Injection Technique in Subacromial Impingement Syndrome

NCT05266391 | Completed

• 1 other identifier: PMRTURKEY
• Study Type: observational
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Since pain is usually accompanied by a substantial effect on daily life that results in the extensive use of healthcare resources. In subacromial impingement syndrome, shoulder pain affects the quality of life negatively by affecting upper extremity functions and interrupting night sleep. It is very important to control the pain in order to reduce the loss to the labor force and prevent the pain from becoming chronic. Various physical treatment methods such as ultrasound, hot pack, transcutaneous electrical nerve stimulation, etc., and injections or medical agents are recommended. This study aimed to compare the effects of ultrasound (US)-guided in comparison to landmark guided subacromial corticosteroids injection on shoulder range of motion (ROM), pain, and functional status in patients with subacromial impingement syndrome (SAIS).

Conditions

Subacromial Impingement Syndrome

Outcome Measures

Primary Outcomes (1)

• Visual analogue scale (VAS)

  It is a scale scored from 0 to 10 to evaluate the severity of pain. Patients are asked to rate the pain they feel as '0' for no pain and '10' for the most severe pain they have encountered in their life

  Change from baseline visual analogue scale score at 1 month

Secondary Outcomes (3)

• Shoulder joint range of motion (ROM)

  Change from baseline Shoulder joint range of motion at 1 month

• Shoulder Pain and Disability Index (SPADI)

  Change from baseline Shoulder Pain and Disability Index at 1 month

• The Shortened Disabilities of the Arm, Shoulder and Hand Questionnaire (Quick DASH)

  Change from baseline The Shortened Disabilities of the Arm, Shoulder and Hand Questionnaire at 1 month

Study Arms (2)

group 1

patients who received US-guided subacromial corticosteroid injections

Other: subacromial corticosteroid injections

group 2

patients who underwent blind subacromial corticosteroid injections

Other: subacromial corticosteroid injections

Interventions

subacromial corticosteroid injections OTHER

Patients with SAIS whose application of corticosteroid in their injections were the same in terms of type and dose (1 ml betamethasone dipropionate + betamethasone sodium phosphate).

group 1; group 2

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients with the diagnosis of Subacromial impingement syndrome who underwent subacromial corticosteroid injections in our interventional physiatry clinic between September 2017 and February 2018 were included in this study.

You may qualify if:

• Shoulder posterolateral pain that increased with shoulder abduction,
• Restriction of the shoulder passive and active range of motion (ROM),
• Patients with positive Neer and Hawkins impingement test,
• Patients with SAIS whose diagnosis was confirmed by magnetic resonance imaging (MRI), and
• Patients with SAIS whose application of corticosteroid in their injections were the same in terms of type and dose (1 ml betamethasone dipropionate + betamethasone sodium phosphate).

You may not qualify if:

• Patients who received corticosteroid, local anesthetic, hyaluronic acid, and platelet-rich plasma injections in the shoulder in the last one year,
• patients who had previous history of surgery or fracture in their thorax, neck, upper extremity or shoulder joint,
• patients with a rheumatological, cognitive or psychiatric, central or peripheral neurological disease (stroke, spinal cord injury, brachial plexus injury, etc.),
• patients whose MRI presented a partial or complete rotator cuff tear, calcific tendinitis or labral tear.

Sponsors & Collaborators

• Istanbul Physical Medicine Rehabilitation Training and Research Hospital: lead

Study Sites (1)

Istanbul Physical Medicine and Rehabilitation Training and Research Hospital

Istanbul, 34186, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Shoulder Impingement Syndrome

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Wounds and Injuries

Study Officials

• Kadriye Ones, Prof

  Istanbul Physical Medicine Rehabilitation Training & Research Hospital

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 28, 2022
• First Posted: March 4, 2022
• Study Start: June 1, 2018
• Primary Completion: June 1, 2018
• Study Completion: September 1, 2018
• Last Updated: March 4, 2022

Record last verified: 2022-02

Locations

TU (1)