| EFFICIENCY OF HIGH-POWER LASER VERSUS PULSED ELECTROMAGNETIC THERAPY ON HEMIPLEGIC SHOULDER PAIN |
| Paper ID : 1008-IPTCCU. (R2) |
| Authors |
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ahmed mohamed elsayed khalil * pt for neurological disorders and its surgery faculty of physical therapy Cairo university |
| Abstract |
| Background: Among stroke survivors, hemiplegic shoulder pain (HSP) is a prevalent disorder that frequently hinders recovery and quality of life. There is considerable disagreement over the best therapeutic strategy despite the availability of therapy options. Although there is little direct comparative data, high-power laser treatment (HPLT) and pulsed electromagnetic field therapy (PEMF) are new non-invasive techniques with encouraging results. Purpose: This study compared the efficacy of high-power laser therapy versus pulsed electromagnetic field therapy on chronic hemiplegic shoulder pain in terms of pain reduction, shoulder function improvement, and range of motion enhancement. Subjects & Methods: 42 stroke patients with chronic HSP participated in a randomized controlled experiment. Group A got high-power laser therapy, Group B got pulsed electromagnetic field therapy, and Group C got exercises. The participants were divided into three equal groups at random. For four weeks, treatments were given three times a week. The Shoulder Pain and Disability Index (SPADI), the Visual Analogue Scale (VAS) for pain, and digital goniometric measurements of shoulder flexion, abduction, and external rotation were used to evaluate the results. Conclusion: All interventions significantly reduced pain and improved function and range of motion. HPLT produced the highest percentage of clinical improvement, followed by PEMF, while conventional exercise showed the least improvement. Although statistical differences between groups were not significant, HPLT showed superior clinical outcomes and limited statistical superiority especially for HPLT over exercises in shoulder flexion active range of motion. These results suggest, HPLT may be a more effective treatment option for chronic HSP. |
| Keywords |
| Hemiplegic Shoulder Pain, High-Power Laser Therapy, Pulsed Electromagnetic Field. |
| Status: Accepted (Poster Presentation) |