Introduction: Arthropathy, or crystal deposition disease, is an entity in which the factor triggering the inflammatory response is the presence of microcrystals in the joint structures, which can eventually lead to joint lesions. Associated clinical manifestations are not always present and this disease is often identified as an incidental radiological finding. Objective: We evaluated the effectiveness of low power laser therapy in patients with calcifications of the shoulder joints compared with conventional treatment with iontophoresis. Material and methods: We performed a longitudinal, experimental, prospective, explanatory study, in which two types of treatments were applied: conventional treatment with iontophoresis and low power laser using the laser puncture techniques and laser therapy, with devices manufactured in Cuba. The sample was composed of 46 patients with acute painful syndrome located in the shoulder attending the outpatient orthopedic clinic and receiving treatment in the Rehabilitation Service of the Cira Garcia Central Clinic. To measure the degree of effectiveness of the therapy used in the two groups, the Constant test was used. Results and conclusions: There was a predominance of male sex and the most frequently affected age group was between 38 and 57 years. The use of the laser was effective in the treatment of painful shoulder due to joint calcifications, demonstrated by decreased pain, and increased mobility and muscular power. Patients treated with laser noticed an initial improvement between the first and third treatment sessions. There were no adverse reactions with the use of low power laser therapy. Cure was achieved by both treatments but was significantly more evident with the laser treatment. © 2009 Sociedad Española del Dolor. Published by Elsevier España, S.L. All rights reserved.
[1]
M. E. Barra-López.
El test de Constant-Murley. Una revisión de sus características
,
2007
.
[2]
M. F. Dapica.
Artritis por microcristales (2). Enfermedad por depósito de cristales de pirofosfato cálcico. Otras artritis por microcristales
,
2005
.
[3]
B. Leduc,et al.
Treatment of calcifying tendinitis of the shoulder by acetic acid iontophoresis: a double-blind randomized controlled trial.
,
2003,
Archives of physical medicine and rehabilitation.
[4]
F. Malouin,et al.
Acetic acid lontophoresis and ultrasound for the treatment of calcifying tendinitis of the shoulder: A randomized control trial
,
1997
.
[5]
F. Malouin,et al.
Acetic acid iontophoresis and ultrasound for the treatment of calcifying tendinitis of the shoulder: a randomized control trial.
,
1997,
Archives of physical medicine and rehabilitation.
[6]
J. Espinel,et al.
Eficacia de la iontoforesis-corticoide en el tratamiento del hombro doloroso. Estudio prospectivo doble ciego.
,
1970
.