Subacromial Impingement Syndrome Approach Using High Intensity Laser Therapy

University of Castilla-La Mancha46 enrolled

Overview

The purpose of this study is to assess the effectiveness of high intensity laser therapy in the treatment of subacromial impingement syndrome.

Shoulder pain has a high prevalence in our society, several studies estimate an annual prevalence between 5% and 47%. It is one of the main causes of musculoskeletal pain, particularly in third place, after the low back pain and neck pain. Symptoms of pathologies of subacromial space impingement syndrome, where, regardless of origin, pain is the number one symptom for the patient, which emanates functional impairment and the impact on quality of life. Because of the need to implement research to assess the effectiveness of high intensity laser therapy with new studies mayor methodological quality of obtaining conclusive results, and based on the scientific evidence supporting the low-power laser therapy as a useful tool in addressing the shoulder tendon pathology, we consider very interesting the realization of this research project.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Subacromial Impingement

Interventions

iLux LaserDEVICE

Treatment during 15 sessions. It is divided in two phases: 1. 12W. 50 Hz 20% duty cycle. 50 J/cm² in painful zone. 2. 15 W. Burst (10 pulses-900 msec each train) 250 J/cm² in painful zone. Trough the iLux Laser (Mectronic Medicale, Italy) \+ Physical Therapy protocol.

Sham ilux LaserDEVICE

Sham treatment during 15 sessions trough the iLux Laser (Mectronic Medicale, Italy), It is applies the same time than experimental one but with 0 W + Physical Therapy protocol.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients between 18 and 75 years old with diagnosis of subacromial impingement syndrome or any of the pathologies that compose it (tendinosis-tendinitis supraspinatus and rest of the rotator cuff, subacromial bursitis and tendinitis of the long head of the biceps). * Visual Analogue Scale (VAS) less than or equal to 7. * Forward flexion at least of 100º Exclusion Criteria: * Calcific tendinitis * Complete rupture of the rotator cuff. * Adhesive capsulitis. * Clinical history of pathologies that without affecting the shoulder joint refer to painful shoulder symptoms (cervical root involvement, cervical surgery, cervical osteoarthritis and neurological pathologies) * Fibromyalgia * Be receiving physiotherapeutic treatment or have received it previously for this pathology one month before the start of treatment. * Patients with alterations of thermal sensitivity. * Derived from the absolute and relative contraindications of Laser Therapy: * Photosensitive patients * Neoplastic processes * Hyperthyroidism * Pregnancy * Patients with a history of epileptic seizures

Locations (1)

Hospital General Nuestra Señora del Prado

Talavera de la Reina, Toledo, Spain

Outcomes

Primary Outcomes

Shoulder Pain and Disability Index (SPADI)

SPADI test

Time frame: Baseline

Shoulder Pain and Disability Index (SPADI)

SPADI test

Time frame: At the end of the laser protocol treatment (1 daily session during 15 workday -from monday to friday-)

Shoulder Pain and Disability Index (SPADI)

SPADI test

Time frame: one month after the end of the protocol treatment

Shoulder Pain and Disability Index (SPADI)

SPADI test

Time frame: three months after the end of the protocol treatment

Constant-Murley Score

Constant-Murley Score without strength section. The results will be expressed on a maximum of 75 points.

Time frame: Baseline

Constant-Murley Score

Constant-Murley Score without strength section. The results will be expressed on a maximum of 75 points.

Time frame: At the end of the laser protocol treatment (1 daily session during 15 workday -from monday to friday-)

Constant-Murley Score

Constant-Murley Score without strength section. The results will be expressed on a maximum of 75 points.

Time frame: one month after the end of the protocol treatment

Constant-Murley Score

Constant-Murley Score without strength section. The results will be expressed on a maximum of 75 points.

Time frame: three months after the end of the protocol treatment

Data from ClinicalTrials.gov

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Subacromial Impingement Syndrome Approach Using High Intensity Laser Therapy

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes