N/A
N=104
Physical Therapy Versus Steroid Injection for Shoulder Impingement Syndrome
Shoulder Impingement Syndrome
Bottom Line
View on ClinicalTrials.gov: NCT01190891 ↗Enrolled (actual)
104
Serious AEs
0.0%
Results posted
Apr 2016
Primary outcome: Primary: Shoulder Pain and Disability Index — 21.6; 23.1 units on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Manual Physical Therapy (Procedure); Corticosteroid Injection (Procedure)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Madigan Army Medical Center
- Primary completion
- Mar 2013
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Shoulder Pain and Disability Index |
21.6; 23.1 | — |
| SECONDARY Global Rating of Change |
3; 3 | — |
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 shoulder impingement syndrome.
Eligibility Criteria
Inclusion Criteria
- 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 Criteria
- 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.
Data sourced from ClinicalTrials.gov (NCT01190891). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.