Uysal Bilal, Özkuk Kağan, Şahin Nilay, Ökmen Burcu M, Sezer Refia, Ateş Zeynep
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Balikesir University, Balikesir, Turkey.
Department of Medical Ecology and Hydroclimatology, Faculty of Medicine, Usak University, Usak, Turkey.
J Back Musculoskelet Rehabil. 2023;36(1):227-236. doi: 10.3233/BMR-220026.
Adhesive capsulitis (AC) is a common musculoskeletal disease characterized with shoulder pain, limitation of range of motion (ROM) and disability. Although physical therapy is used in the treatment of AC, studies on its effectiveness are continuing.
This study aimed to assess the effectiveness of ultrasound (US) and high-intensity laser therapy (HILT) in the treatment of AC.
Sixty patients were randomized into two groups. Group I received US (15 sessions) and Group II received HILT (9 sessions) for 3 weeks. In addition, all patients received physical therapy program (hot pack, TENS and exercises). Assessments were made using VAS-pain, Shoulder Pain and Disability Index (SPADI), range of motion (ROM) at baseline and in post-treatment 3rd, 8th and 24th weeks.
There was no statistically significant difference between the groups in terms of all pre-treatment values. In intragroup assessment, statistically significant difference was identified in all the values of Groups 1 and 2 in all assessment periods compared with the pre-treatment values (p< 0.05). There was no significant difference between groups in all assessment periods.
According to results, US therapy and HILT were effective on the improvement of pain, ROM and functional conditions of patients in the treatment of AC.
粘连性肩关节囊炎(AC)是一种常见的肌肉骨骼疾病,其特征为肩部疼痛、活动范围(ROM)受限和功能障碍。尽管物理治疗用于AC的治疗,但关于其有效性的研究仍在继续。
本研究旨在评估超声(US)和高强度激光治疗(HILT)在AC治疗中的有效性。
60例患者被随机分为两组。第一组接受超声治疗(15次),第二组接受高强度激光治疗(9次),为期3周。此外,所有患者均接受物理治疗方案(热敷、经皮电刺激神经疗法和运动)。在基线以及治疗后第3、8和24周使用视觉模拟评分法疼痛评分(VAS-疼痛)、肩痛和功能障碍指数(SPADI)、活动范围(ROM)进行评估。
两组在所有治疗前值方面无统计学显著差异。在组内评估中,与治疗前值相比,第1组和第2组在所有评估期的所有值均存在统计学显著差异(p<0.05)。在所有评估期,两组之间无显著差异。
根据结果,超声治疗和高强度激光治疗在AC治疗中对改善患者的疼痛、ROM和功能状况有效。