High-Intensity Laser Therapy for Hemiplegic Shoulder Pain: An Investigation of Efficacy

Emine Bilir; Onur Kara; Sevgi Gümüş Atalay; Özge Tezen; Öznur Uzun; İrem Karaköseoğlu

Makale detayları

High-Intensity Laser Therapy for Hemiplegic Shoulder Pain: An Investigation of Efficacy

Yazarlar:

Emine Bilir | Onur Kara | Sevgi Gümüş Atalay | Özge Tezen | Öznur Uzun | İrem Karaköseoğlu

Yayıncı:

Hitit University

Ana Başlıklar:

Ağrı | Klinik Tıp Bilimleri (Diğer)

Dergi:

Hitit Medical Journal Vol.7 Issue 2, pp.262-272

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001351600

pISSN:

2687-4717

Anahtar kelimeler:

Özet:

 Objective: Hemiplegic shoulder pain is one of the most common complications after stroke. High-intensity laser therapy is a new treatment option between conventional treatment strategies. We aimed to compare the effectiveness of conventional physical therapy agents and high-intensive laser therapy in this study. Material and Method: Randomized, case-control trial. Participants n43 were randomized into two groups. Group 1: high-intensive laser therapy n22, and group 2: conventional physical therapy n21, and additionally, therapeutic exercise programs were applied both groups. Patients were assessed before treatment and after treatment for clinical parameters with a visual analog scale, an arm motor ability test, functional independence measure scores, and modified ranking scores. Patients underwent sonographic diagnostic evaluation. Results: Sociodemographic characteristics and clinical data and ultrasonographic findings were similar between groups p0.05. In both groups, within-group comparisons showed a significant decrease in activity and nocturnal pain scores and a significant increase in arm motor ability test function and movement scores and functional independence measure scores p0.05. Compared to the conventional physical therapy group, the HILT group showed a significantly greater improvement in the VAS night score p0.05. Conclusion: Our study results indicate that both treatment interventions were efficacious in the management of hemiplegic shoulder pain. Therefore, high-intensity laser therapy presents as a potential alternative therapeutic modality for hemiplegic shoulder pain, demonstrating a comparable level of effectiveness.

 Objective: Hemiplegic shoulder pain is one of the most common complications after stroke. High-intensity laser therapy is a new treatment option between conventional treatment strategies. We aimed to compare the effectiveness of conventional physical therapy agents and high-intensive laser therapy in this study. Material and Method: Randomized, case-control trial. Participants n43 were randomized into two groups. Group 1: high-intensive laser therapy n22, and group 2: conventional physical therapy n21, and additionally, therapeutic exercise programs were applied both groups. Patients were assessed before treatment and after treatment for clinical parameters with a visual analog scale, an arm motor ability test, functional independence measure scores, and modified ranking scores. Patients underwent sonographic diagnostic evaluation. Results: Sociodemographic characteristics and clinical data and ultrasonographic findings were similar between groups p0.05. In both groups, within-group comparisons showed a significant decrease in activity and nocturnal pain scores and a significant increase in arm motor ability test function and movement scores and functional independence measure scores p0.05. Compared to the conventional physical therapy group, the HILT group showed a significantly greater improvement in the VAS night score p0.05. Conclusion: Our study results indicate that both treatment interventions were efficacious in the management of hemiplegic shoulder pain. Therefore, high-intensity laser therapy presents as a potential alternative therapeutic modality for hemiplegic shoulder pain, demonstrating a comparable level of effectiveness.

 Objective: Hemiplegic shoulder pain is one of the most common complications after stroke. High-intensity laser therapy is a new treatment option between conventional treatment strategies. We aimed to compare the effectiveness of conventional physical therapy agents and high-intensive laser therapy in this study. Material and Method: Randomized, case-control trial. Participants n43 were randomized into two groups. Group 1: high-intensive laser therapy n22, and group 2: conventional physical therapy n21, and additionally, therapeutic exercise programs were applied both groups. Patients were assessed before treatment and after treatment for clinical parameters with a visual analog scale, an arm motor ability test, functional independence measure scores, and modified ranking scores. Patients underwent sonographic diagnostic evaluation. Results: Sociodemographic characteristics and clinical data and ultrasonographic findings were similar between groups p0.05. In both groups, within-group comparisons showed a significant decrease in activity and nocturnal pain scores and a significant increase in arm motor ability test function and movement scores and functional independence measure scores p0.05. Compared to the conventional physical therapy group, the HILT group showed a significantly greater improvement in the VAS night score p0.05. Conclusion: Our study results indicate that both treatment interventions were efficacious in the management of hemiplegic shoulder pain. Therefore, high-intensity laser therapy presents as a potential alternative therapeutic modality for hemiplegic shoulder pain, demonstrating a comparable level of effectiveness.

