The effectiveness of high-intensity laser therapy in the treatment of post-stroke patients with hemiplegic shoulder pain: a prospective randomized controlled study

Korkmaz, Nurdan; Gürçay, Eda; Demir, Yasin; Tezen, Özge; Korkmaz, İzzet; Atar, Merve Örücü; Yaşar, Evren

doi:10.1007/s10103-021-03316-y

Cited by 15 publications

(26 citation statements)

References 41 publications

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“…In addition, it has also been shown to cause a significant reduction in the size of the tear in ultrasonographic measurements. [ 30 ] Owing to its specific properties such as analgesic effects on nerve endings and photothermic and photochemical effects that increase cell metabolism, vascular permeability and blood flow, HILT is an effective method for controlling patient pain and treating deep tissues and structures in the short term. [ 21 ]…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Low-level Laser Versus High-intensity Laser Therapy in the Management of Adhesive Capsulitis: A Randomized Clinical Trial

Ordahan,

Yigit,

Mülkoglu

2023

Saudi Journal of Medicine &Amp; Medical Sciences

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Background: Low-level laser therapy (LLLT) and high-intensity laser therapy (HILT) are effective in alleviating pain and improving functionality in patients with adhesive capsulitis (AC); however, no study has compared the efficacy of these two laser treatments. Objective: To compare the effectiveness of LLLT and HILT in improving the shoulder joint range of motion and functional status and in reducing pain level in patients with AC. Trial Design: Prospective, randomized, parallel group, patient- and assessor-blinded. Methods: A total of 45 patients (aged: 18–65 years) with complaint of shoulder pain were evaluated for inclusion criteria, which included being aged 18–65 years and a diagnosis of AC based on physical examinations. Using computer-generated random numbers, eligible patients were randomized into two groups: HILT + stretching exercise and LLLT + stretching exercise groups. Both HILT and LLLT were performed three times/week for 3 weeks. Functional status and pain of the patients were evaluated with Shoulder Pain and Disability Index (SPADI) and Visual Analog Scale (VAS), while shoulder joint range of motion was measured with goniometry. All assessments were done before and 3 weeks after treatment. Results: A total of 40 patients (20 in each group) completed the study. At baseline, there was no statistically significant difference in the demographic and clinical characteristics between both groups. Both the LLLT and HILT groups showed significant improvement in the VAS and SPADI scores 3 weeks after treatment; however, the improvement was significantly higher in the HILT group than the LLLT group. There was no significant improvement in goniometric scores in both groups compared with baseline. No injury or other musculoskeletal complications were recorded during or after the treatments. Conclusion: HILT + stretching exercise treatment was more effective than LLLT + stretching exercise for improving functional parameters and pain in patients with AC. Trial Registration: ClinicalTrials.gov Identifier: NCT05469672. Funding: None

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Section: Discussionmentioning

confidence: 99%

Efficacy of Low-level Laser Versus High-intensity Laser Therapy in the Management of Adhesive Capsulitis: A Randomized Clinical Trial

Ordahan,

Yigit,

Mülkoglu

2023

Saudi Journal of Medicine &Amp; Medical Sciences

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“…This conclusion applies to chronic people post stroke, as only one (Fu et al, 2020) out of 16 studies report on the subacute phase of stroke (1.5 months after stroke). Evidence from a previous meta-analysis also suggests that CBR is significantly more effective in improving QoL at three months for the physical activity area of the SF-36 instrument (Naidoo, 2010).Even though favourable roles for rehabilitation in people with chronic stroke are now reported ( Maguire et al, 2012;Morreale et al, 2016;Korkmaz et al, 2021), evidence suggests that best results usually occur within the first few weeks and months after stroke (Jørgensen et Benefits associated with home and community rehabilitation lie in the fact that the environment is familiar to the person, it provides emotional security, the client is the focus of the treatment programme, and goal setting is more relevant (Eldar, 2000;Kendall et al, 2007).The involvement of the family and the community in the care system would have a favourable impact on the quality of life of clients and therefore on their recovery. Upon closer inspection, this review found 2 studies Fu et al, 2020) with strong significance for the effectiveness of CBR on QoL.…”

Section: Discussionmentioning

confidence: 99%

Content and Effectiveness of Community-Based Rehabilitation on Quality of Life in People Post Stroke: a Systematic Review with Meta-Analysis

