Comparison of Low-intensity Extracorporeal Shockwave Therapy and Low-intensity Laser Effects in Adhesive Capsulitis
NCT ID: NCT05689593
Last Updated: 2023-08-03
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
65 participants
INTERVENTIONAL
2023-01-21
2023-08-02
Brief Summary
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Detailed Description
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Adhesive capsulitis progression is characterized by four stages, each stage presenting a distinctive clinical picture.
low-level laser therapy supports cell proliferation and tissue regeneration with its anti-inflammatory and photobiostimulation properties.The pressure waves of ESWT pass through fluids and soft tissues and exert their effects in areas of impedance change such as bones and soft tissue spaces. These waves have mechanical and cellular effects. The most important of these effects are temporary damage to the neuronal cell membrane or increased permeability. These mechanisms may facilitate neovascularization and cellular regeneration in tissues.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Outcome evaluations in the study will be carried out by a researcher who is blind to group allocation.
Study Groups
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Low-intensity ESWT Group
low intensity extracorporeal shock wave therapy will be applied to patients shoulder, also patients will receive a conventional therapy program consisting of hotpack and exercises
Low-intensity ESWT Group
ESWT; With the MODUS ESWT system, the patient's shoulder will be in 80° passive abduction, the elbow will be in 90° flexion, and the forearm will be applied to 2 separate parts of the shoulder. The first application will be applied from front to back in the anterior shoulder joint and the upper limit of the treatment will be approximately 1 finger lateral to the coracoid process, the second application will be applied from the lateral scapula to the posterior shoulder joint (0.06 mJ/mm2, 1500 impulses, 1.5 bar).( Modus ESWT® RadialShockwaveTherapy)
Conventional Control Group
Exercises will be started with passive ROM exercises and passive stretching exercises for the flexor, abductor, internal and external rotator muscle groups until the level of pain tolerance in the supine position. In the second week, the program will be continued with active ROM and stretching exercises. In the third week, isometric strengthening exercises for flexor, abductor, internal and external rotator muscle groups will be given along with stretching exercises. Exercises will be performed 5 days a week, 60 minutes a day, accompanied by a physiotherapist.
Low-intensity laser Group
low intensity laser will be applied to patients shoulder, also patients will receive a conventional therapy program consisting of hotpack and exercises
Low-intensity laser Group
The laser will be made parallel to the joint line with the patient's arm, the arm will be in internal rotation at the posterior of the shoulder and the arm will be in external rotation at the anterior of the shoulder. The wavelength of 850 nm will be applied for 5 minutes in total 30 Joules.
Conventional Control Group
Exercises will be started with passive ROM exercises and passive stretching exercises for the flexor, abductor, internal and external rotator muscle groups until the level of pain tolerance in the supine position. In the second week, the program will be continued with active ROM and stretching exercises. In the third week, isometric strengthening exercises for flexor, abductor, internal and external rotator muscle groups will be given along with stretching exercises. Exercises will be performed 5 days a week, 60 minutes a day, accompanied by a physiotherapist.
Conventional Control Group
patients will receive a conventional therapy program consisting of hotpack and exercises
Conventional Control Group
Exercises will be started with passive ROM exercises and passive stretching exercises for the flexor, abductor, internal and external rotator muscle groups until the level of pain tolerance in the supine position. In the second week, the program will be continued with active ROM and stretching exercises. In the third week, isometric strengthening exercises for flexor, abductor, internal and external rotator muscle groups will be given along with stretching exercises. Exercises will be performed 5 days a week, 60 minutes a day, accompanied by a physiotherapist.
Interventions
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Low-intensity ESWT Group
ESWT; With the MODUS ESWT system, the patient's shoulder will be in 80° passive abduction, the elbow will be in 90° flexion, and the forearm will be applied to 2 separate parts of the shoulder. The first application will be applied from front to back in the anterior shoulder joint and the upper limit of the treatment will be approximately 1 finger lateral to the coracoid process, the second application will be applied from the lateral scapula to the posterior shoulder joint (0.06 mJ/mm2, 1500 impulses, 1.5 bar).( Modus ESWT® RadialShockwaveTherapy)
Low-intensity laser Group
The laser will be made parallel to the joint line with the patient's arm, the arm will be in internal rotation at the posterior of the shoulder and the arm will be in external rotation at the anterior of the shoulder. The wavelength of 850 nm will be applied for 5 minutes in total 30 Joules.
Conventional Control Group
Exercises will be started with passive ROM exercises and passive stretching exercises for the flexor, abductor, internal and external rotator muscle groups until the level of pain tolerance in the supine position. In the second week, the program will be continued with active ROM and stretching exercises. In the third week, isometric strengthening exercises for flexor, abductor, internal and external rotator muscle groups will be given along with stretching exercises. Exercises will be performed 5 days a week, 60 minutes a day, accompanied by a physiotherapist.
Eligibility Criteria
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Inclusion Criteria
* Patients with loss of range of motion in the capsular pattern (external rotation \> abduction \> internal rotation) will be included in the study.
* Patients who consent to participate in the study according to the informed consent form will be included in the study.
Exclusion Criteria
* Shoulder injection in the last 6 months
* Existing open wound in the upper extremity area
* Prior upper extremity surgery
* The patient has a systemic infection
* Uncontrolled hypertension in the patient
* Inability of the patient to cooperate
* The patient's unwillingness to participate in the study
* The patient has a malignancy
18 Years
65 Years
ALL
No
Sponsors
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Ahi Evran University Education and Research Hospital
OTHER
Responsible Party
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İSMAİL CEYLAN
Head of hand therapy clinic. PhD.
Principal Investigators
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ismail Ceylan, PhD
Role: PRINCIPAL_INVESTIGATOR
Kirsehir Ahi Evran Universitesi
Locations
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Kırşehir Ahi Evran Üniversitesi
Kırşehir, Central Anatolia, Turkey (Türkiye)
Countries
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Other Identifiers
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AEU-FTR-FE-01
Identifier Type: -
Identifier Source: org_study_id
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