scholarly journals The Short-Term Outcomes of Multiwave Locked System (MLS) Laser Therapy versus a Combination of Transcutaneous Nerve Stimulation and Ultrasound Treatment for Subacromial Pain Syndrome

2021 ◽  
Vol 11 (5) ◽  
pp. 2273
Author(s):  
Elena Sirbu ◽  
Roxana Ramona Onofrei ◽  
Teodora Hoinoiu ◽  
Radu Petroman
Keyword(s):  
Physical Exercise ◽  
Laser Therapy ◽  
Exercise Therapy ◽  
Nerve Stimulation ◽  
Pain Syndrome ◽  
Short Term ◽  
Subacromial Pain Syndrome ◽  
Physical Exercises ◽  
Transcutaneous Nerve Stimulation ◽  
Group 1

The purpose of this study was to compare the short-term outcomes of the Multiwave Locked System (MLS) laser therapy versus the combined Transcutaneous nerve stimulation (TENS) and ultrasound therapy in the treatment of the subacromial pain syndrome (SAPS). Forty-seven patients with SAPS were included in the study. Two different rehabilitation protocols were tested: Group 1 (n = 22)–MLS laser therapy and physical exercises and Group 2 (n = 25)–TENS, ultrasound and physical exercises. The analyzed outcomes were levels of pain, functionality and disability, assessed with visual analog scale (VAS), Constant Shoulder Score (CSS) and the Shoulder Pain and Disability Index (SPADI). The post-treatment evaluations showed significantly better scores in Group 1 patients for VAS score (p = 0.03) and SPADI (p = 0.04). Significant improvement was seen in both groups for all scores. Both treatment regimens showed to be efficient in the treatment of SAPS, improving functionality and reducing pain and disability in the short term. Multiwave Locked System laser therapy in conjunction with physical exercise therapy exercises may have advantages over TENS, ultrasound and physical exercise therapy in the treatment of subacromial pain syndrome. Future studies assessing both short- and long-term outcomes in patients with SAPS treated with different electrotherapy procedures added to the physical therapy are needed.

scholarly journals The Dose-Response Effect of Medical Exercise Therapy on Impairment in Patients with Unilateral Longstanding Subacromial Pain

2010 ◽  
Vol 4 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Håvard Østerås ◽  
Tom Arild Torstensen
Keyword(s):  
Exercise Therapy ◽  
Therapy Group ◽  
Pain Syndrome ◽  
Shoulder Function ◽  
Efficient Treatment ◽  
Subacromial Pain Syndrome ◽  
Graded Exercise Therapy ◽  
Graded Exercise ◽  
Dose Response Effect ◽  
And Function

Objectives: The primary aim of this study was to investigate the effect of medical exercise therapy in shoulder impingement patients, along with possible correlations between impairment variables. Study Design: A prospective unblended randomized clinical trial. Methods: Over four months, 61 participants were randomly assigned into a high-graded exercise therapy group (HD) (n=31) and into a low-graded exercise therapy group (LD) (n=30). Prognostic variables were similar between the groups at baseline. Five (8%) patients dropped out during the treatment period, and another four (6%) dropped out before followup. Pain was a composite score of a visual analogue scale (VAS). Isometric strength was measured during four resisted break tests on the shoulder. Function was measured by means of a functional assessment questionnaire (Shoulder Rating Questionnaire, SRQ). Both groups trained three times per week for twelve weeks, with tests pre- and posttraining and six months follow-up. Results: The HD group achieved significantly (p < 0.05) better outcome effects than the LD group for pain, range of motion, isometric functional strength and function, but both groups increased function from pretest to posttest. Conclusions: In patients with uncomplicated subacromial pain syndrome, medical exercise therapy is an efficient treatment alternative, where high-grade doses should be emphasized. A major limitation is that the measurements were not undertaken by another person than the treating physiotherapists.

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