Supraspinatus Tendinitis
Conditions
Brief 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.
Interventions
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.
DEVICEExtracorporeal 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
OTHERConventional 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
Sponsors
Kafrelsheikh University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Male and female participants aged between 18 and 60 years. * Clinically diagnosed supraspinatus tendinitis confirmed by ultrasound imaging. * Shoulder pain duration greater than 3 months. * Ability to understand and follow study instructions. * Willingness to participate and provide informed consent.
Exclusion criteria
* Full-thickness rotator cuff tear. * Previous shoulder surgery. * Pregnancy. * Neurological disorders affecting the upper limb. * Corticosteroid injection within the previous 3 months. * Shoulder fracture or dislocation. * Systemic inflammatory diseases. * Participation in other physical therapy programs during the study period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity measured using Visual Analogue Scale (VAS). | At baseline and immediately after 4 weeks of intervention | Pain intensity will be assessed using the Visual Analogue Scale (VAS), where 0 indicates no pain and 10 indicates worst imaginable pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Pain and Disability Measured by the Shoulder Pain and Disability Index (SPADI) | At baseline and immediately after 4 weeks of intervention | Shoulder pain and disability will be assessed using the Shoulder Pain and Disability Index (SPADI). The SPADI score ranges from 0 to 100, with higher scores indicating greater pain and disability. |
| Upper Extremity Function Measured by the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) | Time Frame: Baseline and immediately after 4 weeks of intervention. | Upper extremity function will be assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. DASH scores range from 0 to 100, with higher scores indicating greater disability. |
| Shoulder Range of Motion Measured Using a Digital Goniometer | Baseline and immediately after 4 weeks of intervention. | Shoulder range of motion (flexion, abduction, and external rotation) will be measured in degrees using a digital goniometer. Higher values indicate greater shoulder mobility. |
| Quality of Life Measured by the Short Form-36 Health Survey (SF-36) | Baseline and immediately after 4 weeks of intervention. | Quality of life will be assessed using the Short Form-36 Health Survey (SF-36). Scores range from 0 to 100, with higher scores indicating better health-related quality of life. |
Contacts
CONTACTSAMI ABDU AKKUR, MASTER
STUDY_DIRECTORYasmin Mohamed Mahmoud
Kafrelsheikh University Faculty of Physical Therapy Department of Basic Sciences for Physical Therapy
STUDY_CHAIRMahmoud Mohamed Ewida, PHD
Kafrelsheikh University Faculty of Physical Therapy Department of Basic Sciences for Physical Therapy
STUDY_DIRECTORShaimaa Ramadan Eldeab, PHD
Kafrelsheikh University Faculty of Physical Therapy Department of Basic Sciences for Physical Therapy
PRINCIPAL_INVESTIGATORSami ABDU Akkur, MASTER DEGREE STUDENT
Kafrelsheikh University Faculty of Physical Therapy Department of Basic Sciences for Physical Therapy
Outcome results
None listed