Subacromial corticosteroid injection or acupuncture with home exercises when treating patients with subacromial impingement in primary care-a randomized clinical trial
2011 (English)In: Family Practice, ISSN 0263-2136, E-ISSN 1460-2229, Vol. 28, no 4, 355-365 p.Article in journal (Refereed) Published
bjective. To compare the efficacy of subacromial corticosteroids injected by a GP with physiotherapy combining acupuncture and home exercises as treatments for SIS. less thanbrgreater than less thanbrgreater thanMethods. A randomized clinical trial was performed in primary health care. Patients diagnosed with SIS were randomized to either subacromial corticosteroid injection (s) or 10 acupuncture treatments combined with home- exercises. The main outcomes were pain and shoulder function (Adolfsson-Lysholm shoulder assessment score). Secondary outcomes were health-related quality of life (HRQL) (EuroQol-five dimension self-report questionnaire) and the patients global assessment of change. All patients were assessed at baseline and after 6 weeks and 3, 6 and 12 months. less thanbrgreater than less thanbrgreater thanResults. One hundred and seventeen patients with SIS were included, of which 91 complied with the study protocol. There were no significant differences between treatments with regard to pain, shoulder function and HRQL in change over time. However, both treatment groups improved significantly from baseline over time. less thanbrgreater than less thanbrgreater thanConclusions. Both subacromial corticosteroid injection and a series of acupuncture treatments combined with home exercises significantly decreased pain and improved shoulder function in patients with SIS, but neither treatment was significantly superior to the other.
Place, publisher, year, edition, pages
Oxford University Press , 2011. Vol. 28, no 4, 355-365 p.
Acupuncture, corticosteroids, physiotherapy, rotator cuff, subacromial impingement syndrome
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-69983DOI: 10.1093/fampra/cmq119ISI: 000293302900003OAI: oai:DiVA.org:liu-69983DiVA: diva2:434007