There is growing support for the use of passive modalities to help impact pain and clear the way for more active therapies. 4 Passive modalities, such as laser therapy and extracorporeal shock wave therapy, combined with exercise have outperformed placebo devices and standard plans of care when treating conditions like frozen shoulder, cuff tendinopathy, calcification and impingement. 5,6, 7 Laser therapy has actually been shown to be as effective as cortisone injection when addressing pain associated with shoulder impingement. 8
This guide will include an evidence-based review of laser, extracorporeal shock wave, electrical stimulation, and hot and cold therapy modalities and explain how these technologies can be incorporated into the treatment plans for common shoulder injuries. Treatment recommendations are applicable to rehab professionals who commonly work with shoulder patients which includes but is not limited to: osteopaths, physical therapists, athletic trainers, and chiropractors.
The treatment concepts outlined in this e-book are intended to improve the conservative management of different shoulder conditions. The significance of conservative approaches has been supported by the findings of the prospective 2013 MOON (Multicenter Orthopaedic Outcomes Network) shoulder study that showed conservative therapy helped 75% of non-surgical patients suffering from atraumatic, full-thickness cuff tears for a period of at least seven years. 9
Intelect® Mobile 2
4
Made with FlippingBook - PDF hosting