Conservative or Operative Treatment for the Shoulder Impingement Syndrome?
1 other identifier
interventional
140
1 country
1
Brief Summary
Study hypothesis: The impingement syndrome of the rotator cuff is a common cause of shoulder pain for which the most effective treatment is unknown. Steroid injections and anti-inflammatory analgetics are considered as effective methods. Physiotherapy and acromioplasty are commonly used treatments. Hypothesis: Arthroscopy and acromioplasty in addition to conservative treatment is equally effective as conservative treatment alone for shoulder impingement syndrome.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2001
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2001
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2006
CompletedFirst Submitted
Initial submission to the registry
July 6, 2006
CompletedFirst Posted
Study publicly available on registry
July 7, 2006
CompletedJuly 7, 2006
July 1, 2006
July 6, 2006
July 6, 2006
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
shoulder pain in visual analogue scale (VAS) of 0-10 at two years after randomization
Secondary Outcomes (5)
pain at night
disability
ability to work
ranges of motion
cost-effectiveness
Interventions
Eligibility Criteria
You may qualify if:
- a positive clinical Neer's test
- shoulder pain resistant to rest
- shoulder pain resistant to anti-inflammatory drugs
- shoulder pain resistant to subacromial steroid injections
- shoulder pain resistant to ordinary physiotherapy with a minimum history of three months
You may not qualify if:
- glenohumeral or acromioclavicular arthritis
- glenohumeral instability
- total rupture of the rotator cuff
- cervical syndrome
- adhesive capsulitis
- neuropathy of the shoulder region
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Kanta-Häme Central Hospital
Hämeenlinna, 13530, Finland
Related Publications (6)
Brox JI, Staff PH, Ljunggren AE, Brevik JI. Arthroscopic surgery compared with supervised exercises in patients with rotator cuff disease (stage II impingement syndrome). BMJ. 1993 Oct 9;307(6909):899-903. doi: 10.1136/bmj.307.6909.899.
PMID: 8241852BACKGROUNDGreen S, Buchbinder R, Glazier R, Forbes A. Interventions for shoulder pain. Cochrane Database Syst Rev. 2000;(2):CD001156. doi: 10.1002/14651858.CD001156.
PMID: 10796418BACKGROUNDHaahr JP, Ostergaard S, Dalsgaard J, Norup K, Frost P, Lausen S, Holm EA, Andersen JH. Exercises versus arthroscopic decompression in patients with subacromial impingement: a randomised, controlled study in 90 cases with a one year follow up. Ann Rheum Dis. 2005 May;64(5):760-4. doi: 10.1136/ard.2004.021188.
PMID: 15834056BACKGROUNDLeroux JL, Codine P, Thomas E, Pocholle M, Mailhe D, Blotman F. Isokinetic evaluation of rotational strength in normal shoulders and shoulders with impingement syndrome. Clin Orthop Relat Res. 1994 Jul;(304):108-15.
PMID: 8020202BACKGROUNDNeer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972 Jan;54(1):41-50. No abstract available.
PMID: 5054450BACKGROUNDNeer CS 2nd. Impingement lesions. Clin Orthop Relat Res. 1983 Mar;(173):70-7. No abstract available.
PMID: 6825348BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Saara Ketola
Kanta-Häme Central Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER GOV
Study Record Dates
First Submitted
July 6, 2006
First Posted
July 7, 2006
Study Start
March 1, 2001
Study Completion
July 1, 2006
Last Updated
July 7, 2006
Record last verified: 2006-07