Efficacy of low-level laser therapy combined with exercise for subacromial impingement syndrome: A randomised controlled trial
Alfredo PP, Bjordal JM, Junior WS, Marques AP, Casarotto RA
Clinical rehabilitation · 16 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Gobierno
- CNPq/Pibic
Según 2 financiadores declarados.
Publicación
- Publicado
- 2020-12-14 · Clin Rehabil · vol. 35 · número 6 · págs. 851–860
- Editorial
- SAGE Publishing
- Citado
- 29 citas · más que el 86% de estudios similares · 1.8× el promedio de su campo
- Referencias
- 32 trabajos
- Acceso
- De pago
- Áreas de investigación
- Shoulder Injury and Treatment · Laser Applications in Dentistry and Medicine · Myofascial pain diagnosis and treatment
- Palabras clave
- shoulder impingement syndrome, low-level laser therapy, shoulder pain, shoulder disability, exercise therapy, combination therapy, Shoulder Pain and Disability Index, pain intensity, medication use, rotator cuff tendinopathy, rotator cuff tear, rotator cuff repair
- MeSH
- humans, shoulder pain, shoulder impingement syndrome, pain measurement, range of motion, articular, combined modality therapy, exercise, aged, middle aged, female, male, low-level light therapy
5 autores
- Patrícia Pereira Alfredo🇧🇷 · autor de correspondenciaUniversidade de São Paulo
- Jan Magnus Bjordal🇳🇴University of Bergen
- Washington Steagall🇧🇷Universidade de São Paulo
- Amélia Pasqual Marques🇧🇷Universidade de São Paulo
- Raquel Aparecida Casarotto🇧🇷Universidade de São Paulo
Resumen
El texto original del estudio, en el idioma en que se publicó.
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 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
NCT02725749.
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