To evaluate clinical and ultrasonographic efficacy of high-intensity laser therapy (HILT) in pati... more To evaluate clinical and ultrasonographic efficacy of high-intensity laser therapy (HILT) in patients with hemiplegic shoulder pain (HSP) accompanied by partial thickness rotator cuff tear (PTRCT). The study was designed as a prospective, randomized, controlled trial. Patients with HSP accompanied by PTRCT ( n = 44) were randomly assigned to HILT and control groups. Both groups were treated with a multidisciplinary stroke rehabilitation and a therapeutic exercise program to the affected shoulder supervised by physiotherapists. In addition, HILT group received 3 sessions of the intervention per week for 3 weeks. Primary outcome measure was visual analogue scale (VAS) for pain. Secondary outcome measures were range of motion (ROM) of the shoulder joint, Shoulder Pain and Disability Index (SPADI), Brunnstrom Recovery Stage (BRS), Modified Ashworth Scale (MAS), Nottingham Health Profile (NHP), Functional Independence Measure (FIM), and ultrasonographic PTRCT size. Participants were assessed at pre- and post-treatment. A total of 41 patients completed the study. A statistically significant improvement was observed in VAS, ROM, FIM, SPADI, NHP, and PTRCT parameters in HILT group at post-treatment compared to pre-treatment (all P < 0.05). However, control group indicated significant improvement only in VAS, ROM, and SPADI parameters (all P < 0.05). When differences in clinical parameters at pre- and post-treatment assessment were compared between two groups, change in VAS, FIM, BRS, SPADI, NHP, and PTRCT in HILT group was significantly better than control group (all P < 0.05). HILT combined with therapeutic exercise seems to be clinically and ultrasonographically more effective in the treatment of patients with HSP accompanied by PTRCT than therapeutic exercise alone in the short term. Further studies are needed with long-term follow-up. CinicalTrials.gov Identifier: NCT04669405 .
Dunya genelinde en onde gelen olum ve sakatlik sebepleri arasinda yer almasi sebebiyle halk sagli... more Dunya genelinde en onde gelen olum ve sakatlik sebepleri arasinda yer almasi sebebiyle halk sagligini tehdit eden travma ile Ortopedi ve Travmatoloji ailesi olarak on saflarda mucadele etmekteyiz. Bu alanda bugun ki mesleki uygulamalarimiz ve yaklasimlarimiza ulasmamizda bizlere oncu olan buyuklerimizin tecrubelerine duydugumuz minnet sonsuzdur. Tum bu bilgi birikimine bir nebze katkida bulunmus olmak en buyuk hedefimizdir.Ortopedi ve Travmatoloji uzmanlik egitiminde yol gosterici olmasini istedigimiz bu eser; bilgilerimizin ve deneyimlerimizin guncel literatur isiginda bir derlemesidir.“Ortopedik Travma Asistan El Kitabi’nin hazirlanmasinda emegi gecen konularini buyuk bir ozenle hazirlayan tum yazarlara, katkilari icin tum editor yardimcilarina, yayin evi calisanlarina ve aileme bu eserin hazirlanmasi sirasinda bana olan destekleri icin tesekkur ederim. Tum asistan arkadaslar icin klinikte bir basucu kaynagi olacak bu kitabi, tekrari kolay, yalin, guncel ve pratik bir calisma kayn...
To evaluate clinical and ultrasonographic efficacy of high-intensity laser therapy (HILT) in pati... more To evaluate clinical and ultrasonographic efficacy of high-intensity laser therapy (HILT) in patients with hemiplegic shoulder pain (HSP) accompanied by partial thickness rotator cuff tear (PTRCT). The study was designed as a prospective, randomized, controlled trial. Patients with HSP accompanied by PTRCT ( n = 44) were randomly assigned to HILT and control groups. Both groups were treated with a multidisciplinary stroke rehabilitation and a therapeutic exercise program to the affected shoulder supervised by physiotherapists. In addition, HILT group received 3 sessions of the intervention per week for 3 weeks. Primary outcome measure was visual analogue scale (VAS) for pain. Secondary outcome measures were range of motion (ROM) of the shoulder joint, Shoulder Pain and Disability Index (SPADI), Brunnstrom Recovery Stage (BRS), Modified Ashworth Scale (MAS), Nottingham Health Profile (NHP), Functional Independence Measure (FIM), and ultrasonographic PTRCT size. Participants were assessed at pre- and post-treatment. A total of 41 patients completed the study. A statistically significant improvement was observed in VAS, ROM, FIM, SPADI, NHP, and PTRCT parameters in HILT group at post-treatment compared to pre-treatment (all P < 0.05). However, control group indicated significant improvement only in VAS, ROM, and SPADI parameters (all P < 0.05). When differences in clinical parameters at pre- and post-treatment assessment were compared between two groups, change in VAS, FIM, BRS, SPADI, NHP, and PTRCT in HILT group was significantly better than control group (all P < 0.05). HILT combined with therapeutic exercise seems to be clinically and ultrasonographically more effective in the treatment of patients with HSP accompanied by PTRCT than therapeutic exercise alone in the short term. Further studies are needed with long-term follow-up. CinicalTrials.gov Identifier: NCT04669405 .
Dunya genelinde en onde gelen olum ve sakatlik sebepleri arasinda yer almasi sebebiyle halk sagli... more Dunya genelinde en onde gelen olum ve sakatlik sebepleri arasinda yer almasi sebebiyle halk sagligini tehdit eden travma ile Ortopedi ve Travmatoloji ailesi olarak on saflarda mucadele etmekteyiz. Bu alanda bugun ki mesleki uygulamalarimiz ve yaklasimlarimiza ulasmamizda bizlere oncu olan buyuklerimizin tecrubelerine duydugumuz minnet sonsuzdur. Tum bu bilgi birikimine bir nebze katkida bulunmus olmak en buyuk hedefimizdir.Ortopedi ve Travmatoloji uzmanlik egitiminde yol gosterici olmasini istedigimiz bu eser; bilgilerimizin ve deneyimlerimizin guncel literatur isiginda bir derlemesidir.“Ortopedik Travma Asistan El Kitabi’nin hazirlanmasinda emegi gecen konularini buyuk bir ozenle hazirlayan tum yazarlara, katkilari icin tum editor yardimcilarina, yayin evi calisanlarina ve aileme bu eserin hazirlanmasi sirasinda bana olan destekleri icin tesekkur ederim. Tum asistan arkadaslar icin klinikte bir basucu kaynagi olacak bu kitabi, tekrari kolay, yalin, guncel ve pratik bir calisma kayn...
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