High-intensity Laser Therapy Versus Extracorporeal Shock Wave on Tendon Thickness and Occupation Ratio In Patients With Chronic Supraspinatus Tendinopathy

Обзор

This study will be conducted to investigate the difference between high-intensity laser and extracorporeal shock wave on supraspinatus tendon thickness, subacromial space, occupation ratio, shoulder pain intensity, shoulder range of motion (ROM), hand strength, and functional disability in patients with chronic supraspinatus tendinopathy.

Подробное описание

Supraspinatus tendinopathy is a common cause of shoulder pain and dysfunction due to irritation, inflammation, or degeneration of the supraspinatus tendon in the rotator cuff. It is caused by repetitive overhead movements and is characterized by pain, weakness, and a limited range of motion, especially when reaching or lifting the arm. Recently, studies have demonstrated that HILT is useful for treating a variety of shoulder impairments, including subacromial impingement syndrome, rotator cuff tendinopathy, and adhesive capsulitis.Shock wave is an effective and noninvasive method of reducing pain and increasing ROM and functional status without the need for surgery; it has been successfully utilized to treat tendinopathy over the past 20 years.There is a gap in available literature about comparing the high-intensity laser and extracorporeal shock wave in patients withchronic supraspinatus tendonitis. So this study may add a piece of information to the physiotherapists in the government hospitals and the private clinics about showing the difference between the application of High Intensity laser and extracorporeal shock wave in patients with chronic supraspinatus tendinitis

Вмешательства

• Другое High-intensity Laser Therapy
  the patients will receive HILT with peak power 3kW, intensity 15000W/cm and energy per pulse 350 mj) at supraspinatus tendenopathy.The treatment consisted of 3 phases in each session. the initial phase will be rapid manual scanning (100 cm2/30s) of the anterior joint line of the shoulder with one shot of 850 mj at frequency of 30 Hz. The scanning will be performed parallel to the joint line, with the patient arm internally rotated on the posterior scan and externally rotated on the anterior scan
• Другое Extracorporeal Shock Wave
  patients will be sitting with shoulder abduction at 45 and elbow flexed and the forearm rested on flat surface and shock wave applicator directed in the most tender point near the insertion at the greater tubrosity under acromion with 2000 impulses, and energy flex density of 0.22mj/mm , pulse rate 10/sec and frequency 1-15 Hz plus conventional therapy
• Другое conventional therapy
  will receive Conventional physical therapy in form of stretching exercise of posterior shoulder capsule, passive stretching exercise, will be done only 3 times with holding time 30 sec and 10 sec rest period between repetitions , strengthing exercise consists of 3 exercises all have been recommended as essential for any shoulder rehabilitation program. These exercise include shoulder flexion, scaption and horizontal extension. for each exercise, a 10-repetition maximum for 3 sets with 60 sec res

Первичные конечные точки

• supraspinatous tendon thickness [Срок оценки: up to 6 weeks]
• supracromial space [Срок оценки: up to 6 weeks]
• occupation ratio of subacromial space [Срок оценки: up to 6 weeks]

Вторичные конечные точки (4)

• pain intensity [Срок оценки: up to 6 weeks]
• shoulder range of motion [Срок оценки: up to six weeks]
• upper limb disability [Срок оценки: up to six weeks]
• supraspinatus muscle strength [Срок оценки: up to six weeks]

Критерии участия

Критерии включения

• Patients from 18 to 50 years old of both genders.
• Unilateral Chronic Supraspinatus Tendinitis in dominant side
• BMI 18.5-24.9
• Tenderness is found over the supraspinatus as it passes subacromial and anterolateral The patient will report pain with active shoulder elevation in the scapular plane (eg: welders, plate workers, slaughterhouse workers and overhead playing athletes)
• The patient will report pain with resisted isometric abduction.
• The patient will report positive Jobe's test (empty can test)

Критерии исключения

• Post shoulder surgery, traumatic incidents
• Partial tears at surgery
• Massive retracted tears at surgery
• Frozen shoulder Rotator cuff tear
• Glenohumeral or acromioclavicular arthritis
• Implanted pacemaker
• Pregnancy

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07667998 · P.T.REC/012/006491

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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