Effectiveness of Shock Wave Therapy Versus Low Level Lazer Therapy in Diabetic Frozen Shoulder Patients.

Study Overview
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Brief Summary
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Patients will be divided randomly into 3 groups.

Detailed Description
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Patients will be allocated from out patient clinics of Qena university hospitals Then they will be randomly assigned to three groups, every one will contain 30 patients of both gender, with age range between 45 and 60 years old

Official Title
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Effectiveness of Shock Wave Therapy Versus Low Level Lazer Therapy in Diabetic

Conditions
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Diabetes Complications

Intervention / Treatment
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* Radiation: Shock wave therapy
* Radiation: Low level lazer therapy
* Other: Routine physical therapy program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients with diabetes mellitus. patients with frozen shoulder due to diabetes mellitus. patients age ranged between 45 and 60 years old. cooperative patients. Exclusion Criteria: patients with un-controlled hypertension. patients sensetive to shock wave or lazer irradiation. Patients with infectious skin diseases. un-cooperative patients.

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Group (a) Group (b) Group (c)
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group (a)<br>Patients in this group will receive shock wave therapy once a week for four weeks in addition to routine physical therapy program. | Radiation: Shock wave therapy<br>* Patients in this group will receive shock wave therapy once a week for four weeks in addition to routine physical therapy program.<br>* Other names: Non;Other: Routine physical therapy program<br>* Patients in this group will receive only routine physical therapy program three times a week for four weeks.<br>|
| Experimental: Group (b)<br>Patients in this group will receive low level lazer therapy three times per week for four weeks in addition to routine physical therapy program. | Radiation: Low level lazer therapy<br>* Patients in this group will receive low level lazer therapy three times a week week for four weeks in addition to routine physical therapy program.<br>* Other names: Non;Other: Routine physical therapy program<br>* Patients in this group will receive only routine physical therapy program three times a week for four weeks.<br>|
| Experimental: Group (c)<br>Patients in this group will receive only routine physical therapy program. | Other: Routine physical therapy program<br>* Patients in this group will receive only routine physical therapy program three times a week for four weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Shoulder joint Pain | By using visual analogue scale | 4 weeks | 
| Range of motion of the shoulder | Range of shoulder internal and external rotation and shoulder flexion | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Shoulder and hand disability | By using quick DASH questionnaire | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Diabetes, Frozen shoulder