Comparative Analysis of Utility and Efficacy of Ozone Therapy versus Laser Therapy in Periarthritis Shoulder
Introduction: Adhesive capsulitis of shoulder due to uncertain etiology of glenohumeral joint characterized by spontaneous onset of pain and reduction in the arc of active and passive movements at glenohumeral joint and essentially normal radiograph. It is considered a self-limiting condition with a...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-01-01
|
| Series: | Journal of Orthopedics, Traumatology and Rehabilitation |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jotr.jotr_122_23 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823865298839666688 |
|---|---|
| author | Sunil Kumar Harish Kumar Prashant Pratap Singh Dinesh Kumar Vyutpanna Mishra Ishan Ahmad |
| author_facet | Sunil Kumar Harish Kumar Prashant Pratap Singh Dinesh Kumar Vyutpanna Mishra Ishan Ahmad |
| author_sort | Sunil Kumar |
| collection | DOAJ |
| description | Introduction:
Adhesive capsulitis of shoulder due to uncertain etiology of glenohumeral joint characterized by spontaneous onset of pain and reduction in the arc of active and passive movements at glenohumeral joint and essentially normal radiograph. It is considered a self-limiting condition with a natural history of 1–3 years while some have refractory course. Most of adhesive capsulitis patients are successfully treated with nonsurgical treatment such as non-steroidal anti-inflammatory drugs (NSAIDS), oral/intra-articular corticosteroids, and hydrodialtation, among nonsurgical modalities, ozone and laser are newer, safe, and show promising results in adhesive capsulitis management. A current study was done to compare between ozone therapy and laser therapy in terms of efficacy and utility in periarthritis shoulder.
Materials and Methods:
All patients who presented with shoulder pain and stiffness at the orthopedics outpatient department of tertiary care center of rural North India, on the basis of clinical history and examination, those who were diagnosed with adhesive capsulitis and fulfilling the inclusion criteria and exclusion criteria were included in the study, after obtaining proper informed and written consent, cases were randomized into two groups for laser and ozone therapy.
Results:
A total of 55 patients were included in the study, among them, 42 patients (20 patients in the laser and 22 in the ozone group) were followed up to a final follow-up of 6 months and 13 patients lost their follow-up. Disabilities of the arm, shoulder, and hand questionnaire (DASH) score ozone group showed a gradual decline from the preinjection score of 55.68–17.78 at 6 months. In the laser group, there is also a decline in DASH scores from the pretreatment score of 57.56–23.34 at 6 months. Difference in DASH score was insignificant up to 4 weeks across both groups. On follow-up after 4 weeks up to 6 months showed a significant difference in DASH score across both groups. Decline in the ozone group was more as compared to the laser group (P < 0.026).
Conclusion:
Both ozone and laser are safe and effective modalities of treatment of adhesive capsulitis but ozone is more effective in long term. |
| format | Article |
| id | doaj-art-b74e292a56f042328455e83c74cffbd3 |
| institution | Kabale University |
| issn | 0975-7341 2347-3746 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Orthopedics, Traumatology and Rehabilitation |
| spelling | doaj-art-b74e292a56f042328455e83c74cffbd32025-02-08T07:33:02ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412347-37462024-01-01161535910.4103/jotr.jotr_122_23Comparative Analysis of Utility and Efficacy of Ozone Therapy versus Laser Therapy in Periarthritis ShoulderSunil KumarHarish KumarPrashant Pratap SinghDinesh KumarVyutpanna MishraIshan AhmadIntroduction: Adhesive capsulitis of shoulder due to uncertain etiology of glenohumeral joint characterized by spontaneous onset of pain and reduction in the arc of active and passive movements at glenohumeral joint and essentially normal radiograph. It is considered a self-limiting condition