Low Level Laser Versus Neural Mobilization of Brachial Plexus on Shoulder Dysfunction Post Liver Donation
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- Arabic version of Shoulder Pain and Disability Index (SPADI)
研究概览
简要总结
The purpose of the study will be to compare therapeutic effect of low level laser versus neural mobilization techniques on shoulder dysfunction post liver donation.
详细描述
The need for this study develops from the lack of information in the published studies about the effectiveness of low level laser and neural mobilization of brachial plexus on shoulder dysfunction post liver donation.
Following liver donation and transplantation, shoulder dysfunction and discomfort occur in 20% to 60% of patients.
Low-level laser therapy (LLLT) has been used as a non-pharmacological alternative to treat painful musculoskeletal conditions. It is used in acute, chronic painful and inflammatory affections shows that low energy irradiation from lasers alters cellular processes, producing anti-inflammatory effects and increased collagen turnover.
Neural mobilization (NM) is an intervention aimed at restoring the homeostasis in and around the nervous system, by mobilization of the nervous system itself or the structures that surround the nervous system. Neural mobilization facilitates movement between neural structures and their surroundings (interface) through manual techniques or exercise. Human and animal studies revealed that NM reduces intraneural edema, improves intraneural fluid dispersion, reduces thermal and mechanical hyperalgesia and reverses the increased immune responses.
The present study is designed to investigate the effect of LLLT versus NMT on shoulder dysfunction post liver donation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients are both males and females.
- •Their age will range from (20-50) years.
- •Patients will suffer from unilateral shoulder pain(Rt shoulder).
- •Patients will begin the training program one week post.operative.
- •All patients will suffer from moderate to severe pain (VAS score > 4).
- •Patients will be given their informed consent.
排除标准
- •Known history of high level Spinal cord injury and malignancy
- •Metabolic disease with a neurological component such as diabetes.
- •Orthopedic disorders such as fracture or dislocation.
- •Musculoskeletal disorders that will impair performance during training and tests.
- •Uncontrolled cardiovascular or pulmonary diseases .
- •Circulatory disturbances of upper extremity
- •Psychiatric illness, severe behavior or cognitive disorders.
- •Uncooperative patients.
研究组 & 干预措施
Low level laser therapy (LLLT) + Conventional physical therapy program
This group will be composed of 22 patients with shoulder dysfunction post liver donation. Patients will receive low level laser in addition to conventional physical therapy program. LLLT will be applied for 3 times a week for 4 consecutive weeks.
干预措施: Low level laser therapy (LLLT) (Other)
Low level laser therapy (LLLT) + Conventional physical therapy program
This group will be composed of 22 patients with shoulder dysfunction post liver donation. Patients will receive low level laser in addition to conventional physical therapy program. LLLT will be applied for 3 times a week for 4 consecutive weeks.
干预措施: Conventional physical therapy program (Other)
Neural mobilization techniques + Conventional physical therapy program
This group will be composed of 22 patients with shoulder dysfunction post liver donation. Patients will receive neural mobilization techniques in addition to conventional physical therapy program. Exercises will be applied for 3 times a week for 4 consecutive weeks.
干预措施: Neural mobilization techniques (Other)
Neural mobilization techniques + Conventional physical therapy program
This group will be composed of 22 patients with shoulder dysfunction post liver donation. Patients will receive neural mobilization techniques in addition to conventional physical therapy program. Exercises will be applied for 3 times a week for 4 consecutive weeks.
干预措施: Conventional physical therapy program (Other)
Conventional physical therapy program
This group will be composed of 22 patients with shoulder dysfunction post liver donation. Patients will receive conventional physical therapy program. Exercises will be applied for 3 times a week for 4 consecutive weeks.
干预措施: Conventional physical therapy program (Other)
结局指标
主要结局
Arabic version of Shoulder Pain and Disability Index (SPADI)
时间窗: 4 weeks
The SPADI is a self-reported questionnaire with 13 items divided into two subscales: pain and disability. The pain subscale includes five questions about pain intensity during specific activities, such as lying on the involved side, reaching for a high shelf, or pushing with the involved arm. The disability subscale has eight questions about difficulty with tasks like washing hair, putting on clothing, or carrying a 10-pound object. Each question is rated on an 11-point scale (0-10). Scores are summed, converted to percentages, and averaged to provide a total SPADI score ranging from 0 (best) to 100 (worst). SPADI will be assessed pre- and post-treatment (4 weeks).
次要结局
- Measurement of shoulder abduction range of motion (ROM)(4 weeks)
- Measurement of shoulder external rotation range of motion (ROM)(4 weeks)
- Measurement of shoulder flexion range of motion (ROM)(4 weeks)
- Measurement of maximum isometric force (MIF) of shoulder abductors(4 weeks)
研究者
Hayam Abd Elrazek Mohamed
Principal Investigator
Cairo University