Status:

COMPLETED

Treatment of Subacromial Shoulder Pain by Individual or Group Physiotherapy Following Corticosteroid Injection

Lead Sponsor:

South Eastern Health and Social Care Trust

Collaborating Sponsors:

Northern Ireland Clinical Trials Unit

University of Ulster

Conditions:

Shoulder Pain

Rotator Cuff Impingement

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The aim of this study is therefore to examine the clinical effectiveness and provide an economic analysis of individual versus group physiotherapy, following corticosteroid injection, for management o...

Detailed Description

This trial was a single blind, randomised, equivalence trial comparing rotator cuff rehabilitation classes with traditional individual physiotherapy in subacromial impingement of the shoulder. A total...

Eligibility Criteria

Inclusion

  • unilateral shoulder pain of more than 4 weeks duration and a Shoulder Pain and Disability Index (SPADI) score of \>= 30 as this represents significant disability. Shoulder pain is defined as pain in the shoulder region, including the upper arm, elicited by active or passive shoulder movement. The diagnosis of "subacromial pain" is defined by range as no limitation in passive range of movement or restriction of passive range of movement mainly in abduction rather than external rotation.

Exclusion

  • inability to give informed consent
  • physiotherapy or injection treatment for current shoulder pain in previous 3 months
  • blood coagulation disorders
  • bilateral shoulder pain
  • evidence of systemic infection
  • abnormal shoulder X-ray defined as significant glenohumeral or subacromial joint space narrowing suggesting osteoarthritis of glenohumeral joint or complete rotator cuff rupture,
  • evidence of rotator cuff tear, tested by external rotation lag sign, drop sign, internal rotation lag sign and static muscle resistance in external rotation, internal rotation and abduction,
  • history of significant trauma to the shoulder,
  • inflammatory joint disease,
  • history of cerebrovascular accident,
  • allergy or contraindication to Triamcinolone/contraindication to injection.
  • evidence of referred pain from cervical spine disease.
  • pregnancy or breast feeding
  • patients whose first language is not English

Key Trial Info

Start Date :

September 19 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 10 2013

Estimated Enrollment :

136 Patients enrolled

Trial Details

Trial ID

NCT04058522

Start Date

September 19 2008

End Date

February 10 2013

Last Update

August 15 2019

Active Locations (1)

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1

Ian Ryans

Dundonald, Co Down, United Kingdom, BT16 2LN