]>
IRCT20200825048515N52 IRCT 2022-05-12 Esfahan University of Medical Sciences The effect of high-power laser in the recovery of patients with rotator cuff tendinopathy Comparing the effect of high-power laser and Meloxicam in improving shoulder joint function and pain of patients with rotator cuff tendinopathy 2022-05-22 anticipated 42 Complete https://irct.ir/trial/63210 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The method is permuted block randomization. In this way, at first using online software (sealedenvelope), a sequence of random numbers will be created and by the same software, the generated numbers will be divided into 7 blocks of size 6. Which is an equal number in each block will be 3 items from the intervention group and 3 items from the control group. So by using each block, 3 patients (equally) will be assigned to each group, Blinding description: Due to the different nature of the intervention in the two groups, the Care provider is aware of the type of intervention in each group. But the patient is not aware of the difference in treatment between the two groups. Also, the Outcome assessor and data analyzer of the two groups will not have information. 3 Rotator cuff tendinopathy. Intervention 1: Intervention group: After reducing the patient's pain, the patient is taught the exercises that strengthen the rotator cuff muscles and the shoulder girdle by repeating 3 times a day and 3 sets each time for 20 seconds. Patients are then treated with a high-power laser. So that, in the first stage, a slow scan (100 square cm2/minute) is performed along the rotator cuff tendons with an average of 10-15 J/cm2, which is the maximum energy received in this stage is 3000 J. In the second stage, on the painful points of the muscles around the shoulder and the joint line in the front, back, and outside of the joint, and on the patient's acromioclavicular joint, 10-15 J/cm2 are applied at each point and the maximum energy received in this stage is 2000 J. The output power of each wavelength will be set to 810 by 3 watts and output by 1.5 W, wavelength 910 by 300 Wand output by 0.1 W, wavelength 1064 by 2 watts and output by 1 W. The pulse frequency is set to 6,000 and the duty cycle to 50%, with a total output power of 2.6 W. The number of laser sessions for each patient will be 10 alternating sessions of 3 sessions per week. Intervention 2: Control group: After reducing the patients' pain, the patient is taught the exercises that strengthen the rotator cuff muscles and the shoulder girdle by repeating 3 times a day and 3 sets each time for 20 seconds. Patients will then be given 15 mg of meloxicam tablets with food once daily for 2 weeks. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Razieh Maghroori
Physical and Rehabilitation Department, Kashani Hospital, Kashani St., Isfahan
Isfahan Iran (Islamic Republic of) 8183983434 +98 31 3233 0091 maghroori@mui.ac.ir Esfahan University of Medical Sciences scientific Razieh Maghroori
Physical and Rehabilitation Department, Kashani Hospital, Kashani St., Isfahan
Isfahan Iran (Islamic Republic of) 8183983434 +98 31 3233 0091 maghroori@mui.ac.ir Esfahan University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Patients with unilateral rotator cuff tendonitis Previous normal radiograph of the shoulder Age between 18 and 65 years Symptoms last less than 3 months Failure to perform any other therapeutic intervention during the last 3 months such as steroid injection into the shoulder joint or physiotherapy No contraindications to performing lasers Satisfaction to participate in the study 18 years 65 years Both History of surgery Having a fracture near the shoulder Severe direct or indirect injuries following traction Generalized disorders of the musculoskeletal system or nervous disorders Having underlying diseases (including hypertension, coagulation disorders, heart disease, liver disease, kidney disease, cancer) drug abuse Inability to communicate and cognitive impairment M75.11 Incomplete rotator cuff tear or rupture not specified as traumatic Other Treatment - Drugs Intervention group: After reducing the patient's pain, the patient is taught the exercises that strengthen the rotator cuff muscles and the shoulder girdle by repeating 3 times a day and 3 sets each time for 20 seconds. Patients are then treated with a high-power laser. So that, in the first stage, a slow scan (100 square cm2/minute) is performed along the rotator cuff tendons with an average of 10-15 J/cm2, which is the maximum energy received in this stage is 3000 J. In the second stage, on the painful points of the muscles around the shoulder and the joint line in the front, back, and outside of the joint, and on the patient's acromioclavicular joint, 10-15 J/cm2 are applied at each point and the maximum energy received in this stage is 2000 J. The output power of each wavelength will be set to 810 by 3 watts and output by 1.5 W, wavelength 910 by 300 Wand output by 0.1 W, wavelength 1064 by 2 watts and output by 1 W. The pulse frequency is set to 6,000 and the duty cycle to 50%, with a total output power of 2.6 W. The number of laser sessions for each patient will be 10 alternating sessions of 3 sessions per week. Control group: After reducing the patients' pain, the patient is taught the exercises that strengthen the rotator cuff muscles and the shoulder girdle by repeating 3 times a day and 3 sets each time for 20 seconds. Patients will then be given 15 mg of meloxicam tablets with food once daily for 2 weeks. Pain. Timepoint: Before, immediately and three months after the intervention. Method of measurement: Visual Analog Scale (VAS). Shoulder joint function. Timepoint: Before, immediately and three months after the intervention. Method of measurement: Disabilities of the Arm, Shoulder and Hand outcome Measure (DASH). Isfahan University of Medical Sciences Approved 2022-04-07 Ethics committee of Isfahan University of Medical Sciences Isfahan University of Medical Sciences, Hezar Jarib Ave., Azadi Sq Isfahan Isfehan Iran (Islamic Republic of)