Laser Therapy in Adhesive Capsulitis
Condition: Adhesive Capsulitis of Shoulder
MeSH terms: Bursitis
Study type: Interventional

Summary: 
      Adhesive capsulitis is an idiopathic disease characterized by a decrease in the volume of the
      glenoid capsule, the development of fibrosis and a progressive decrease in the range of joint
      movement with pain. Shoulder pain and stiffness are accompanied by disability. The purpose of
      the study is to evaluate and compare the effects of high-intensity laser therapy on pain,
      disease - related disability and quality of life in patients with shoulder restriction and
      pain due to adhesive capsulitis.
    

Detailed description: 
      Adhesive capsulitis is an idiopathic disease characterized by a decrease in the volume of the
      glenoid capsule, the development of fibrosis and a progressive decrease in the range of joint
      movement with pain. Shoulder pain and stiffness are accompanied by disability. It is thought
      that the incidence is 3% to 5% in the general population and 20% in people with diabetes.
      Although usually reported to be self-limiting in 2 to 3 years, studies have reported that 40%
      of patients have persistent pain and stiffness for more than 3 years.

      Therefore, various therapies are used to reduce pain and increase the range of motion more
      rapidly without waiting for spontaneous recovery. Adhesive capsulitis treatment includes
      conservative and surgical treatment options. The options for non-surgical treatments are
      pharmacological treatments including intra-articular injection and physical therapy
      modalities. As for physical therapy modalities, various interventions are used. These include
      heat or ice, therapeutic ultrasound, transcutaneous electrical nerve stimulation and laser
      therapies.

      The aim of exercise programs consisting of joint range of motion (ROM), strengthening and
      stretching exercises, proprioceptive neuromuscular facilitation and mobilization techniques
      is to alleviate pain caused by the capsular contracture and to improve glenohumeral ROM.

      The purpose of the study is to evaluate and compare the effects of high-intensity laser
      therapy on pain, disease - related disability and quality of life in patients with shoulder
      restriction and pain due to adhesive capsulitis.
    

Intervention name(s): high-intensity laser therapy & exercises; Shame laser & exercises; exercise
Intervention type(s): Device; Device; Other
Intervention description(s): A total of 15 sessions of high-dose laser treatment- i Lux Laser (Mectronic Medicale, Italy)- (in the first phase, 8 Watt for the analgesic effect; in the second phase, 12 Watt in burst mode for the biostimulation effect; and finally in the third phase with 8 Watt) will be applied.; Sham laser treatment (the same device to be used, 0 watts) will be given.; Therapeutic exercises All participants received 25-minutes of passive stretching, active assisted range of motion and codman pendicular exercises (10 repetitions, 3 sets, 3-minutes rest between sets) to the shoulder joint, supervised by the same physiotherapist five times a week for 3 weeks.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary purpose: Treatment
Keywords: adhesive capsulitis; high-intensity laser therapy