Status:

RECRUITING

Comparing HILT, Steroid Injection, and Manual Therapy for Frozen Shoulder

Lead Sponsor:

Al Hayah University In Cairo

Conditions:

Frozen Shoulder

Eligibility:

All Genders

40-70 years

Phase:

NA

Brief Summary

This study compares three common treatments for frozen shoulder when added to a standard exercise program: High-Intensity Laser Therapy (HILT), a corticosteroid (steroid) injection into the shoulder j...

Eligibility Criteria

Inclusion

  • Age between 40 and 70 years, inclusive. Clinical diagnosis of primary (idiopathic) frozen shoulder, defined by shoulder pain and ≥50% restriction in passive external rotation compared to the contralateral (unaffected) shoulder.
  • Symptom duration between 3 and 9 months. Average shoulder pain intensity ≥ 4 on a 10-cm Visual Analogue Scale (VAS) over the past week.
  • Normal or age-appropriate radiographic findings of the glenohumeral joint (ruling out significant arthritis, fractures, calcific tendinitis).
  • Willingness and ability to attend scheduled treatment/assessment sessions. Ability to understand study procedures and provide written informed consent.

Exclusion

  • Secondary frozen shoulder (e.g., post-traumatic, post-surgical, related to systemic disease like diabetes - clarify if diabetes is excluded or just secondary FS from diabetes).
  • Clinical or imaging evidence of significant rotator cuff tear requiring specific management.
  • Radiographic evidence of moderate to severe glenohumeral osteoarthritis (e.g., Kellgren-Lawrence grade ≥ 3).
  • Previous surgery on the index shoulder. Significant neurological disorders affecting shoulder or upper extremity function (e.g., cervical radiculopathy, stroke).
  • Received a corticosteroid injection in the index shoulder within the past 3 months.
  • Known contraindications to corticosteroid injections (e.g., uncontrolled diabetes, allergy, local infection).
  • Known contraindications to High-Intensity Laser Therapy (e.g., active malignancy in the treatment area, photosensitivity, pacemaker over treatment area).
  • Current participation in another interventional clinical trial for shoulder pain.

Key Trial Info

Start Date :

April 25 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 1 2027

Estimated Enrollment :

180 Patients enrolled

Trial Details

Trial ID

NCT06916650

Start Date

April 25 2025

End Date

August 1 2027

Last Update

April 8 2025

Active Locations (1)

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1

Faculty of Physical Therapy, Al Hayah University

Cairo, Egypt, 12311