The Short-Term Outcomes of Multiwave Locked System (MLS) Laser Therapy versus a Combination of Transcutaneous Nerve Stimulation and Ultrasound Treatment for Subacromial Pain Syndrome

E. Sirbu, R.R. Onofrei, T. Hoinoiu, R. Petroman
Applied Sciences, 11, 2273, 2021

The purpose of this study was to compare the short-term outcomes of the Multiwave Locked System (MLS) laser therapy versus the combined Transcutaneous nerve stimulation (TENS) and ultrasound therapy in the treatment of the subacromial pain syndrome (SAPS). Forty-seven patients with SAPS were included in the study. Two different rehabilitation protocols were tested: Group 1 (n = 22)–MLS laser therapy and physical exercises and Group 2 (n = 25)–TENS, ultrasound and physical exercises. The analyzed outcomes were levels of pain, functionality and disability, assessed with visual analog scale (VAS), Constant Shoulder Score (CSS) and the Shoulder Pain and Disability Index (SPADI). The post-treatment evaluations showed significantly better scores in Group 1 patients for VAS score (p = 0.03) and SPADI (p = 0.04). Significant improvement was seen in both groups for all scores. Both treatment regimens showed to be efficient in the treatment of SAPS, improving functionality and reducing pain and disability in the short term. Multiwave Locked System laser therapy in conjunction with physical exercise therapy exercises may have advantages over TENS, ultrasound and physical exercise therapy in the treatment of subacromial pain syndrome.
Future studies assessing both short- and long-term outcomes in patients with SAPS treated with different electrotherapy procedures added to the physical therapy are needed.