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Search for a location. It will also learn about the effects of HILT on pain and range of motion of injured shoulder. The main questions it aims to answer are:. Does HILT decrease the debilitating pain? Does HILT increase the range of motion of the sholuder joint? How long does the effect of HILT continue? Researchers will compare the effects of HILT to a control group ultrasound therapy group, an established method of treatment in shoulder girdle tendon tears to see if HILT works better to treat shoulder girdle tendon tears.
Visit the clinic at the beginning, at the 4th week and at the 12th week to determine the level of pain and disability via application of surveys. Tendon thickness of participants will also be measured at the beginning, at the 4th week and at the 12th week to see if the treatment works to heal the tear. Shoulder disorders are one of the most common musculoskeletal problems worldwide. After low back pain and knee pain, shoulder pain has been estimated to be the third most common musculoskeletal presentation in primary care.
Shoulder joint is surrounded by rotator cuff muscles and rotator cuff tendinopathy is the most common cause of shoulder pain. Shoulder pain caused by partial supraspinatus tendon tear STT is a complex and challenging issue for clinicians. The choice of the most appropriate treatment management for these tears is controversial. Recently, high-intensity laser therapy HILT has been introduced and used in treatment of musculoskeletal disorders.
There is no universally accepted theory that explains the exact mechanism of the postulated laser effects, yet. It works in a therapeutic window that has a low absorbability rate in superficial tissue layers, so it penetrates more deeply than other types of lasers. In addition to having a higher power than low-intensity lasers, lasers used in HILT have a shorter laser emission time and a longer laser emission interval.
Therefore, a large amount of laser irradiation can be delivered to deep tissues. The utilization of HILT has been expanding, and patients have reported significant improvement in function and reduction of pain. The aim of the present study was to evaluate the long-term effectiveness of HILT on pain, disability, and range of motion in patients with shoulder pain caused by STT and to compare its effects to those of US therapy.