Effects of Low Level Laser Therapy Versus Muscle Energy Techniques Among Diabetic Patients With Frozen Shoulder
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 36
- 主要终点
- Shoulder function
研究概览
简要总结
The current study is to evaluate the comparative effects of low-level laser therapy and muscle energy technique on pain, range of motion, and functional results in diabetic patients with frozen shoulder. This research aims to enhance the existing data on managing diabetes-related musculoskeletal issues by assessing the comparative advantages of various therapies, therefore assisting physicians in choosing appropriate, patient-centred rehabilitation procedures.
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 (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Eligible participants were male and female individuals aged 18 to 65 years with a verified diagnosis of type 2 diabetes mellitus and clinical manifestations of frozen shoulder for at least three months. The diagnosis was determined by limited glenohumeral joint mobility, characterised by a decrease of ≥20° in a minimum of three active movements: flexion <144°, abduction <120°, and external rotation <72°. Cases of both unilateral and bilateral nature were incorporated.
排除标准
- •The exclusion criteria included a history of traumatic shoulder injury or prior surgery; neurological involvement, such as brachial plexus injury or cervical radiculopathy; rotator cuff tears or other ligamentous pathologies; tumours or malignancies affecting the shoulder; and corticosteroid injection within the preceding three months
研究组 & 干预措施
Low-Level Laser Therapy (LLLT) + Conventional Therapy
Participants received LLLT with a Ga-Al-As diode laser (830 nm, 100 mW) applied to anterior capsule, posterior capsule, and subacromial area (4 J/cm² per site, 60-90 sec each), three times per week for 8 weeks. Along with LLLT, all participants received conventional therapy (moist heat, pendulum exercises, passive/active-assisted ROM, isometric strengthening, and postural correction training).
干预措施: Low-Level Laser Therapy (LLLT) (Other)
Low-Level Laser Therapy (LLLT) + Conventional Therapy
Participants received LLLT with a Ga-Al-As diode laser (830 nm, 100 mW) applied to anterior capsule, posterior capsule, and subacromial area (4 J/cm² per site, 60-90 sec each), three times per week for 8 weeks. Along with LLLT, all participants received conventional therapy (moist heat, pendulum exercises, passive/active-assisted ROM, isometric strengthening, and postural correction training).
干预措施: Muscle Energy Technique (MET) (Other)
Muscle Energy Technique (MET) + Conventional Therapy
Participants received MET for shoulder muscle groups (internal/external rotators, flexors, extensors). Each contraction was ~20% effort, held for 10 sec, followed by 5 sec relaxation and passive stretch to a new end range. Three to five cycles per group, ~20 minutes/session, three times per week for 8 weeks. Along with MET, all participants received the same conventional therapy as Arm A.
干预措施: Low-Level Laser Therapy (LLLT) (Other)
Muscle Energy Technique (MET) + Conventional Therapy
Participants received MET for shoulder muscle groups (internal/external rotators, flexors, extensors). Each contraction was ~20% effort, held for 10 sec, followed by 5 sec relaxation and passive stretch to a new end range. Three to five cycles per group, ~20 minutes/session, three times per week for 8 weeks. Along with MET, all participants received the same conventional therapy as Arm A.
干预措施: Muscle Energy Technique (MET) (Other)
结局指标
主要结局
Shoulder function
时间窗: Baseline, 4 weeks, and 8 weeks after intervention initiation.
Measured using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, a validated patient-reported outcome measure assessing disability and symptoms related to upper limb musculoskeletal disorders. Higher scores indicate greater disability.
次要结局
未报告次要终点
研究者
Aqsa Majeed
Dr. Aqsa Majeed
University of Lahore