High-Intensity Laser Therapy Versus Shockwave Therapy in Osteoporotic Long Term Hemiparetic Patients
Condition: Osteoporosis Secondary
MeSH terms: Osteoporosis
Study type: Interventional

Summary: 
      Background: The relationship between immobilization and localized osteoporosis is well
      documented in chronic stroke patients. Hemiparetic patients are predisposed to fractures and
      usual activity impairment due to a considerable loss of bone density. A serious health care
      challenge is finding ways to reduce osteoporosis and associated fractures among stroke
      survivors. This study aimed to compare the effects of HILT and ESWT in treating osteoporosis
      and its consequences in hemiparetic patients.

      Patients and Methods: A randomized controlled trial was performed at the Faculty of Physical
      Therapy Outpatient Clinic, Cairo University. One hundred and twenty hemiplegic patients with
      osteoporosis of both sexes were chosen randomly. They were randomly classified into three
      equal groups (n=40 in each group). The control group received medication and traditional
      physiotherapy programs for stroke patients (strengthening, stretching, and balance exercise).
      The high-intensity laser (HIL) group received the same intervention as the control group in
      addition to high-intensity laser therapy. The shock wave (SW) group received the same
      intervention as the control group in addition to shock wave therapy. The three groups
      received an intervention that lasted 3 sessions/week for 12 weeks). All groups were assessed
      before and after therapy (3 months) for the degree of pain, which was evaluated by visual
      analog scale (VAS), fall risk assessment (overall stability index and Short Form of Berg
      Balance Scale (SFBBS)), and Quality of Life Questionnaire of the European Foundation for
      Osteoporosis (QUALEFFO-41).
    

Detailed description: 
      randomized controlled trial was performed at the Faculty of Physical Therapy Outpatient
      Clinic, Cairo University. One hundred and twenty hemiplegic patients with osteoporosis of
      both sexes were chosen randomly. They were randomly classified into three equal groups (n=40
      in each group). The control group received medication and traditional physiotherapy programs
      for stroke patients (strengthening, stretching, and balance exercise). The high-intensity
      laser (HIL) group received the same intervention as the control group in addition to
      high-intensity laser therapy. The shock wave (SW) group received the same intervention as the
      control group in addition to shock wave therapy. The three groups received an intervention
      that lasted 3 sessions/week for 12 weeks). All groups were assessed before and after therapy
      (3 months) for the degree of pain, which was evaluated by visual analog scale (VAS), fall
      risk assessment (overall stability index and Short Form of Berg Balance Scale (SFBBS)), and
      Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41).
    

Intervention name(s): High-Intensity laser; Traditional physiotherapy exercises; Shock Wave therapy
Intervention type(s): Radiation; Other; Radiation
Intervention description(s): intervention that lasted 3 sessions/week for 12 weeks).; intervention that lasted 3 sessions/week for 12 weeks).; intervention that lasted 3 sessions/week for 12 weeks).
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: Shock Wave; High intensity laser; Osteoporosis; Hemiplegia