbzmed.ac.ir
Abstract:   (1286 Views)

Background and Objective: High power laser therapy (HPLT) seems to be a new modality to possibly manage rotator cuff tendinitis.The purpose of this study was to investigate the effects of HPLT on clinical and sonographic findings in people with chronic rotator cuff tendinitis.
Materials and Methods: Thirty-two people suffering from rotator cuff tendinitis participated in this study. The patients  were  randomly assigned to the control group (n=16) that received routine physiotherapy including Transcutaneous electrical nerve stimulation (TENS), ultrasound, hot pack, exercise consisting range of motion, pendulum, strengthening, and stability exercises, or the treatment group (n=16) that received routine physiotherapy and HPLT in the painful area of the shoulder (12 sessions) Clinical and functional findings including pain, shoulder range of motion, shoulder disability, and sub-acromial liquid were measured using the visual analog scale, goniometry, questionnaire, and sonography, respectively before and after treatment.
Results: Pain, active and passive range of motion, shoulder disability and sub-acromial fluid accumulation were significantly different in both groups and improved, but no difference was reported in the thickness of the rotator cuff tendon, especially the supraspinatus tendon. The improvement was more significant (pain reduction and sub-acromial liquid, increase in range of motion and level of function) in the treatment group than in the control group (P <0.05).
Conclusion: HPLT combined with the routine physiotherapy improve the clinical as well as sonography findings including supraspinatus tendon thickness and accumulation of sub-acromial fluid in people with rotator cuff tendinitis compared with those in the control group.

Keywords: Laser Therapy, Rotator Cuff, Tendonitis
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✅ HPLT combined with the routine physiotherapy improve the clinical as well as sonography findings including supraspinatus tendon thickness and accumulation of sub-acromial fluid in people with rotator cuff tendinitis compared with those in the control group.


