Long-Term Effect of Pulsed Nd:YAG Laser in the Treatment of Patients with Rotator Cuff Tendinopathy: A Randomized Controlled Trial

被引:27
作者
Elsodany, Ahmed Mohamed [1 ]
Alayat, Mohamed Salaheldien Mohamed [1 ]
Ali, Mohamed Mohamed Ebrahim [2 ]
Khaprani, Hussien Mosa [3 ]
机构
[1] Cairo Univ, Fac Phys Therapy, Dept Basic Sci, 7 Ahmed Elziat St Eltahrir St, Giza 12572, Egypt
[2] Umm Al Qura Univ, Fac Appl Med Sci, Dept Phys Therapy, Mecca, Saudi Arabia
[3] King Faisal Hosp, Dept Rehabil Med & Phys Therapy, Mecca, Saudi Arabia
关键词
high-intensity laser therapy; Nd:YAG laser; rotator cuff; SHOULDER IMPINGEMENT SYNDROME; HIGH-INTENSITY; KNEE OSTEOARTHRITIS; SCAPULAR KINEMATICS; PHYSICAL-THERAPY; FROZEN SHOULDER; MANUAL THERAPY; DOUBLE-BLIND; PAIN; EXERCISE;
D O I
10.1089/pho.2018.4476
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objective: The purpose of the present study was to investigate the long-term effect of pulsed Nd:YAG laser on the treatment of rotator cuff tendinopathy. Methods: Sixty patients with rotator cuff tendinopathy participated and completed the study. The mean age was 50.2 +/- 3.6 years. Participants were randomly assigned to one of two groups: the control group and the treatment group. Both groups were treated with an exercise program, in addition to the pulsed Nd:YAG laser received by the treatment group and the sham laser received by the control group, both for three sessions per week for 4 weeks. Outcome measures included pain, assessed by the visual analog scale, and range of motion (ROM), assessed using a traditional goniometer, while the shoulder pain and disability index were used to evaluate the functional recovery of the shoulder joint. Evaluation was carried out before treatment, immediately after treatment, 3 months posttreatment, and 6 months posttreatment. Statistical analyses were used to investigate the effect of interventions and to compare the study groups' pretreatment, posttreatment, and at follow-up points. The significance level was set to p<0.05. Results: Pain was significantly decreased after treatment and at follow-up points, while ROM and shoulder functions were significantly improved after treatment and at follow-up intervals in both groups. The improvement was more significant in the treatment group than in the control group posttreatment and at follow-up intervals. Conclusions: Pulsed Nd:YAG laser combined with an exercise program seems to be more effective in the treatment of patients with rotator cuff tendinopathy than a sham laser with exercises.
引用
收藏
页码:506 / 513
页数:8
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