Short-term effects of high-intensity laser therapy on frozen shoulder: A prospective randomized control study

Kim, Sae Hoon; Kim, Yeon Ho; Lee, Hwa Ryeong; Choi, Young Eun

doi:10.1016/j.math.2015.02.009

Cited by 55 publications

(34 citation statements)

References 55 publications

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“…25,26 Finally, 19 studies (HILT: 11, +other interventions: 8) were included for qualitative and quantitative assessment. [11][12][13][15][16][17]19,[31][32][33][34][35][36][37][38][39][40][41][42] The characteristics of all studies in two groups are listed in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…32 Conversely, the studies which did not supporting a positive effect of HILT (low differences in ES) most commonly did not specify the amount of introduced energy or the simultaneous consumption of non-steroid anti-inflammatory drugs, so it was not possible to make a judgment on whether the energy parameters may have contributed to a suboptimal outcome. 34,36,41 The consumption of non-steroid anti-inflammatory drugs may be a confounding factor in evaluating the effects of laser therapy, as identified in some studies 13,41 Some studies did not mention the effects of disease chronicity, despite the fact that this is a major factor in determining the amount of energy density and power output which is needed in the treatment protocol by laser therapy. 13,18,[32][33][34]36,38,41,42 It seems that adding thermal and non-thermal agents to HILT may enhance the effects of laser therapy.…”

Section: Discussionmentioning

confidence: 99%

“…34,36,41 The consumption of non-steroid anti-inflammatory drugs may be a confounding factor in evaluating the effects of laser therapy, as identified in some studies 13,41 Some studies did not mention the effects of disease chronicity, despite the fact that this is a major factor in determining the amount of energy density and power output which is needed in the treatment protocol by laser therapy. 13,18,[32][33][34]36,38,41,42 It seems that adding thermal and non-thermal agents to HILT may enhance the effects of laser therapy. 16,[38][39][40]42 The Management of acute and chronic pain is based on different mechanisms and it seems that we should apply more irradiance of laser therapy in chronic pain conditions.…”

Section: Discussionmentioning

confidence: 99%

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The Beneficial Effects of High-Intensity Laser Therapy and Co-Interventions on Musculoskeletal Pain Management: A Systematic Review

et al. 2020

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Introduction: High-intensity laser therapy (HILT) has been used more recently in the therapeutic protocols of pain managements. Adding therapeutic interventions to laser therapy is usual in clinical practice. This study aimed to evaluate the efficacy of HILT and beneficial effects of adding cointerventions to HILT in musculoskeletal pain management. Methods: The following databases were searched up to August 2018: Medline, PubMed, EMBASE, Cochrane, Google Scholar, Springer and ISI. The keywords of pain, HILT, high power laser therapy, laser therapy, photobiomodulation, physical therapy and rehabilitation were searched. The quality of the articles was assessed using the PEDro scale. The primary measure was pain severity expected to be reported in all studies. Effect size was calculated as standardized mean differences divided by the standard deviation of either the treatment or other group. Results: Initially 52 potential studies were found. Eighteen of these studies were excluded based on title and abstract. The full text of 34 remaining articles was screened and 15 of the studies were excluded. All included studies had high quality (PEDro ≥7). Approximately, 94% of included articles (n=18) revealed positive effects of HILT on pain. The effect sizes for HILT and placebo/comparator groups were 0.9-9.11 and 0.21-11.22 respectively. Also, the differences of effect size between two groups were between 0.03 to 5.85. Conclusion: It is early to determine that HILT may be an effective non-invasive agent in the management of musculoskeletal pain, as few studies have shown its clinical efficacy. Adding related co-interventions to HILT may enhance the beneficial effects of laser therapy. The variability of the study methods and outcomes suggests that further long-term follow-up, randomized controlled clinical trials with appropriate methodological design are needed regarding the effectiveness of HILT on pain.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Beneficial Effects of High-Intensity Laser Therapy and Co-Interventions on Musculoskeletal Pain Management: A Systematic Review

et al. 2020

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“…It is claimed that HILT has biostimulative effects to accelerate cellular mechanisms and improve blood supply, but more research is needed to investigate precisely how HILT works, since there is little scientific evidence for the efficacy of HILT in musculoskeletal disorders, and absolutely no evidence of its efficacy for any other pathological condition. 37 In addition, there are no guidelines on the parameters (dose, frequency, duration) of HILT. 38 Finally, HILT has used in only one study in the management of tendinopathy, especially in LET with positive results.…”

Section: Discussionmentioning

confidence: 99%

Treatment of chronic patellar tendinopathy using an exercise program consisting of eccentric training and static stretching exercises combined with high intensity light therapy. A pilot study

Nicolaou¹,

Anorthosis²,

Stasinopoulos³

et al. 2018

MOJOR

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The aim of the present pilot trial was to investigate the effects an exercise program consisting of eccentric training and static stretching exercises combined with High Intensity Light Therapy (HILT) in patients with Chronic Patellar tendinopathy (CPT). Eight patients who had CPT participated in the present pilot trial. They received an exercise program consisting of eccentric training and static stretching exercises combined with HILT. All patients received an exercise programme five times per week for four weeks. Patients were treated with HILT for 3 sessions per week for 4 weeks, 12 sessions in total. Pain and function were evaluated using the VISA-P score at baseline, at the end of treatment (week 4), and one month (week 8) after the end of treatment. At week 4, there was a rise in VISA-P score of about 37 units. This rise is maintained at the one month follow-up. The results suggest that the combination of an exercise program with HILT is an adequate treatment for patients with CPT. Further research to establish the relative and absolute effectiveness of such a treatment approach is needed.

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“…The efficacy of treating shoulder stiffness with high-intensity laser was investigated in a prospective placebo-controlled RCT in 66 patients, which demonstrated it provided better pain relief at early, but not at the final (12 weeks) follow-up time points [25].…”

Section: Electrotherapymentioning

confidence: 99%

Shoulder Stiffness – How to Treat?

et al. 2019

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Shoulder stiffness is a condition of restricted glenohumeral range of motion, which can arise spontaneously or as consequence of a known cause, including surgical procedures on the shoulder. Several approaches to shoulder stiffness have been proposed and high-level evidence is available to analyze and discuss their results. The aim of this review was to summarize the current concepts on conservative and operative treatment of shoulder stiffness and discuss the results of the available studies with a high level of evidence, which should be considered to guide clinical practice. Treatment of shoulder stiffness should be tailored to the patientʼs clinical situation and the stage of its shoulder pathology and should aim at pain reduction, restoration of range of motion, functional regain and shortening of symptoms duration. When possible, known risk factors for primary shoulder stiffness and causes of secondary shoulder stiffness should be addressed to avoid relapse. Conservative therapy is the mainstay of treatment for shoulder stiffness and should include a multimodal and activity-oriented program. Intra-articular injection of a low dose of corticosteroid is safe and effective, provides immediate benefits, and is recommended in combination to an appropriate rehabilitation protocol. In conservative refractory cases, arthrolysis and capsular release can be performed with an arthroscopic approach.

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Short-term effects of high-intensity laser therapy on frozen shoulder: A prospective randomized control study

Cited by 55 publications

References 55 publications

The Beneficial Effects of High-Intensity Laser Therapy and Co-Interventions on Musculoskeletal Pain Management: A Systematic Review

The Beneficial Effects of High-Intensity Laser Therapy and Co-Interventions on Musculoskeletal Pain Management: A Systematic Review

Treatment of chronic patellar tendinopathy using an exercise program consisting of eccentric training and static stretching exercises combined with high intensity light therapy. A pilot study

Shoulder Stiffness – How to Treat?

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