DOI QR코드

DOI QR Code

The Effects of High Intensity Laser Therapy on Pain and Function of Patients with Frozen Shoulder

  • Jeon, Chun-Bae (Rehabilitation Center, The Most Holy Trinity Hospital) ;
  • Choi, Seok-Joo (Department of Physical Therapy, Taegu Science University) ;
  • Oh, Hyun-Ju (Department of Physical Therapy, Taegu Science University) ;
  • Jeong, Mu-Geun (Department of Physical Therapy, Namsan Hospital) ;
  • Lee, Kwan-Sub (Rehabilitation Center, Kang Hospital)
  • Received : 2017.07.06
  • Accepted : 2017.08.22
  • Published : 2017.08.31

Abstract

Purpose: This study was to identify the effectiveness of high-intensity laser therapy on pain and function of a frozen shoulder. Methods: Thirty patients were assigned to two groups: the experimental group (n=15) and the control group (n=15). Both groups received traditional therapy for 4 weeks, 3 days a week. The experimental group, however, received an additional high intensity laser therapy. Pain was measured using the visual analogue scale (VAS). The functional ability was measured using the patient specific functional scale (PSFS). A paired t-test was used to determine any differences before and after the treatment, and an independent t-test was used to determine any differences between treatment groups. Results: Both groups showed a statistically significant difference for VAS and PSFS score (p<0.05). In comparison between two groups, more experimental group than control group statistically significant difference (p<0.05). Conclusion: There seems to be a positive effect on pain and function of frozen shoulder from using high intensity laser therapy.

