Therapeutic effects of Low Level Laser and Reflexology on andhesive capsulitis in elderly type 2 diabetic patients

1 Department of Physiology, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt. 2 Department of Zoology, Physiology Division, Faculty of Science, Beni-Suef University, Beni-Suef, Egypt.
3 Department of Physical Therapy for Cardiopulmonary Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt

Objective: Adhesive capsulitis is common in Type 2 diabetic patients. The painful nature of adhesive capsulitis and the lack of effective therapy for improving motion and diminishing pain demonstrate the demand for a new effective therapeutic intervention.

The current study aimed to determine the efficacies of low-level laser therapy (LLLT) and reflexology for improving range of motion (ROM) in diabetic patients with adhesive capsulitis.

Methods: Totally, 40 volunteer patients of both sexes with proven Type 2 diabetes and adhesive capsulitis were included in the current study. The patients were divided into two groups each comprising 20 patients as follows; Group I (LLLT): Patients received LLLT for 15 minutes and Group II (Reflexology): Patients received reflexology in the form of thumb walk for 15 minutes. Therapy was applied 3 times/week for 8 weeks with concurrent 15 minutes exercise.

Results: Patients received LLLT showed a significant increase in ROM of abduction, internal rotation, flexion, and external rotation at the end of 4 and 8 weeks. Reflexology induced a significant improvement in shoulder ROM at 8 weeks posttreatment, however, its effect on internal rotation ROM was nonsignificant at the end of 4 weeks period.

Conclusion: LLLT and reflexology significantly improved ROM and reduced pain severity in diabetic patients with adhesive capsulitis; LLLT seemed to be more effective. Thus, both therapies may be recommended in the treatment of frozen shoulder, pending further investigations to trace out their exact efficacies.

 Asian J Pharm Clin Res, Vol 7, Issue 5, 2014, 317-321  ( Asian Journal of Pharmaceutical and Clinical Research)