A significant effect on depressive symptoms was not found .
The improvements for pain could be maintained at follow-up with smaller effects .
Introduction In the present systematic review and meta- analysis , we assessed the effectiveness of different forms of balneotherapy ( BT ) and hydrotherapy ( HT ) in the management of fibromyalgia syndrome ( FMS ) .
Low-power laser treatment for shoulder pain.
OBJECTIVE The objective of this study is to investigate the effect of low-power gallium-arsenide laser treatment on the patients with shoulder pain . BACKGROUND DATA Low-energy laser therapy has recently been popularized in the treatment of various rheumatologic , neurologic , and musculoskeletal disorders such as osteoarthritis , rheumatoid arthritis , fibromyalgia , carpal tunnel syndrome , rotator cuff tendinitis , and chronic back pain syndromes . METHODS A total of 40 patients who applied to our clinic with shoulder pain and complied with the selection criteria were included in the study . The patients were r and omly assigned into Group I ( n = 20 , laser treatment ) and Group II ( n = 20 , control ) . In Group I , patients were given laser treatment and an exercise protocol for 10 sessions during a period of 2 weeks . Laser was applied over tuberculum majus and minus , bicipital groove , and anterior and posterior faces of the capsule , regardless of the existence of sensitivity , for 1 min at each location at each session with a frequency of 2000 Hz using a GaAs diode laser instrument ( Rol and Serie Elettronica Pagani , wavelength 904 nm , frequency range of 5 - 7000 Hz , and maximum peak power of 27 W , 50 W , or 27 x 4 W ) . In Group II , placebo laser and the same exercise protocol was given for the same period . Patients were evaluated according to the parameters of pain , palpation sensitivity , algometric sensitivity , and shoulder joint range of motion before and after treatment . RESULTS Analysis of measurement results within each group showed a significant posttreatment improvement for some active and passive movements in both groups , and also for algometric sensitivity in Group I ( p < 0.05 - 0.01 ) . Posttreatment palpation sensitivity values showed improvement in 17 patients ( 85 % ) for Group I and six patients ( 30 % ) for Group II . Comparison between two groups showed superior results ( p < 0.01 and p < 0.001 ) in Group I for the parameters of passive extension and palpation sensitivity but no significant difference for other parameters . CONCLUSIONS The results of our study have shown better results in palpation sensitivity and passive extension , but no significant improvement in pain , active range , and algometric sensitivity in laser treatment group compared to the control group in the patients with shoulder pain
A significant effect on depressive symptoms was not found .
The improvements for pain could be maintained at follow-up with smaller effects .
Introduction In the present systematic review and meta- analysis , we assessed the effectiveness of different forms of balneotherapy ( BT ) and hydrotherapy ( HT ) in the management of fibromyalgia syndrome ( FMS ) .