低强度激光与高强度激光疗法治疗粘连性肩周炎的疗效：一项随机临床试验
Efficacy of Low-level Laser Versus High-intensity Laser Therapy in the Management of Adhesive Capsulitis: A Randomized Clinical Trial.
作者信息
Ordahan Banu, Yigit Fatih, Mülkoglu Cevriye
机构信息
Department of Physical Medicine and Rehabilitation, Meram Medical School, Necmettin Erbakan University, Konya, Turkey.
Department of Physical Medicine and Rehabilitation, Ankara Training and Research Hospital, Ankara, Turkey.
出版信息
Saudi J Med Med Sci. 2023 Jul-Sep;11(3):201-207. doi: 10.4103/sjmms.sjmms_626_22. Epub 2023 Jul 15.
BACKGROUND
Low-level laser therapy (LLLT) and high-intensity laser therapy (HILT) are effective in alleviating pain and improving functionality in patients with adhesive capsulitis (AC); however, no study has compared the efficacy of these two laser treatments.
OBJECTIVE
To compare the effectiveness of LLLT and HILT in improving the shoulder joint range of motion and functional status and in reducing pain level in patients with AC.
TRIAL DESIGN
Prospective, randomized, parallel group, patient- and assessor-blinded.
METHODS
A total of 45 patients (aged: 18-65 years) with complaint of shoulder pain were evaluated for inclusion criteria, which included being aged 18-65 years and a diagnosis of AC based on physical examinations. Using computer-generated random numbers, eligible patients were randomized into two groups: HILT + stretching exercise and LLLT + stretching exercise groups. Both HILT and LLLT were performed three times/week for 3 weeks. Functional status and pain of the patients were evaluated with Shoulder Pain and Disability Index (SPADI) and Visual Analog Scale (VAS), while shoulder joint range of motion was measured with goniometry. All assessments were done before and 3 weeks after treatment.
RESULTS
A total of 40 patients (20 in each group) completed the study. At baseline, there was no statistically significant difference in the demographic and clinical characteristics between both groups. Both the LLLT and HILT groups showed significant improvement in the VAS and SPADI scores 3 weeks after treatment; however, the improvement was significantly higher in the HILT group than the LLLT group. There was no significant improvement in goniometric scores in both groups compared with baseline. No injury or other musculoskeletal complications were recorded during or after the treatments.
CONCLUSION
HILT + stretching exercise treatment was more effective than LLLT + stretching exercise for improving functional parameters and pain in patients with AC.
TRIAL REGISTRATION
ClinicalTrials.gov Identifier: NCT05469672.
FUNDING
None.
背景
低强度激光疗法（LLLT）和高强度激光疗法（HILT）在缓解粘连性肩周炎（AC）患者的疼痛和改善功能方面有效；然而，尚无研究比较这两种激光治疗的疗效。
目的
比较LLLT和HILT在改善AC患者肩关节活动范围、功能状态以及减轻疼痛程度方面的有效性。
试验设计
前瞻性、随机、平行组、患者和评估者双盲。
方法
共评估了45例主诉肩部疼痛的患者（年龄18 - 65岁）的纳入标准，包括年龄在18 - 65岁且根据体格检查诊断为AC。使用计算机生成的随机数，将符合条件的患者随机分为两组：HILT + 伸展运动组和LLLT + 伸展运动组。HILT和LLLT均每周进行3次，共3周。采用肩痛和功能障碍指数（SPADI）和视觉模拟量表（VAS）评估患者的功能状态和疼痛，同时用测角计测量肩关节活动范围。所有评估均在治疗前和治疗3周后进行。
结果
共有40例患者（每组20例）完成了研究。基线时，两组的人口统计学和临床特征无统计学显著差异。治疗3周后，LLLT组和HILT组的VAS和SPADI评分均有显著改善；然而，HILT组的改善明显高于LLLT组。与基线相比，两组的测角计评分均无显著改善。治疗期间及治疗后均未记录到损伤或其他肌肉骨骼并发症。
结论
HILT + 伸展运动治疗在改善AC患者的功能参数和疼痛方面比LLLT + 伸展运动更有效。
试验注册
ClinicalTrials.gov标识符：NCT05469672。
资金来源
无。
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