Effect of High Intensity Laser on Hemiplegic Shoulder Dysfunction

Phase 1

Completed

• Conditions: Stroke; Shoulder Dislocation or Subluxation
• Interventions: Device: hight intenisty laser

• Registration Number: NCT05595720
• Lead Sponsor: Deraya University

Brief Summary

Hemiplegic shoulder pain (HSP) is a common and disabling complication following a stroke, and it may affect the quality of life. It often occurs following two to three months of stroke. Upper limb impairment is seen in 90% of patients affected by stroke.

Numerous causes have been implicated in developing HSP in stroke. This includes muscle flaccidity around the shoulder joint, shoulder subluxation, shoulder-hand syndrome, increased muscle tone, impingement syndrome, frozen shoulder, brachial plexus injury, and the thalamic syndrome.

Muscle paresis, abnormal muscle tone and loss of proprioception following stroke may render the shoulder complex unstable and therefore prone to misalignment.

In recent years, high-intensity laser therapy (HILT) has been considered as a treatment option for shoulder pain.

HILT increases microcirculation and tissue regeneration and lowers edema, inflammation, and pain with its photomechanical, thermal, electrical, and bio stimulating effects in deep tissues that cannot be reached with LILT.

It has some advantages over LILT, i.e., having higher power, greater tissue penetration capacity to deep tissues, the short emission time, and long rest periods preventing heat accumulation.

In recent studies, effectiveness of HILT has been shown in the treatment of subacromial impingement syndrome, rotator cuff tendinopathy, and frozen shoulder.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-10-17
• Study Start: 2022-10-20
• Study First Submitted QC: 2022-10-23
• Study First Posted: 2022-10-27
• Primary Completion: 2023-01-18
• Study Completion: 2023-01-20
• Status Verified: 2023-09
• Last Update Submitted: 2023-09-24
• Last Update Posted: 2023-09-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• DISORDER MORE THAN 6 MONTHS
• UNILATERAL
• FIRST TIME

Exclusion Criteria

• Iinflammatory rheumatic disease,
• cervical radiculopathy,
• diabetes mellitus,
• thyroid disease,
• coronary heart disease,
• cardiac pacemaker,
• neurological disease,
• shoulder surgery, and
• shoulder injection in the last 3 months

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
treatment group	hight intenisty laser	-

Primary Outcome Measures

Name	Time	Method
PAIN score	1 MONTH	McGill pain questioner scale, scoring from zero to 78 zero is the best score seventy eight is the worst score
FUNCTION	1 MONTH	UCLA shoulder score from zero to 35 zero is the worst 35 is the best

Trial Locations

Locations (1)

Physical Therapy; 🇪🇬 Minya, المنيا, Egypt