Noukpo

Kossi

Triccas

et al. 2022

DCID

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Purpose:The study aimed to review the content and evaluate the effects of CBR on quality of life (QoL), balance, and walking capacity for people post stroke, compared to other rehabilitation protocols or no care. Methods: A systematic search and meta-analysis of clinical trials of CBR interventions for stroke survivors was conducted. Five online electronic databases (MEDLINE/PubMed, Web of sciences, Scopus, Hinari, and Pedro) were searched for articles published in English and French languages, from inception up to December 2021. Sixteen studies were included that reported on QoL outcomes from CBR interventions involving 1755 adults post stroke. Results: The different CBR interventions that were selected were grouped into three clusters: a) exercise programmes, b) task-oriented training, and c) educational and taking-charge programmes. CBR interventions were more effective than other rehabilitation protocols (SMD=0.16[0.02, 0.30], P=0.03, I 2 =40%) on QoL for people with chronic stroke. The effects of interventions on walking capacity and balance demonstrated non-significant difference 0.64], P=0.06, I 2 =88%, 0.53], P=0.22, I 2 =68%, respectively). Conclusion:Current data indicates that CBR can be used in many forms or in combinations to benefit people with chronic stroke. Also, CBR is as effective as other rehabilitative protocols or no care on walking capacity and balance, while being more while being more effective than institution-based rehabilitation or no care effective than institution-based rehabilitation or no care, in improving quality of life which is a well-recognised goal in the rehabilitation of people with chronic stroke.

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“…최종 선정된 문헌 [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] 의 참여자 수는 총 2,598명 이었고, 중재군은 1,324명, 대조군은 1,274명이며, 이 중 2,593명이 분석되었다. 분석된 중재군은 1,324명, 대조군은 1,269명이었다.…”

Section: 선정 문헌의 특성 1) 연구 대상 분석unclassified

“…참여자 수가 가장 적은 문헌은 Yu(2018)의 문헌 27) 으로 총 36명이 참 여했고, 참여자 수가 가장 많은 문헌은 Zivin(2009) 의 문헌 17) 으로 총 660명이 참여했다. 17편의 문헌 [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31]33) 에서 참여자의 나이가 언급되었으며, 참여자의 나이는 33~83세로 다양하게 나타났다. 전체 참여자 중 남성은 1,433명(58.7%), 여성은 1,010명(41.3%) 이었다.…”

Section: 선정 문헌의 특성 1) 연구 대상 분석unclassified

The Effect of Laser Therapy for Stroke Patients : A Systematic Review and Meta-analysis

An,

Sun

2024

J Korean Med

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Objectives: This study is purposed to investigate the effect and safety of laser therapy for stroke patients by systematic review and meta-analysis of the randomized controlled trials (RCTs).Methods: RCTs on the treatment of laser therapy for stroke patients were selected among the literature published from January 2000 to June 2022 in twelve domestic and foreign databases. The quality of the literature was evaluated using the Cochrane's Risk of Bias tool and RevMan 5.4 was used for the synthesis of results.Results: Total 2,598 patients with stroke were finally selected from 18 RCTs. Meta-analysis showed that laser therapy was effective in significantly improving activities of daily living (MBI), motor function (effective rate), upper motor function (FMA-UE), shoulder pain related factors (CGRP, ET-1, BK). Overall, the risk of bias was uncertain or low in the quality assessment of the literature.Conclusions: Although it is unclear that laser therapy is more effective than sham laser, laser therapy might be more effective in improving symptoms than conventional rehabilitation alone. Furthermore, no serious adverse events were founded in laser therapy studies. However, the quality of the selected literature was generally low. Therefore, further studies with high methodological quality on laser therapy for stroke patients would be required in the future.

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The effectiveness of high-intensity laser therapy in the treatment of post-stroke patients with hemiplegic shoulder pain: a prospective randomized controlled study

Cited by 15 publications

References 41 publications

Efficacy of Low-level Laser Versus High-intensity Laser Therapy in the Management of Adhesive Capsulitis: A Randomized Clinical Trial

Efficacy of Low-level Laser Versus High-intensity Laser Therapy in the Management of Adhesive Capsulitis: A Randomized Clinical Trial

Content and Effectiveness of Community-Based Rehabilitation on Quality of Life in People Post Stroke: a Systematic Review with Meta-Analysis

The Effect of Laser Therapy for Stroke Patients : A Systematic Review and Meta-analysis

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