Axillary extra corporeal shockwave and laser combined with postisometric facilitation in treatment of shoulder adhesive capsulitis / Dina Ramadan Ahmed Abdeldayem ; Supervised Haytham M. Elhafez , Amro Abdullah Azzam , Mayada Ashraf Mahmoud

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Basic Science

Background: Adhesive capsulitis is one of the most common problems of the arm that is caused by tightening of the joint capsule and results in stiffness and pain of shoulder joint. In this study, we assessed whether axillary extracorporeal shockwave therapy (ESWT), low level laser (LLLT) and Post isometric facilitation technique may improve the ROM and pain level of primary shoulder adhesive capsulitis. Methods: This is a randomized clinical trial study. Forty-five participants with shoulder adhesive capsulitis were selected and randomly assigned for eligibility. Forty five participants were assigned into 2 equal groups of 15, and 15 participants were excluded from the study.The participants were blinded to their group allocation. Standard care group (A) received traditional physical therapy treatment in the form of axillary ultrasound , low level laser therapy and post isometric facilitation technique; group B received axillary extracorporeal shock wave, low level laser therapy and post isometric facilitation technique to the painful shoulder adhesive capsulitis.The therapist administered treatment to both groups. All participants received 12 sessions (3 times/wk for 4 weeks). Pain level and shoulder range of motion (ROM; flexion, abduction, and external rotation) were recorded 3 times (pretreatment, immediately post treatment, and 4 weeks of treatment). Results: Shoulder ROM and pain levels improved significantly post treatment compared with pretreatment ROM in both groups, with the greatest improvement in group B. Improvements reported in group B is faster than in group A

Issued also as CD