Abstract

The shoulder is a very complex joint, and it is necessary that all structural structures are synchronized, because if they present alterations, the joint complex will be the target of numerous conditions, including tendinopathy and adhesive capsulitis. Tendinopathy is characterized by mechanical impaction or compression of certain structures, which may present inflammation, degeneration in the tendons; adhesive capsulitis occurs in changes in the joint capsule, providing chronic inflammation and adhesion, generating pain and limitation in the range of motion of the joint. Through this, researchers from the Physics Institute of São Carlos, University of São Paulo, developed new equipment that combines technologies, allowing the synergy of myofascial release and photobiomodulation therapies, obtaining positive results in terms of improving pain, inflammation and range of movement. The objective of this study was to monitor and compare the after treatment evolution and the effect after the 60-day period in patients with tendinopathy and adhesive capsulitis, using respectively the goniometric measurement of joint angles, the visual analogy scale and the Questionnaire of Dysfunctions of the Arm, Shoulder and Hand. The singular myofascial release and photobiomodulation treatments and the synergic use of these same resources were compared and analysed, pre-treatment, after treatment and after 60 days. As a result, the synergic treatment with myofascial release and photobiomodulation proved to be effective even after 60 days of intervention, confirming the new physical therapy approach as the best treatment option for these shoulder injuries, allowing the return of quality of life without the use of drugs or invasive techniques.