HILT vs ESWT in Supraspinatus Tendinitis

Summary

This randomized controlled trial aims to compare the effectiveness of High-Intensity Laser Therapy (HILT) and Extracorporeal Shock Wave Therapy (ESWT) in patients with supraspinatus tendinitis.

Conditions

• Supraspinatus Tendinitis

Interventions

OTHER

Conventional Physical Therapy

The conventional physical therapy program consisted of a combination of therapeutic exercises and physical therapy modalities aimed at reducing pain, improving shoulder range of motion, enhancing muscle strength, and restoring functional performance. The program included hot pack application, Transcutaneous Electrical Nerve Stimulation (TENS), stretching exercises, range of motion exercises, strengthening exercises for the rotator cuff and scapular stabilizers, as well as a home exercise program. Treatment sessions were conducted three times per week according to the patient's tolerance and clinical condition

DEVICE

High-Intensity Laser Therapy

High-Intensity Laser Therapy (HILT) is an advanced electrotherapy modality that uses high-power laser energy to penetrate deep musculoskeletal tissues and stimulate biological healing processes. The device emits laser wavelengths ranging between 808-1064 nm with high peak power output, allowing deeper tissue penetration compared to conventional low-level laser therapy. HILT provides analgesic, anti-inflammatory, and biostimulatory effects through increasing local blood circulation, enhancing cellular metabolism, stimulating collagen synthesis, and promoting tissue regeneration. The treatment is non-invasive, safe, and commonly used in musculoskeletal rehabilitation, particularly for tendinopathies and chronic pain conditions.

DEVICE

Extracorporeal Shock Wave Therapy

Extracorporeal Shock Wave Therapy (ESWT) is a non-invasive therapeutic modality that delivers high-energy acoustic waves to injured musculoskeletal tissues. The device generates focused or radial shock waves that stimulate tissue healing, neovascularization, pain reduction, and cellular repair mechanisms. ESWT is widely used in the management of tendinopathies, calcific disorders, and chronic musculoskeletal pain. Treatment parameters typically include energy flux density, frequency, number of impulses, and treatment sessions. The therapy is considered safe and effective, with minimal side effects

Sponsors & Collaborators

• Kafrelsheikh University

  lead OTHER

Principal Investigators

• Yasmin Mohamed Mahmoud · Kafrelsheikh University Faculty of Physical Therapy Department of Basic Sciences for Physical Therapy

• Mahmoud Mohamed Ewida, PHD · Kafrelsheikh University Faculty of Physical Therapy Department of Basic Sciences for Physical Therapy

• Shaimaa Ramadan Eldeab, PHD · Kafrelsheikh University Faculty of Physical Therapy Department of Basic Sciences for Physical Therapy

• Sami ABDU Akkur, MASTER DEGREE STUDENT · Kafrelsheikh University Faculty of Physical Therapy Department of Basic Sciences for Physical Therapy

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

60 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2026-08-01

Primary Completion

2026-10-30

Completion

2027-12-30