Combined treatment with corticosteroid injection plus exercise and manual therapy was similar to exercise and manual therapy alone for shoulder pain at 12 weeks.

摘要

Main outcome measures: The primary outcome was the 12-week score on the Shoulder Pain and Disability Index (SPADI) (range, 0 to 100 for each of two subscales for pain and disability and a total score combining the means of each subscale; higher scores indicate greater pain and disability). The secondary outcome was a global assessment of change from baseline (5-point scale, ranging from much worse to completely recovered).Main results: Analysis was by intention to treat. The study had 80% power to detect a difference between groups of >10 points on the SPADI. Patients in the injection-plus-exercise group showed greater improvement than those in the exercise-alone group at 1 and 6 weeks (p < 0.001) (Table). At 12 weeks, there was no difference between groups in change in SPADI scores (Table). The data from the global assessment of change from baseline showed greater improvement from baseline in the injection-plus-exercise group at 1 week (p < 0.001) and 6 weeks (p = 0.006), but the groups were not different at 12 weeks (p = 0.248).