Comprehensive physiotherapy & corticosteroid injection in patients with subacromial pain syndrome .
This report has been verified
by one or more authors of the
original publication.
The effectiveness of comprehensive physiotherapy compared with corticosteroid injection on pain, disability, treatment effectiveness, and quality of life in patients with subacromial pain syndrome: a parallel, single-blind, randomized controlled trial.
Physiother Theory Pract. 2023 Aug 3;39(8):1591-1605.50 patients with unilateral subacromial pain syndrome (SPAS) were randomly allotted to undergo either comprehensive physiotherapy (CP; n=25) or to be administered with corticosteroid injections (SCI; n=25). The outcomes assessed were the intensity of pain measured using the visual analog scale (VAS), functional disability assessed by using a shortened Disability of Arm, Shoulder and Hand (Quick-DASH) questionnaire and the Shoulder Pain and Disability Index (SPADI). Quality of life was assessed by using Western Ontario Rotator Cuff (WORC) index and effectiveness of treatment was assessed using global rating of change (GRC). All outcomes were measured at baseline, post intervention, 3- months and 6- months. The results of the study reveal that while patients in both groups showed improvement in all outcomes at all time points, the quick-DASH, SPADI and WORC readings showed significantly greater improvement in the CP group as compared to SCI groups. Though there was no significant difference in VAS readings between the groups, mean VAS scores post treatment was lower in CP group. Also, patient-reported GRC scores indicated significantly improved pain outcomes in the CP group.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
