High-Intensity Laser Therapy Versus Shockwave Therapy in Osteoporotic Long Term Hemiparetic Patients

Beni-Suef University

Status: Completed

Conditions: Osteoporosis Secondary

Treatments: Radiation: High-Intensity laser; Radiation: Shock Wave therapy; Other: Traditional physiotherapy exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT05616611

BeniSuefU1

Details and patient eligibility

About

Background: The relationship between immobilization and localized osteoporosis is well documented in chronic stroke patients. Hemiparetic patients are predisposed to fractures and usual activity impairment due to a considerable loss of bone density. A serious health care challenge is finding ways to reduce osteoporosis and associated fractures among stroke survivors. This study aimed to compare the effects of HILT and ESWT in treating osteoporosis and its consequences in hemiparetic patients.

Patients and Methods: A randomized controlled trial was performed at the Faculty of Physical Therapy Outpatient Clinic, Cairo University. One hundred and twenty hemiplegic patients with osteoporosis of both sexes were chosen randomly. They were randomly classified into three equal groups (n=40 in each group). The control group received medication and traditional physiotherapy programs for stroke patients (strengthening, stretching, and balance exercise). The high-intensity laser (HIL) group received the same intervention as the control group in addition to high-intensity laser therapy. The shock wave (SW) group received the same intervention as the control group in addition to shock wave therapy. The three groups received an intervention that lasted 3 sessions/week for 12 weeks). All groups were assessed before and after therapy (3 months) for the degree of pain, which was evaluated by visual analog scale (VAS), fall risk assessment (overall stability index and Short Form of Berg Balance Scale (SFBBS)), and Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41).

Full description

randomized controlled trial was performed at the Faculty of Physical Therapy Outpatient Clinic, Cairo University. One hundred and twenty hemiplegic patients with osteoporosis of both sexes were chosen randomly. They were randomly classified into three equal groups (n=40 in each group). The control group received medication and traditional physiotherapy programs for stroke patients (strengthening, stretching, and balance exercise). The high-intensity laser (HIL) group received the same intervention as the control group in addition to high-intensity laser therapy. The shock wave (SW) group received the same intervention as the control group in addition to shock wave therapy. The three groups received an intervention that lasted 3 sessions/week for 12 weeks). All groups were assessed before and after therapy (3 months) for the degree of pain, which was evaluated by visual analog scale (VAS), fall risk assessment (overall stability index and Short Form of Berg Balance Scale (SFBBS)), and Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41).

Enrollment: 120 patients

Sex: All

Ages: 60 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All participants were diagnosed by Dual-energy X-ray absorptiometry (DEXA) as osteoporosis or osteopenia, where T-score was -1.5 or less.
• All patients were recruited from Kasr Al-Ainy Hospital, Cairo University.

Exclusion criteria

• BMI of more than 30 or less than 18
• Advanced musculoskeletal disorders.
• Rheumatoid arthritis.
• Skin diseases.
• Long-term steroids therapy, or any drug affecting bones.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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120 participants in 3 patient groups

Control group

Active Comparator group

Description:

control group received medication and traditional physiotherapy programs for stroke patients (strengthening, stretching, and balance exercise)

Treatment:

Other: Traditional physiotherapy exercises

high-intensity laser group

Experimental group

Description:

The high-intensity laser (HIL) group received the same intervention as the control group in addition to high-intensity laser therapy.

Treatment:

Radiation: High-Intensity laser

shock wave group

Experimental group

Description:

shock wave (SW) group received the same intervention as the control group in addition to shock wave therapy.

Treatment:

Radiation: Shock Wave therapy