Type of Study: Clinical Trials | Subject: Clinical medicine
Received: 2023/06/24 | Accepted: 2023/09/9 | Published: 2024/01/29
References
1. Abrisham SMJ, Kermani-Alghoraishi M, Ghahramani R, Jabbari L, Jomeh H, Zare M. Additive effects of low-level laser therapy with exercise on subacromial syndrome: A randomised, double-blind, controlled trial. Clin Rheumatol. 2011;30(10):1341-46. [DOI:10.1007/s10067-011-1757-7] [PMID]
2. Bishay V, Gallo RA. The evaluation and treatment of rotator cuff pathology. Prim Care-Clin Off Pract. 2013;40(4):889-910. [DOI:10.1016/j.pop.2013.08.006] [PMID]
3. Braun C, Hanchard NC, Batterham AM, Handoll HH, Betthäuser A. Prognostic models in adults undergoing physical therapy for rotator cuff disorders: Systematic review. Phys Ther. 2016;96(7):961-71. [DOI:10.2522/ptj.20150475] [PMID]
4. Lewis JS. Rotator cuff tendinopathy. Br J Sports Med. 2009;43(4):236-241. [DOI:10.1136/bjsm.2008.052175] [PMID]
5. Bennell K, Wee E, Coburn S, et al. Efficacy of standardised manual therapy and home exercise programme for chronic rotator cuff disease: Randomised placebo controlled trial. BMJ. 2010;341(7763):c2756. [DOI:10.1136/bmj.c2756] [PMID] [PMCID]
6. Boudreault J, Desmeules F, Roy J, Dionne C, Frémont P, Macdermid JC. The efficacy of oral non-steroidal anti-inflammatory drugs for rotator cuff tendinopathy : A Systematic Review and Meta-Analysis. J Rehabil Med. 2014;(18):294-306. [DOI:10.2340/16501977-1800] [PMID]
7. Weiss LJ, Wang D, Hendel M, Buzzerio P, Rodeo SA. Management of rotator cuff injuries in the elite athlete. Curr Rev Musculoskelet Med. 2018;11(1):102-112. [DOI:10.1007/s12178-018-9464-5] [PMID] [PMCID]
8. Carlos F, Oliveira L De, Fontenay BP De, Bouyer LJ, Desmeules F, Roy J. Effects of kinesiotaping added to a rehabilitation programme for patients with rotator cuff tendinopathy : protocol for a single-blind, randomised controlled trial addressing symptoms, functional limitations and underlying deficits. BMJ Open. 2017;7(9):e017951. [DOI:10.1136/bmjopen-2017-017951] [PMID] [PMCID]
9. Desmeules F, Boudreault J, Roy J, Dionne C, Frémont P, Macdermid JC. The efficacy of therapeutic ultrasound for rotator cuff tendinopathy: A systematic review and meta-analysis. Phys Ther Sport. 2015;16(3):276-84. [DOI:10.1016/j.ptsp.2014.09.004] [PMID]
10. Meadeb J, Guggenbuhl P, Marin F, Benkalfate T, Thomazeau H, Chalès G. High-energy extracorporeal shock-wave therapy for calcifying tendinitis of the rotator cuff. Bone Joint J. 2007;89(3):335-341. [DOI:10.1302/0301-620X.89B3.18249] [PMID]
11. Trial ARC. Long-term effect of pulsed Nd : YAG Laser in the Treatment of Patients with Rotator Cuff Tendinopathy .Photomed Laser Surg. 2018;36(9):50613. [DOI:10.1089/pho.2018.4476] [PMID]
12. Elsodany AM, Alayat MSM, Ali MME, Khaprani HM. Long-term effect of pulsed Nd:YAG laser in the treatment of patients with rotator cuff tendinopathy: A randomized controlled trial. Photomed Laser Surg. 2018;36(9):506-513. [DOI:10.1089/pho.2018.4476] [PMID]
13. Karaca B. Effectiveness of high-intensity laser therapy in subacromial impingement syndrome. Photomed Laser Surg. 2016;34(6):223-28. [DOI:10.1089/pho.2015.4005] [PMID]
14. Ahmad MA, Shariff MA , Yusof A. Effects of low-level and high-intensity laser therapy as adjunctive to rehabilitation exercise on pain, stiffness and function in knee osteoarthritis: a systematic review and meta-analysis. Physiotherapy. 2022;85-95. [DOI:10.1016/j.physio.2021.03.011] [PMID]
15. Bjordal JM, Johnson MI, Iversen V, Aimbire F, Lopes-Martins RAB. Photoradiation in acute pain: A systematic review of possible mechanisms of action and clinical effects in randomized placebo-controlled trials. Photomed Laser Surg. 2006;24(2):158-168. [DOI:10.1089/pho.2006.24.158] [PMID]
16. Santamato A, Solfrizzi V, Panza F, et al. Short-term effects of high-intensity laser therapy versus ultrasound therapy in the treatment of people with subacromial impingement syndrome: A Randomized Clinical Trial. Phys Ther. 2009;89(7):643-52. [DOI:10.2522/ptj.20080139] [PMID]
17. Analog V, Vas P, Rating N, Nrs P. Measures of adult pain. Arthritis Care Res (Hoboken). 2011;63(Suppl 11):S240-52.
18. Mullaney MJ, Mchugh MP, Johnson CP, Tyler TF. Reliability of shoulder range of motion comparing a goniometer to a digital level.Physiother Theory Pract. 2010;26(5):327-33. [DOI:10.3109/09593980903094230] [PMID]
19. Paul A, Lewis M, Shadforth MF, Croft PR, Van Der Windt DAWM, Hay EM. A comparison of four shoulder-specific questionnaires in primary care. Ann Rheum Dis. 2004;63(10):1293-9. [DOI:10.1136/ard.2003.012088] [PMID] [PMCID]
20. Gupta H, Robinson P. Normal shoulder ultrasound: Anatomy and technique. Semin Musculoskelet Radiol. 2015;19(3):203-211. [DOI:10.1055/s-0035-1549315] [PMID]
21. Dogan SK, Saime A, Evcik D. The effectiveness of low laser therapy in subacromial impingement syndrome: A randomized placebo controlled double-blind prospective study. Clinics. 2010;65(10):1019-1022. [DOI:10.1590/S1807-59322010001000016] [PMID] [PMCID]
22. Kim SH, Kim YH, Lee HR, Choi YE. Short-term effects of high-intensity laser therapy on frozen shoulder: A prospective randomized control study. Man Ther. 2015;20(6):751-57. [DOI:10.1016/j.math.2015.02.009] [PMID]
23. Alayat MSM, Aly THA, Elsayed AEM, Fadil ASM. Efficacy of pulsed Nd:YAG laser in the treatment of patients with knee osteoarthritis: a randomized controlled trial. Lasers Med Sci. 2017;32(3):503-511. [DOI:10.1007/s10103-017-2141-x] [PMID]
24. Alayat MSM, Atya AM, Ali MME, Shosha TM. Long-term effect of high-intensity laser therapy in the treatment of patients with chronic low back pain: A randomized blinded placebo-controlled trial. Lasers Med Sci. 2014;29(3):1065-73. [DOI:10.1007/s10103-013-1472-5] [PMID]
25. Singer S, Marc Y. Fink VVA. HHS public access. Physiol Behav. 2019;176(3):139-148.
26. Karaca B. Effectiveness of high-intensity laser therapy in subacromial impingement syndrome. Photomed Laser Surg. 2016;34(6):223-28. [DOI:10.1089/pho.2015.4005] [PMID]
27. Ip D, Fu NY. Two-year follow-up of low-level laser therapy for elderly with painful adhesive capsulitis of the shoulder. J Pain Res. 2015;247-252. [DOI:10.2147/JPR.S84376] [PMID] [PMCID]
28. Eslamian F, Shakouri SK, Ghojazadeh M, Nobari OE, Eftekharsadat B. Effects of low-level laser therapy in combination with physiotherapy in the management of rotator cuff tendinitis. Lasers Med Sci. 2012;27(5):951-58. [DOI:10.1007/s10103-011-1001-3] [PMID]
29. Kim SH, Kim YH, Lee HR, Choi YE. Short-term effects of high-intensity laser therapy on frozen shoulder: A prospective randomized control study. Man Ther. 2015;20(6):751-57. [DOI:10.1016/j.math.2015.02.009] [PMID]
30. Dogan SK, Ay S, Evcik D. The effectiveness of low laser therapy in subacromial impingement sndrome : a randomized placebo controlled double-blind prospective study.Clinics. 2010;65(10):1019-22. [DOI:10.1590/S1807-59322010001000016] [PMID] [PMCID]
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