with a natural history of 1–3 years while some have refractory course. Most of adhesive capsulitis patients are successfully treated with nonsurgical treatment such as non-steroidal anti-inflammatory drugs (NSAIDS), oral/intra-articular corticosteroids, and hydrodialtation, among nonsurgical modalities, ozone and laser are newer, safe, and show promising results in adhesive capsulitis management. A current study was done to compare between ozone therapy and laser therapy in terms of efficacy and utility in periarthritis shoulder. Materials and Methods: All patients who presented with shoulder pain and stiffness at the orthopedics outpatient department of tertiary care center of rural North India, on the basis of clinical history and examination, those who were diagnosed with adhesive capsulitis and fulfilling the inclusion criteria and exclusion criteria were included in the study, after obtaining proper informed and written consent, cases were randomized into two groups for laser and ozone therapy. Results: A total of 55 patients were included in the study, among them, 42 patients (20 patients in the laser and 22 in the ozone group) were followed up to a final follow-up of 6 months and 13 patients lost their follow-up. Disabilities of the arm, shoulder, and hand questionnaire (DASH) score ozone group showed a gradual decline from the preinjection score of 55.68–17.78 at 6 months. In the laser group, there is also a decline in DASH scores from the pretreatment score of 57.56–23.34 at 6 months. Difference in DASH score was insignificant up to 4 weeks across both groups. On follow-up after 4 weeks up to 6 months showed a significant difference in DASH score across both groups. Decline in the ozone group was more as compared to the laser group (P < 0.026). Conclusion: Both ozone and laser are safe and effective modalities of treatment of adhesive capsulitis but ozone is more effective in long term.https://journals.lww.com/10.4103/jotr.jotr_122_23adhesive capsulitis of the shoulderglenohumeral jointlaser therapyozone therapyperiarthritis shoulder |
| spellingShingle | Sunil Kumar Harish Kumar Prashant Pratap Singh Dinesh Kumar Vyutpanna Mishra Ishan Ahmad Comparative Analysis of Utility and Efficacy of Ozone Therapy versus Laser Therapy in Periarthritis Shoulder Journal of Orthopedics, Traumatology and Rehabilitation adhesive capsulitis of the shoulder glenohumeral joint laser therapy ozone therapy periarthritis shoulder |
| title | Comparative Analysis of Utility and Efficacy of Ozone Therapy versus Laser Therapy in Periarthritis Shoulder |
| title_full | Comparative Analysis of Utility and Efficacy of Ozone Therapy versus Laser Therapy in Periarthritis Shoulder |
| title_fullStr | Comparative Analysis of Utility and Efficacy of Ozone Therapy versus Laser Therapy in Periarthritis Shoulder |
| title_full_unstemmed | Comparative Analysis of Utility and Efficacy of Ozone Therapy versus Laser Therapy in Periarthritis Shoulder |
| title_short | Comparative Analysis of Utility and Efficacy of Ozone Therapy versus Laser Therapy in Periarthritis Shoulder |
| title_sort | comparative analysis of utility and efficacy of ozone therapy versus laser therapy in periarthritis shoulder |
| topic | adhesive capsulitis of the shoulder glenohumeral joint laser therapy ozone therapy periarthritis shoulder |
| url | https://journals.lww.com/10.4103/jotr.jotr_122_23 |
| work_keys_str_mv | AT sunilkumar comparativeanalysisofutilityandefficacyofozonetherapyversuslasertherapyinperiarthritisshoulder AT harishkumar comparativeanalysisofutilityandefficacyofozonetherapyversuslasertherapyinperiarthritisshoulder AT prashantpratapsingh comparativeanalysisofutilityandefficacyofozonetherapyversuslasertherapyinperiarthritisshoulder AT dineshkumar comparativeanalysisofutilityandefficacyofozonetherapyversuslasertherapyinperiarthritisshoulder AT vyutpannamishra comparativeanalysisofutilityandefficacyofozonetherapyversuslasertherapyinperiarthritisshoulder AT ishanahmad comparativeanalysisofutilityandefficacyofozonetherapyversuslasertherapyinperiarthritisshoulder |