Effect of High Intensity Laser Versus Plus Exercises

Study Overview
=================
Brief Summary
-----------------
High-intensity laser therapy (HILT) has been used more recently in the therapeutic protocols of musculoskeletal pain management. This study is conducted to find out the effect of high intensity laser therapy only versus high intensity laser pulse exercises on level of wrist pain, function and Joint position sense in girls Gymnasts

Detailed Description
-----------------
Effect of high intensity laser plus exercises on wrist pain ..three groups of gymnastics girls suffer from non specific wrist is allocating ..the first group will receive exercises only , the second will receive laser only while the third will receive exercises plus laser

Official Title
-----------------
Effectiveness of High Intensity Laser Therapy Plus Therapeutic Interventions in Treatment of Girls Gymnasts With Non-specific Wrist Pain

Conditions
-----------------
Effect of High Intensity Laser Plus Exercises on Wrist Pain

Intervention / Treatment
-----------------
* Other: high intensity laser plus exercise
* Device: high intensity laser only
* Other: exercise


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: All girls diagnosed with generalized chronic wrist pain and referred by orthopaedic physician. Their age between 10-16 years old They will be able to follow instructions. All are medically stable Exclusion Criteria: • Bone fractures and tumors. Cases after plastic surgery. Hypertension (due to secondary vasoconstriction) Diabetes mellitus Pacemakers

Ages Eligible for Study
-----------------
Minimum Age: 10 Years
Maximum Age: 16 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Laser group<br>High Intensity Laser Therapy only , this group will receive laser for 4 weeks three times /week | Device: high intensity laser only<br>* high intensity laser only<br>|
| Other: Exercise group<br>Exercise , selected physiotherapy exercises will receive for 4 weeks ,3times/week | Other: exercise<br>* exercise only<br>* Other names: exercise only;|
| Experimental: High intensity laser grouo<br>High intensity laser plus exercise will receive the selected exercises and laser 4 weeks, 3 times/week | Other: high intensity laser plus exercise<br>* high intensity laser plus exercise<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| PRWE | The PRWE is a 15-item questionnaire that is used to rate wrist outcomes based on patient pain and function and is based on an 11-point (0-10) scale. | pre and post 4 weeks of intervention, decrease score indicate improvement | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| JBS | JPS assesses precision or accuracy in repositioning a joint at a predetermined target angle | pre and post 4 weeks of intervention, decrease score indicate improvement |