Efficacy of Pulsed High Intensity Laser Therapy in Treatment of Psoriatic Hand Arthritis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 76
- 试验地点
- 1
- 主要终点
- Assessment of change of Hand Grip Strength using manual dynamometer
研究概览
简要总结
The purpose of the study was to evaluate the therapeutic efficacy of pulsed high intensity level laser therapy in improving symptoms of psoriatic hand arthritis.
详细描述
Psoriatic arthritis is a chronic, inflammatory joint disease affecting 20%-30% of patients with psoriasis. It affects peripheral joints and axial skeleton, causing pain, stiffness, swelling, and joint destruction. High-intensity laser therapy can control inflammation and improve pain relief, range of motion, and functional improvement. This study aims to examine High-intensity laser therapy efficacy in managing Psoriatic arthritis, aiming to provide a safe, effective, and noninvasive treatment method.
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
- Single (Participant)
入排标准
- 年龄范围
- 30 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Both sexes of patients their age range between 30-50 years.
- •Bilateral PsA following psoriasis
- •All participants who are diagnosed with PsA, and experience clinical symptoms such as pain, swelling, tenderness and stiffness less than 1 year from the beginning of disease.
- •All patients enrolled to the study will have their informed consent.
排除标准
- •Positive rheumatic factor
- •Circulatory disorders
- •Pregnant woman
- •Skin diseases like urticaria.
研究组 & 干预措施
Pulsed high intensity level laser therapy group
This group includes 38 patients who will receive pulsed high intensity level laser therapy 3 sessions per week over 8 successive weeks in addition to routine physical therapy in the form of hot therapy, stretching and strengthening exercises
干预措施: Routine physical therapy program (Other)
Pulsed high intensity level laser therapy group
This group includes 38 patients who will receive pulsed high intensity level laser therapy 3 sessions per week over 8 successive weeks in addition to routine physical therapy in the form of hot therapy, stretching and strengthening exercises
干预措施: Pulsed high intensity laser therapy (Device)
Shame pulsed high intensity laser level therapy
This group includes 38 patients who will receive shame pulsed high intensity laser level therapy 3 sessions per week over 8 successive weeks in addition to routine physical therapy in the form of hot therapy, stretching and strengthening exercises
干预措施: sham pulsed high intensity laser therapy (Device)
Shame pulsed high intensity laser level therapy
This group includes 38 patients who will receive shame pulsed high intensity laser level therapy 3 sessions per week over 8 successive weeks in addition to routine physical therapy in the form of hot therapy, stretching and strengthening exercises
干预措施: Routine physical therapy program (Other)
结局指标
主要结局
Assessment of change of Hand Grip Strength using manual dynamometer
时间窗: at baseline and after 2 months
The Handheld Jamar dynamometer device 12-0600 will be used to measure hand grip strength, with a readout in pounds and kilograms. The strength will be measured with the elbow at 90° according to the American Society of Hand Therapists' recommendations. Patients will be instructed to sit while the affected limb is placed in shoulder adduction, internal rotation, elbow flexion, forearm mid position, and wrist neutral position. Three consecutive measurements will be performed with a 2-minute interval, and the mean strength value of the three trials will be considered as the hand grip measure.
次要结局
- assessment of Joint counts for tenderness(at baseline and after 2 months)
- assessment of Joint swelling count(at baseline and after 2 months)
- assessment of pain intensity using visual analogue scale(at baseline and after 2 months)
研究者
Mahmoud Shawky Helmy Abdelhamid
principal investigator
Cairo University