Effect of High Intensity Laser on Shoulder Impingement.

Summary

Treatment for shoulder impingement is conservative initially, Rehabilitation programs generally consist of exercise therapy and manual therapy that provide relief from symptoms of impingement. High-intensity laser therapy used recently and was found to be effective in the short term in the treatment of pain and disability in patients with impingement.

This study aims to

* Investigate the effect of high intensity power laser therapy on sonographic measurement in the adolescent suffering from shoulder impingement syndrome.
* Investigate the effect of high intensity power laser therapy on pain in the adolescent suffering from shoulder impingement syndrome.
* Investigate the effect of high intensity power laser therapy on shoulder function in the adolescent suffering from shoulder impingement syndrome.

RESEARCH QUESTION:

Does using high intensity power laser affects shoulder dysfunction in adolescent with shoulder impingement syndrome?

Conditions

• High Intensity Laser
• Shoulder Impingement Syndrome
• Shoulder Pain

Interventions

DEVICE

high intensity laser

the patient will be in supine position with shoulder uncovered from clothes and wearing laser protective eye glass to protect eye from laser radiation, the dose will be selected from device pathologies list programs number thirty-four with 30% power, frequency continuous, density 16 j/cm2, time automatically adjusted by the device according to the width of scanning area ( superiorly from the acromioclavicular joint down to end of biceps tendon and medially from the coracoid process to the middle fiber of deltoid laterally) and the infrared will be ON.

OTHER

manual therapy

manual therapy (mulligan shoulder abduction, deep transverse friction technique on the supraspinatus tendon, scapular mobilization, caudal and posterior humeral mobilization) three session weekly over 5 weeks.

OTHER

exercise therapy

therapeutic exercises (rotator cuff strengthening, cools ex's, serratus punch supine ex, pectoralis minor flexibility (focused and gross stretch) and posterior capsule modified sleeper stretching ex's from side)

Sponsors & Collaborators

• Cairo University

  lead OTHER

Principal Investigators

• Abd ELkhalek Mansour Ahmed, MSC, DPT · physical therapist, Al Azhar university hospital, Sayed Galal hospital

• Khaled Ahmed olama, professor · Physical Therapy, Department for Physical Therapy for pediatrics Faculty of Physical Therapy Cairo University

• mohamed Ali Elshafey, professor · Physical Therapy, Department for Physical Therapy for pediatrics Faculty of Physical Therapy Cairo University

• hatem Mohamed El-Azizi, professor · Radiology Department, Faculty of Medicine, Cairo University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

12 Years

Max Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-02-18

Primary Completion

2026-06-30

Completion

2026-12-30

FDA Device

Yes

Countries

• Egypt

Study Locations