Status:
COMPLETED
Physical Therapy Versus Steroid Injection for Shoulder Impingement Syndrome
Lead Sponsor:
Madigan Army Medical Center
Collaborating Sponsors:
University of Puget Sound
Franklin Pierce University
Conditions:
Shoulder Impingement Syndrome
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
The purpose of this study is to evaluate and compare the short and long-term effectiveness of two common interventions, manual physical therapy versus corticosteroid injection, for the treatment of sh...
Detailed Description
Dysfunction in the shoulder has been reported to affect up to 33% of the general population and generate up to 5% of all consultations from general practitioners. Shoulder problems have been reported ...
Eligibility Criteria
Inclusion
- Age between 18-65
- Read, write, and speak English
- Tricare beneficiary and eligible for healthcare at a military treatment facility
- Primary complaint of shoulder pain
- Meets diagnostic criteria for shoulder impingement (mentioned below)
- To be included in the study participants are required to have:
- pain with one of the 2 tests in category I, and
- pain with one test from either category II or category III. \* "pain" is defined as reproduction of the usual pain that the subject experiences that makes up the nature of their complaint.
- Category I: Impingement signs
- Passive overpressure at full shoulder flexion with the scapula stabilized.
- Passive internal rotation at 90 degrees of shoulder flexion in the scapular plane and in progressive degrees of horizontal adduction.
- Category II: Active shoulder abduction Active shoulder abduction Category Ill: resisted break tests
- Abduction
- Internal rotation
- External rotation
Exclusion
- History of shoulder injection in last 3 months
- History of shoulder dislocation, subluxation, fracture, adhesive capsulitis of the glenohumeral joint, or cervical/shoulder/upper back surgery
- Full-thickness rotator cuff tears
- Presence of cervical radiculopathy, radiculitis, or referral from cervical spine
- Total baseline SPADI score not less than 20% (to prevent a ceiling effect with treatment)
- Prior OMPT treatment to the involved limb for the current episode of pain
- Military service members pending a medical evaluation board, a physical valuation board, or equivalent discharge process, or in medical hold to determine long term disposition. For non-military personnel, anyone that is pending or undergoing any litigation for their injury.
- Contraindication to receiving a corticosteroid injection (allergies, adverse reactions, history of multiple injections in that area even if not within last 30 days, etc)
- Inability to fill out informed consent form
- Unable to come into the clinic for regular treatment over the course of the following month.
Key Trial Info
Start Date :
May 1 2010
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
August 1 2013
Estimated Enrollment :
104 Patients enrolled
Trial Details
Trial ID
NCT01190891
Start Date
May 1 2010
End Date
August 1 2013
Last Update
April 29 2016
Active Locations (1)
Enter a location and click search to find clinical trials sorted by distance.
1
Madigan Army Medical Center
Tacoma, Washington, United States, 98431