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IRCT20180406039203N2 IRCT 2024-01-28 Tarbiat Modares University The effect of high-power laser on supraspinatus tendon tear Evaluation of the Effects of High-Power Laser and Exercise Therapy on Supraspinatus Tendon Tear and Glenohumeral Joint Kinetics and Kinematics: Randomized Clinical Trial 2024-02-19 anticipated 28 Complete https://irct.ir/trial/75030 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Web-based randomization and masking through sealed envelopes will be used. First, the website http://www.graphpad.com/quickcalcs/index.cfm3 will be used to create a random sequence. Sealed opaque envelopes are used to hide the random allocation. Envelopes with aluminum wrappers (in order to make the contents of the envelopes unclear), preparation and each of the randomly created sequences are recorded on a card and the cards are placed inside the envelopes in order. Finally, the envelope door The letters are glued and placed in a box in order. At the time of registration of the participants, based on the order of entry of eligible participants into the study, one of the envelopes will be opened and the assigned group of that participant will be revealed, Blinding description: Data collection will be done by an experimenter who is not aware of the grouping.The participants were also blinded to the intervention groups. N/A Supraspinatus tendon partial thickness tear. Intervention 1: Intervention group: K-laser will be used in this study. The treatment will be done 3 times a week for 10 sessions. In the first 3 sessions, the total energy will be 2478 joules, the average power will be 9 watts and the maximum power will be 20 watts. In the last 7 sessions, the total energy will be 4678 joules. Intervention 2: Control group: The treatment will be done 3 times a week for 10 sessions. Lasers are off in all meetings. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is The publication schedule of this study is not yet known
public Zohreh Zaki
Jalal Al Ahmad
Tehran Iran (Islamic Republic of) 14115-111 +98 21 82880 zakizohre69@gmail.com Tarbiat Modares University scientific Roya Ravanbod
Tarbiat modares university Jalal Ale Ahmad street , Tehran
Tehran Iran (Islamic Republic of) 14115-111 +98 21 8288 3595 rravanbod@hotmail.com Tarbiat modares university Iran (Islamic Republic of) Age range: 40-60 years Body mass index 25-30 The presence of an incomplete tear of 1-3 cm in the supraspinatus according to MRI The positiveness of Drop Arm tests: empty can test, external rotation delay sign, champagne toast Having reading and writing literacy at the cycle level Moderate pain intensity based on Visual analogue scale 35-74 mm Arm circumference size cm 1.28-4.29 40 years 60 years Both The unwillingness of people to continue treatment for any reason Tears in other components of the rotator cuff with or without supraspinatus injury Use of non-steroidal and steroidal anti-inflammatory drugs Injection in the shoulder in 3 months before the study Receiving physiotherapy treatments in 3 months before the study Damage caused by exercise The existence of a neurological disease that leads to muscle weakness or reduced range of motion History of systemic diseases such as: rheumatoid arthritis, diabetes, severe cardiovascular disease, history of shoulder surgery Presence of any shoulder pathology that leads to shoulder kinematic change Contraindications for laser use: pregnancy, epilepsy, pacemaker, cancer Dissemination of pain from the neck More than 12 months have passed since the onset of their symptoms M75.1 Rotator cuff tear or rupture, not specified as traumatic Rehabilitation Rehabilitation Intervention group: K-laser will be used in this study. The treatment will be done 3 times a week for 10 sessions. In the first 3 sessions, the total energy will be 2478 joules, the average power will be 9 watts and the maximum power will be 20 watts. In the last 7 sessions, the total energy will be 4678 joules. Control group: The treatment will be done 3 times a week for 10 sessions. Lasers are off in all meetings. Supraspinatus tendon tear size. Timepoint: Before and 48 hours after end of treatment. Method of measurement: The tear size is measured by ultrasound. Glenohumeral superior translation. Timepoint: Before and 48 hours after end of treatment. Method of measurement: Superior translation of the humeral head is measured by the motion analysis system. Pain. Timepoint: pre-treatment, before 5th session and 48 hours post treatment. Method of measurement: By visual analogue scale. Muscle groups strength. Timepoint: pre and 48 hours post treatment. Method of measurement: By hand held dynamometer. Pain and function. Timepoint: pre and 48 hours post treatment. Method of measurement: By shoulder and pain disability index. EMG activity pattern, Root mean square. Timepoint: pre and 48 hours post treatment. Method of measurement: by electromyography system. Angular speed. Timepoint: pre and 48 hours post treatment. Method of measurement: by motion analysis system. Angular acceleration. Timepoint: pre and 48 hours post treatment. Method of measurement: by motion analysis system. Torque. Timepoint: pre and 48 hours post treatment. Method of measurement: by motion analysis system. Tarbiat Modares University Approved 2023-10-22 Tarbiat Modares University Jalal Al Ahmad Tehran Tehran Iran (Islamic Republic of)