| Effectiveness of low-level laser therapy in patients with adhesive capsulitis: A systematic review |
| Paper ID : 1093-ISCSR3 (R1) |
| Authors |
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Alaa Elsayed Elkalla *1, Afaf Mohamed Tahoon2, Mohamed Ahmed hassanin3, Ahmed khalf Ali4, Raghad Ayman Abdelazim2, Aya alhindi2, Mohamed Bassam AbuElKhier2, Alaa masoued4 1Faculty of physical therapy ,cairo university ,Giza ,Egypt 2Faculty of Physical Therapy, Cairo University, Giza, Egypt 3Assistant lecturer at physical therapy for neurology department, Cairo University, Giza, Egypt 4Faculty of Physical Therapy, Nahda University, Beni suef, Egypt |
| Abstract |
| Background: Adhesive capsulitis (AC) is a disabling shoulder disorder characterized by progressive loss of shoulder range of motion (ROM) and significant functional limitations. The evidence of low-level laser therapy (LLLT) has been established in the management of musculoskeletal conditions. However, the effectiveness of LLLT for AC remains uncertain. This is the first systematic review focusing exclusively on LLLT effects in AC Purpose: To evaluate LLLT effectiveness in AC on pain intensity, function, and ROM Design: Systematic review. Eligibility criteria: Randomized clinical trials restricted to English language on AC participants treated with LLLT either alone or combined with other interventions compared to any treatment. Data sources: PubMed, Cochrane, PEDro, Scopus, Web of Science, VHL, Wiley, Wolters Kluwer, and Google Scholar were the searched databases from inception till December 2024. This review followed PRISMA guidelines. Screening process using Rayyan web-based. Two independent assessors extracted the data. PEDro scale was used for quality assessment. Pain and function were the primary outcomes. Results: A total of 12 studies with 566 participants (2 randomized controlled trials, 10 randomized clinical trials). LLLT was compared with a placebo (1 trial), other conservative treatments (10 trials), invasive interventions (2 trials), and adjunctive intervention (8 trials). The quality assessment was low to high. For pain, LLLT was significantly effective compared to the control groups in 7 studies out of 11 while in 2 studies was equally effective to other interventions. Regarding function and disability, LLLT was significantly effective compared to other comparative groups in 4 studies out of 7. Regarding ROM, LLLT was statistically better in 7 studies out of 10 than other treatment groups. Conclusion: LLLT shows promise for pain relief, improving ROM and function in AC patients both alone and combined with other interventions. The limited number of high-quality trails underscores the need to validate these finding |
| Keywords |
| - Low level laser therapy (LLLT) - Adhesive capsulitis - Frozen shoulder - Low power laser - Physiotherapy - Periarticular adhesions |
| Status: Abstract Accepted |