Keywords

References

  1. Bjelle A. Epidemiology of shoulder problems. Baillieres Clin Rheumatol. 1989;3(3):437-51. https://doi.org/10.1016/S0950-3579(89)80003-2
  2. Codman EA. The shoulder rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. Boston, Thomas Todd, 1934:478-80.
  3. Neviaser JS. Arthrography of the shoulder joint. J Bone Joint Surg Am. 1962;44(7):1321-59. https://doi.org/10.2106/00004623-196244070-00004
  4. Kwon OH. Randomized clinical trial analysis of effect of electro-acupuncture stimulation on frozen shoulder. Daegu University. Dissertation of Doctorate Degree. 2006.
  5. Kessel L, Bayley I, Young A. The upper limb: the frozen shoulder. Br J Hosp Med. 1981;25(4):334-9.
  6. Costic RS, Jari R, Rodosky MW et al. Joint compression alters the kinematics and loading patterns of the intact and capsule transected AC joint. J Orthop Res. 2003;21(3):379-85. https://doi.org/10.1016/S0736-0266(02)00197-3
  7. Salter RB. Textbook of disorders and injuries of the musculoskeletal system: an introduction to orthopaedics, fractures, and joint injuries, rheumatology, metabolic bone disease, and rehabilitation. Baltimore, Lippincott Williams & Wilins, 1999:137-8.
  8. Shaffer B, Tibone JE, Kerlan RK. Frozen shoulder. A long-term followup. J Bone Joint Surg Am. 1992;74(5):738-46. https://doi.org/10.2106/00004623-199274050-00013
  9. Yu BK, Oh KH, Lee JG. Effects of kinesiotape on range of motion and pain in frozen shoulder patients. J Kor Phys Ther. 2001;8(1):143-51.
  10. Kwak KI, Choi BJ, Yoon YJ. Effects of home exercise program and manual therapy on shoulder function and quality of life in patients with adhesive capsulitis. J Kor Phys Ther. 2016;28(5):286-91. https://doi.org/10.18857/jkpt.2016.28.5.286
  11. Santamato A, Solfrizzi V, Panza F et al. Short-term effects of high-intensity laser therapy versus ultrasound therapy in the treatment of people with subacromial impingement syndrome: a randomized clinical trial. Phys Ther. 2009;89(7):643-52. https://doi.org/10.2522/ptj.20080139
  12. Bingol U, Altan L, Yurtkuran M. Low-power laser treatment for shoulder pain. Photomed Laser Surg. 2005;23(5):459-64. https://doi.org/10.1089/pho.2005.23.459
  13. Alayat MSM, Atya AM, Ali MME et al. Long-term effect of high-intensity laser therapy in the treatment of patients with chronic low back pain: a randomized blinded placebo-controlled trial. Lasers Med Sci. 2014;29(3):1065-73. https://doi.org/10.1007/s10103-013-1472-5
  14. Stiglic-Rogoznica N, Stamenkovic D, Frlan-Vrgoc L et al. Analgesic effect of high intensity laser therapy in knee osteoarthritis. Coll Antropol. 2011;35(2):183-5.
  15. Paul-Dauphin A, Guillemin F, Virion JM et al. Bias and precision in visual analogue scales: a randomized controlled trial. Am J Epidemiol. 1999;150(10):1117-27. https://doi.org/10.1093/oxfordjournals.aje.a009937
  16. Miller MD, Ferris DG. Measurement of subjective phenomena in primary care research: the visual analogue scale. Fam Pract Res J. 1993;13(1):15-24.
  17. Stratford P, Gill C, Westaway M et al. Assessing disability and change on individual patients: a report of a patient specific measure. Physiother Can. 1995;47(4):258-63. https://doi.org/10.3138/ptc.47.4.258
  18. Hefford C, Abbott JH, Arnold R et al. The patient-specific functional scale: validity, reliability, and responsiveness in patients with upper extremity musculoskeletal problems. J Orthop Sports Phys Ther. 2012;42(2):56-65. https://doi.org/10.2519/jospt.2012.3953
  19. Kim JW, Kim YN. Effect of sling exercise on muscle activity and pain in patients with rotator cuff repair. J Kor Phys Ther. 2017;29(2):45-9. https://doi.org/10.18857/jkpt.2017.29.2.45
  20. Kim JS, Park MC. Changes of shoulder muscles activity during maintaining and lifting shoulder depending on stretch rate of kinesio tape. J Kor Phys Ther. 2015;27(5):299-303. https://doi.org/10.18857/jkpt.2015.27.5.299
  21. Loew M, Heichel TO, Lehner B. Intraarticular lesions in primary frozen shoulder after manipulation under general anesthesia. J Shoulder Elbow Surg. 2005;14(1):16-21. https://doi.org/10.1016/j.jse.2004.04.004
  22. Kim SH, Kim YH, Lee HR. Short-term effects of high-intensity laser therapy on frozen shoulder: a prospective randomized control study. Man Ther. 2015;20(6):751-7. https://doi.org/10.1016/j.math.2015.02.009
  23. Karaca B. Effectiveness of high-intensity laser therapy in subacromial impingement syndrome. Photomed Laser Surg. 2016;34(6):223-8. https://doi.org/10.1089/pho.2015.4005
  24. Kang HJ, Her MS, Lee SY et al. Comparison of the clinical results of HILT versus ESWT in the lateral epicondylitis. J Korean Soc Surg Hand. 2009;14(2):61-6.
  25. Pejcic A, Mirkovic D. Anti-inflammatory effect of low level laser treatment on chronic periodontitis. Med Laser Appl. 2011;26(1):27-34. https://doi.org/10.1016/j.mla.2010.04.004
  26. Nicolau RA, Martinez MS, Rigau J et al. Neurotransmitter release changes induced by low power 830 nm diode laser irradiation on the neuromuscular junctions of the mouse. Lasers Surg Med. 2004;35(3):236-41. https://doi.org/10.1002/lsm.20087
  27. Dundar U, Turkmen U, Toktas H et al. Effectiveness of high-intensity laser therapy and splinting in lateral epicondylitis; a prospective, randomized, controlled study. Lasers Med Sci. 2015;30(3):1097-107. https://doi.org/10.1007/s10103-015-1716-7

Cited by

  1. Measurement and Treatment of Abnormalities of Medial and Lateral Rotation of Upper Limb in Shoulder vol.25, pp.1, 2017, https://doi.org/10.9708/jksci.2020.25.01.109
  2. Effect of early stabilization exercise focused on the scapulothoracic joint on the recovery of surgical patients due to rotator cuff tear vol.32, pp.1, 2020, https://doi.org/10.18857/jkpt.2020.32.1.14
  3. Meta-Analysis of the Effects of Various Physical Therapy Method about Shoulder Adhesive Capsulitis: The Cases of Domestic Research vol.32, pp.5, 2020, https://doi.org/10.18857/jkpt.2020.32.5.277
  4. The Effect of Manual Physical Therapy on Improvement in the Range of Motion of Frozen Shoulder Patients: A Meta-Analysis of Cases in South Korea vol.33, pp.5, 2017, https://doi.org/10.18857/jkpt.2021.33.5.211