Introduction: This study reviews the efficacy of high-intensity laser therapy (HILT) and low-level laser therapy (LLLT) for frozen shoulders, including a meta-regression to identify variables affecting treatment outcomes. Methods: Eight randomized controlled trials (RCTs) with 444 participants with frozen shoulders received HILT or LLLT, combined with conventional therapies. Outcomes measured visual analogue scale (VAS)-pain scores, shoulder pain and disability index (SPADI), short form health survey questionnaire (SF-36), and shoulder range of motion (ROM). The bias was analyzed with risk of bias version 2 and the analysis was performed with JAMOVI 2.4.14 and RevMan 5.4. Results: Laser therapy showed significant improvements in outcomes: VAS scores (risk ratio [RR] -1.36, 95% confidence interval [CI] -1.95, -0.76), SPADI-pain (RR -10.20, 95% CI -15.95, -4.44), shoulder abduction ROM (RR 8.74, 95% CI 1.37, 16.11), and SF-36 role limitation due to physical health (RR 28.55, 95% CI 9.99, 47.12). The intensity of laser therapy influenced outcomes, with confounding factors affecting follow-up time and SF-36 emotional well-being. Conclusion: Laser therapy, especially HILT, significantly reduces pain, improves shoulder range of motion, and enhances quality of life.
28 August 2023 in Surabaya Physical Medicine and Rehabilitation Journal
Background: CTS occurs due to local compression of the median nerve with manifestations of neuropathy, mostly in the productive population. Many conservative treatments have been observed to reduce the degree of pain and quality of life in CTS patients. Kinesiotaping is a new therapy that has been widely used for various musculoskeletal conditions and is known for reducing median nerve compression. Aim: To determine the effect of adding kinesiotaping to median nerve gliding exercise on hand function in CTS patients by using the Michigan Hand Outcomes Questionnaire. Methods: This research was an experimental randomized pre-and post-test group design. A sample of 24 patients from the Medical Rehabilitation Outpatient in RSUP Dr. Kariadi were divided into two groups randomly. The intervention group (n=12, dropout 1) got kinesiotaping application and median nerve gliding exercise. The control group (n=12, dropout 1) did the median nerve gliding exercise only. Hand performance has been evaluated before and at the end of the 4th week of treatment by using the Michigan Hand Outcomes Questionnaire. Result: There were significant improvements in the intervention group’s right-hand function (p<0,001), activities of daily living (ADLs) or the ability of the right hand to do certain tasks (p<0,001), work performance (p<0,001), pain (p=0,024), and satisfaction (p<0,001), as compared to the control group. Meanwhile, the intervention and the control group did not show significant differences in left-hand function score (p=0.884), left-hand ability score (p=0.884), and aesthetics score (p=1,000). Conclusion: There was a positive effect on improving hand performance in CTS patients by adding kinesiotaping to median nerve gliding exercises.
26 November 2025 in Journal of Biomedicine and Translational Research
Polycystic ovarian syndrome (PCOS) is an endocrine and metabolic disorder that is most commonly experienced by women. This condition can reduce the quality of life because it can affect physical, psychological, emotional, social, and financial. The first-line and safest therapy for PCOS is lifestyle changes. One of them is doing physical activity. Yoga as one of the low-intensity physical activities has the potential as a complementary therapy for PCOS. This study implements a systematic review with qualitative analysis method. A literature search was done using the search engines PubMed, Science Direct, and Proquest by setting inclusion criteria and exclusion criteria. Yoga is a sport that can be done by everyone because it does not require fitness and flexibility at a certain level. Some of the mechanisms of yoga as complementary therapy for PCOS are the optimization of the autonomic nervous system, regulation of the endocrine system, reduction of stress levels, and balancing of neural hormones. Previous research has shown that yoga can improve various aspects in PCOS women such as anthropometric parameters, menstrual cycle, ovarian morphology, biochemical markers, hormones, cardiovascular, and psychiatric conditions. Yoga can improve various aspects including anthropometric parameters, menstrual cycle, ovarian morphology, biochemical markers, hormones, cardiovascular, and psychiatric conditions.
3 November 2026 in Diabetology & Metabolic Syndrome
Adolescent obesity is increasing globally and is associated with early cardiometabolic risk. High-intensity interval training (HIIT) has been proposed as a
29 July 2025 in Diponegoro International Medical Journal
Background: Adolescent obesity is a growing public health concern, associated with chronic diseases such as cardiovascular disease, type 2 diabetes, and non-alcoholic fatty liver disease. High-Intensity Interval Training (HIIT) has been identified as a potential intervention to improve weight management and metabolic health in this population.Objective: To evaluate the impact of HIIT, alone or in combination with dietary advice, on weight management and metabolic health indicators, including Body Mass Index (BMI), fasting serum glucose levels, and metabolic biomarkers in adolescents with overweight or obesity.Methods: This systematic review included randomized controlled trials (RCTs) focusing on adolescents aged 16 to 19 with a BMI of 23 kg/m² or above. Studies were selected based on predefined criteria, excluding cross-over trials and quasi-randomized studies. Primary outcomes were changes in BMI, fasting serum glucose, and metabolic biomarkers. Secondary outcomes included measures of insulin resistance. The GRADE methodology was used to appraise the certainty of evidence.Results: Five RCTs were included, demonstrating that HIIT, especially when combined with dietary advice, significantly improves insulin sensitivity, reduces waist circumference, and enhances cardiometabolic health. The interventions varied in duration and intensity but consistently showed positive outcomes in physical fitness, metabolic biomarkers, and body composition.Conclusion: HIIT, particularly when integrated with dietary advice, offers a promising strategy for managing obesity and improving metabolic health among adolescents. This review supports the adoption of multidisciplinary approaches in clinical practice, aiming to enhance the overall health outcomes of adolescents with overweight or obesity.