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IRCT20170516034003N2 IRCT 2018-02-01 Guilan University of Medical Sciences The effects of laser therapy on pain and muscle thickness The effects of laser therapy on pain, range of motion and muscle thickness in subjects with adhesive capslitis 2018-02-19 anticipated 52 Complete https://irct.ir/trial/29068 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Factorial, Purpose: Treatment, Randomization description: Patients were assigned simple randomly by randomized numerical table between 1 to52 numbers, Blinding description: Patients in both groups receive routine physiotherapy and laser therapy is performed in just one group. Treatment is done by health care staff who are not aware of the grouping and only implement the treatment protocol. The evaluation is done by one of the researchers who does not know about the treatment performed on patients. 3 Adhesive capsulitis. Intervention 1: Intervention group: Interventions in this group include: 1) Infrared therapy for 20 minutes: The Infrared bulb is positioned at a distance of 50 cm from the shoulder of the individual. The patient will feel mild heat. 2- Treatment with TENS type brief for 20 minutes. In this method, four electrodes on the sides of the shoulder will be used. The frequency used varies from 3 to 120 Hz, and the patient will feel the electrical current, along with the muscle vibrations. 3- Exercise for strengthening muscle should include five exercises from the third to the tenth sessions twice daily. 4. Laser therapy: In this study, a laser with a wavelength of 905 nm, an energy density of 8 J / cm 2, a power of 50 mW in 10 points of the shoulder including 3 points on the anterior capsule, 3 points on the posterior capsule, 2 points on the root of the C5 nerve and the two points on the axillary region. The radiation time will be 91s for each point. Intervention 2: Control group: Interventions in this group include: 1) Infrared therapy for 20 minutes: The Infrared bulb is positioned at a distance of 50 cm from the shoulder of the individual. The patient will feel mild heat. 2- Treatment with TENS type brief for 20 minutes. In this method, four electrodes on the sides of the shoulder will be used. The frequency used varies from 3 to 120 Hz, and the patient will feel the electrical current, along with the muscle vibrations. 3- Exercise for strengthening muscle should include five exercises from the third to the tenth sessions twice daily. Yes - There is a plan to make this available What will be shared: Sharing is done after the end of the study. The total potential data can be shared after unidentifications of individuals. When: Start the access period 6 months after publicating the results To whom: Researchers working in universities Conditions: Researchers working in universities Where to obtain: Adress: Physiotherapy section, Block 2, , Poursina hospital, Namjoo St, Rasht How to obtain: A written request for data from the relevant university with the name and academic degree of the researcher Comments:
public Sosan Komaei
Deputy of Research, Opposie to Azodi Stadium, Namjoo St, Rasht, Iran
Rasht Iran (Islamic Republic of) ۴۱۹۳۷۱۳۱۹۴ +98 13 3336 2639 Research@gums.ac.ir Guilan University of Medical Sciences, Deputy of Research scientific Kamran Ezzati
Central Office of Guilan University of Medical Sciences, Parastar St., Rasht, I.R. Iran
Rasht Iran (Islamic Republic of) ۴۱۹۳۷۱۳۱۹۴ +98 13 3369 0099 kamranezzati@gums.ac.ir Guilan University of Medical Sciences Iran (Islamic Republic of) Adhesive capsulitis diagnosis: According to orthopedic physician assessment Patients with pain duration between 3-9 month 18 years 60 years Both Patients with adhesive capsulitis which shoulder range of motion not affected. Patients with humerus, clavicle and scapula fractures Patients with complete soft tissues tear such as tendons and labrum Patients with history of diabetes and other inflammatory, articular and myofascial diseases Patients that laser therapy is contraindicated due to tumor or hemorrhage M75.0 Adhesive capsulitis of shoulder Rehabilitation Rehabilitation Intervention group: Interventions in this group include: 1) Infrared therapy for 20 minutes: The Infrared bulb is positioned at a distance of 50 cm from the shoulder of the individual. The patient will feel mild heat. 2- Treatment with TENS type brief for 20 minutes. In this method, four electrodes on the sides of the shoulder will be used. The frequency used varies from 3 to 120 Hz, and the patient will feel the electrical current, along with the muscle vibrations. 3- Exercise for strengthening muscle should include five exercises from the third to the tenth sessions twice daily. 4. Laser therapy: In this study, a laser with a wavelength of 905 nm, an energy density of 8 J / cm 2, a power of 50 mW in 10 points of the shoulder including 3 points on the anterior capsule, 3 points on the posterior capsule, 2 points on the root of the C5 nerve and the two points on the axillary region. The radiation time will be 91s for each point. Control group: Interventions in this group include: 1) Infrared therapy for 20 minutes: The Infrared bulb is positioned at a distance of 50 cm from the shoulder of the individual. The patient will feel mild heat. 2- Treatment with TENS type brief for 20 minutes. In this method, four electrodes on the sides of the shoulder will be used. The frequency used varies from 3 to 120 Hz, and the patient will feel the electrical current, along with the muscle vibrations. 3- Exercise for strengthening muscle should include five exercises from the third to the tenth sessions twice daily. Visual Analogue Scale. Timepoint: Before intervention, After five sessions treatments, After ten sessions treatments, one month follow-up. Method of measurement: Visual Analogue Scale. Shoulder range of motion with goniometer. Timepoint: Before intervention, After five sessions treatments, After ten sessions treatments, one month follow-up. Method of measurement: Goniometer. Muscle thickness by sonography. Timepoint: Before intervention, After five sessions treatments, After ten sessions treatments, one month follow-up. Method of measurement: sonography. Guilan University of Medical Sciences Approved 2018-01-13 Ethics committee of Guilan University of Medical Sciences 5th floor, Central office of Guilan University of Medical Sciences, Namjoo St., Rasht, Iran Rasht Guilan Iran (Islamic Republic of)