 Amaç: Hemiplejik omuz ağrısı, inme sonrası en sık görülen komplikasyonlardan biridir. Yüksek yoğunluklu lazer terapisi, konvansiyonel tedavi stratejileri arasında yeni bir tedavi seçeneğidir. Bu çalışmada, konvansiyonel fizik tedavi ajanları ile yüksek yoğunluklu lazer terapisinin etkinliğini karşılaştırmayı amaçladık. Gereç ve Yöntem: Randomize, vaka-kontrol çalışması. Katılımcılar n  43 iki gruba randomize edildi. Grup 1: yüksek yoğunluklu lazer tedavisi n  22 ve grup 2: geleneksel fizik tedavi n  21 ve ayrıca her iki gruba da terapötik egzersiz programları uygulandı. Hastalar tedavi öncesi ve tedavi sonrası görsel analog skala, kol motor yetenek testi, fonksiyonel bağımsızlık ölçüm puanları ve modifiye rankin puanları ile klinik parametreler açısından değerlendirildi. Hastalara ultrasonografik tanı değerlendirmesi yapıldı. Bulgular: Sosyodemografik özellikler ve klinik veriler ve ultrasonografik bulgular gruplar arasında benzerdi p0,05. Her iki grupta da grup içi karşılaştırmalar aktivite ve gece ağrısı skorlarında anlamlı bir azalma ve kol motor yetenek testi fonksiyon ve hareket skorlarında ve fonksiyonel bağımsızlık ölçüsü skorlarında anlamlı bir artış gösterdi p0,05. Sonuç: Çalışma sonuçlarımıza göre her iki tedavi uygulaması da hemiplejik omuz ağrısı için etkiliydi. Sonuç olarak, yüksek yoğunluklu lazer tedavisi hemiplejik omuz ağrısı için güncel bir tedavi seçeneği olabilir.

Makale detayları

High-Intensity Laser Therapy for Hemiplegic Shoulder Pain: An Investigation of Efficacy

Yazarlar:

Emine Bilir | Onur Kara | Sevgi Gümüş Atalay | Özge Tezen | Öznur Uzun | İrem Karaköseoğlu

Yayıncı:

Hitit University

Ana Başlıklar:

Ağrı | Klinik Tıp Bilimleri (Diğer)

Dergi:

Hitit Medical Journal Vol.7 Issue 2, pp.262-272

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001351600

pISSN:

2687-4717

Hemiplegia

laser therapy

physical therapy modalities

shoulder pain

ultrasound therapyAğrı

hemiplejik omuz ağrısı

inme

konvansiyonel fizik tedavi

lazer tedavisi

Sayı

Makale detayları

Yazarlar: Emine Bilir | Onur Kara | Sevgi Gümüş Atalay | Özge Tezen | Öznur Uzun | İrem Karaköseoğlu

Yayıncı: Hitit University

Ana Başlıklar: Ağrı | Klinik Tıp Bilimleri (Diğer)

Dergi: Hitit Medical Journal Vol.7 Issue 2, pp.262-272

Belge Tipi: Makale

Yayın Tarihi: 6/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001351600

pISSN: 2687-4717

Sayı

Yazarlar:

Emine Bilir | Onur Kara | Sevgi Gümüş Atalay | Özge Tezen | Öznur Uzun | İrem Karaköseoğlu

Yayıncı:

Hitit University

Ana Başlıklar:

Ağrı | Klinik Tıp Bilimleri (Diğer)

Dergi:

Hitit Medical Journal Vol.7 Issue 2, pp.262-272

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001351600

pISSN:

2687-4717