Low level Laser Therapy versus Ultrasonic therapy for the Treatment of Shoulder Impingement Syndrome A Systematic Review of randomized controlled trials

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mahmoud N El Tayeb ◽  
Abrar A Hassan ◽  
Yasmeen G Abuelnaga ◽  
Passant M Eid ◽  
Yasmeen M Tarkhan ◽  
...  
Keyword(s):  
Impingement Syndrome ◽  
Low Level Laser Therapy ◽  
Subacromial Impingement Syndrome ◽  
Controlled Trials ◽  
Shoulder Impingement Syndrome ◽  
Ultrasonic Therapy ◽  
Short Term ◽  
Shoulder Impingement ◽  
Randomized Controlled ◽  
Level Laser

Abstract Background Shoulder impingement syndrome is a common cause of shoulder pain in primary health care settings. Many physical modalities of treatment are available in clinical practice, however there is insufficient evidence on their relative effectiveness. This review compares the effectiveness of Low Level Laser Therapy (LLLT) with ultrasonic therapy. Objectives To assess the effectiveness of LLLT vs. ultrasonic therapy in patients with subacromial impingement syndrome Search methods We searched Cochrane Central Register of Controlled Trials (CENTRAL) on the Cochrane Library, MEDLINE (Pubmed), Embase, Scopus. We searched trials registries on ClinicalTrials.gov (www.ClinicalTrials.gov) and the WHO International Clinical Trials Registry Platform (ICTRP) Search Portal (apps.who.int/trialsearch/). We also hand-searched reference lists of all included primary studies, relevant conference proceedings and academic literature, and relevant systematic reviews (both Cochrane and non Cochrane), to identify additional studies missed from the original electronic searches (e.g., unpublished or in press citations). We did not use date or language restrictions. Selection criteria Randomized controlled trials comparing LLLT vs. US therapy in adult patients with subacromial impingement syndrome. Data collection Two authors independently assessed trial quality and extracted data. We contacted study authors for additional information. We collected our primary outcomes information from the trials and assessed the quality of evidence for key outcomes using GRADE. Results We included 2 RCTs, contributing 67 participants to our qualitative synthesis. The overall risk of bias is high for both studies. Very low-quality evidence from 1 RCT shows slightly increased mean change in pain severity after LLLT compared to ultrasonic therapy in the short term (3 months) (MD 4.69, 95% CI -5.76 to -3.62).[13]. Very low-quality evidence from 1 RCT shows little to no difference in functional improvement after LLLT compared to ultrasonic therapy in the short term (after 3 months) (MD -0.63, 95% CI -5.53 to 4.27) [13]. No studies investigated Range of Motion in the short term. Verylow certainty evidence showed little to no difference in pain severity and function in the immediate post-treatment phase (up to 1 month). No studies addressed long term follow-up. conclusion There is insufficient evidence regarding the difference in effects between LLLT and Ultrasonic therapy for the treatment of shoulder impingement syndrome.

scholarly journals Effect of Low-Level Laser Therapy and Manual Exercises on Shoulder Impingement Syndrome: A Systematic Review

2021 ◽  
Vol 9 (4) ◽  
pp. 3913-3920
Author(s):  
Mohamed Hussein El-Gendy ◽  
◽  
Yousra Mohamed Abdulla ◽  
Ghada Abd Elmonaem Abdalla ◽  
Mohamed M. Elmeligie ◽  
...  
Keyword(s):  
Systematic Review ◽  
Laser Therapy ◽  
Impingement Syndrome ◽  
Low Level Laser Therapy ◽  
Cochrane Library ◽  
Shoulder Impingement Syndrome ◽  
Shoulder Impingement ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser

Background: The aim of this work was to systematically review the influence of low level laser therapy and manual exercises used on the patients with shoulder impingement syndrome. Methods: Systematic review of all published studies with all research designs except expert opinions. A search was made in Pubmed, Medline, Cochrane library, PEDro and Google scholar; from the earliest date to September 2019. Intervention: Low level laser therapy and manual exercises programs performed by the physical therapist. Results: Only 4 studies met the inclusion criteria. Meta-analysis could be done and findings are presented qualitatively due to heterogeneity of the studies. There is no conflicting evidence on whether low level laser therapy and manual exercises can increase the range of movement and decrease pain, for those studies showing improvements in the range of movements. Conclusion: The current level of evidence support the effectiveness of low level laser therapy and manual exercises in patients with shoulder impingement syndrome remains. KEY WORDS: Low level laser therapy, Manual exercises, Shoulder impingement syndrome, Systematic Review.

scholarly journals Comments on Effects of routine physiotherapy with and without neuromobilization in the management of internal shoulder impingement syndrome: A randomized controlled trial

