Comparison of intra-articular injection therapy to physiotherapy techniques in management of shoulder impingement syndrome.

摘要

Shoulder impingement syndrome is umbrella term that covers rotator cuffsyndrome, tendinitis of muscles of rotator cuff and bursitis in shoulder region. Usually thissyndrome is treated conservatively. The treatment options are corticosteroid injections, medicaltreatment and physical therapy, of which, the most common are injection therapy and physicaltherapy. Injection therapy is carried out by orthopedic surgeons. However, which treatment ismost effective in terms of symptoms relieving and cost effectiveness, yet conflicting. StudyDesign: Randomized Controlled Trial. Setting: Independent University Hospital, Faisalabad.Period: 1stJuly 2017 to 30thJune 2018. Materials and Methods: Comparing effects of twotreatments for shoulder impingement syndrome; sub armorial steroid injection, the controlgroup and manual physical therapy, the treatment group. Primary outcomes were ShoulderPain and Disability Index (SPADI), to measure endpoint differences. Secondary outcomesincluded changes in Global Rating of Change (GRC) scale and Numeric Pain Rating Scale(NPRS) scores. Trial was conducted in one clinical setup. The collected data was analyzed byStatistical Package of Social Sciences (SPSS 20.00). Results: At baseline of group physicaltherapy 19(95%) reported severe and 1(5%) moderate level of pain, at numeric rating pain scale.At post treatment of group injection therapy 19(95%) reported severe and 1(5%) moderate levelof pain, at numeric rating pain scale. At follow up of group injection therapy 19(95%) reportedsevere and 1(5%) moderate level of pain, at numeric rating pain scale. At follow up of treatmentphysical therapy all patients mild level of pain, at numeric rating pain scale. Conclusion:Injection therapy treatment is more effective in improving shoulder impingement syndrome interms of pain and function than that of physical therapy treatment.