2020 ◽  
Vol 37 (1) ◽  
Author(s):  
Roma Rauf Chughtai ◽  
Farooq Azam Rathore
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Impingement Syndrome ◽  
Shoulder Impingement Syndrome ◽  
Shoulder Impingement ◽  
Randomized Controlled

doi: https://doi.org/10.12669/pjms.37.1.3880 How to cite this: Chughtai RR, Rathore FA. Comments on Effects of routine physiotherapy with and without neuromobilization in the management of internal shoulder impingement syndrome: A randomized controlled trial. Pak J Med Sci. 2021;37(1):296-297. doi: https://doi.org/10.12669/pjms.37.1.3880

scholarly journals Comparison of exercise therapy and ultrasonic therapy in the treatment of shoulder impingement syndrome

2021 ◽  
Vol 9 (3) ◽  
pp. 3825-3833
Author(s):  
Bhargava Shanker ◽  
◽  
D. Rajesh Reddy ◽  
N.S.S.N. Balaji ◽  
◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Exercise Therapy ◽  
Simple Random Sampling ◽  
Impingement Syndrome ◽  
Shoulder Impingement Syndrome ◽  
Ultrasonic Therapy ◽  
Shoulder Impingement ◽  
Persistent Symptoms ◽  
Group I ◽  
Group 2

Background: The shoulder is one of the most frequent sites of musculoskeletal pain, incidence of shoulder pain in primary care patients is estimated to be 11.2 per 1000 per year. a considerable number of people with shoulder pain (41%) show persistent symptoms after 1 year. Comparing the exercise therapy and ultrasound therapy (UST) for impingement syndrome. Methodology: The study was conducted at OPD of MNR Hospital in Sangareddy. The study was conducted for a period of 3 weeks. A total number of 30 subjects were selected by simple random sampling after explained to all the participants and an informed consent was taken from each subject. 30 subjects were randomly divided into 2 Groups. Exercise therapy was given to Group 1 and UST was given to Group 2. Both the Groups received exercise therapy and ultrasonic therapy in shoulder impingement syndrome. Subjects were evaluated pre and post treatment for VAS (Visual Analogue Scale) score, SPADI SCORE (Shoulder Pain and disability index) shoulder ROM. Outcome measures: VAS scale, SPADI score. Results and Discussion: To test the significance of the mean difference of two groups, unpaired t test was done. It is statistically shown that there is some significant impact in the parameters VAS, SPADI and shoulder ROM. The results showed that, group-I had more significant improvement in all parameters than group –II. Conclusion: It is concluded that exercise therapy is better than ultrasonic therapy for subjects with shoulder impingement syndrome. KEY WORDS: Exercise Therapy, Ultrasonic Therapy, Shoulder Pain and disability index, Range of Motion.

Efficacy of low-level laser therapy combined with exercise for subacromial impingement syndrome: A randomised controlled trial

2020 ◽  
pp. 026921552098098
Author(s):  
Patrícia Pereira Alfredo ◽  
Jan Magnus Bjordal ◽  
Washington Steagall Junior ◽  
Amélia Pasqual Marques ◽  
Raquel Aparecida Casarotto
Keyword(s):  
Laser Therapy ◽  
Controlled Trial ◽  
Impingement Syndrome ◽  
Low Level Laser Therapy ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Low Level ◽  
Low Level Laser ◽  
Group I ◽  
Level Laser

Objective: To investigate the effect of low-level laser therapy (LLLT) combined with exercise on shoulder pain and disability in patients with subacromial impingement syndrome (SIS). Design: Randomised controlled trial. Setting: Pontifical Catholic University. Subjects: We enrolled 120 subacromial impingement syndrome patients Intervention: Groups I ( n = 42), II ( n = 42) and III ( n = 36) were treated with Low-level laser therapy and exercise, exercise only and Low-level laser therapy only, respectively. Interventions were conducted three times a week for 8 weeks. Main outcome measures: The primary outcome was the change in shoulder pain and disability index (SPADI). Secondary outcomes included changes in the numeric pain rating scale and medication intake. Results: Average ages of patients in groups I, II and III were 51.9 ± 8.7 years, 56.0 ± 10.4 years and 54.2 ± 7.1 years, respectively. Pain scores at baseline ( P = 0.829), 2 months ( P = 0.057) and 3 months follow-ups ( p = 0.004) were 6.8 (4.7–7.7), 0.2 (0.0–0.5) and 0.3 (0.0–1.0) for group I; 6.6 (5.7–8.0), 0.5 (0.2–2.0) and 0.2 (0.0–3.3) for group II; and 6.5 (5.1–7.4), 2.4 (0.1–6.7) and 4.0 (2.0–5.0) for group III, respectively. SPADI scores at baseline ( P = 0.029), 2 months ( P < 0.001) and 3 months follow-ups ( P = 0.001) were 60.8 (37.7–70.8), 3.8 (0.0–10.8) and 2.3 (0.8–10.8) for group I; 61.5 (41.5–71.5), 9.2 (3.8–29.2) and 14.2 (1.5–38.0) for the group II; and 73.3 (59.2–80.8), 34.2 (16.9–54.6) and 33.1 (22.3–49.2) for the group III, respectively. Conclusion: Low-level laser therapy combined with exercises reduce pain intensity, improve shoulder function and reduces pain intensity and medication intake over 3 months. Clinical Trial Registration number: NCT 02725749

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