Shoulder Pain Clinical Trial
Official title:
Treatment of Subacromial Shoulder Pain by Individual or Group Physiotherapy Following Corticosteroid Injection
The aim of this study is therefore to examine the clinical effectiveness and provide an economic analysis of individual versus group physiotherapy, following corticosteroid injection, for management of Subacromial Impingement (SAI) of the shoulder.
This trial was a single blind, randomised, equivalence trial comparing rotator cuff
rehabilitation classes with traditional individual physiotherapy in subacromial impingement
of the shoulder. A total of 200 patients were planned to be recruited from patients with
painful shoulder referred to the Ulster Community and Hospitals Trust and community
physiotherapy at the Ulster, Ards and Bangor sites or injection clinics at the Ulster
Hospital. Local General Practitioners were also informed of the study and invited to refer
appropriate patients.
Intervention - Triamcinolone 40 mg (1 ml) and 6 weekly rotator cuff rehabilitation classes
Control - Triamcinolone 40 mg (1 ml) and routine physiotherapy 6 sessions weekly for 6 weeks
The injection technique involving a lateral approach to the subacromial space was used. An
interval of between 1 and 3 weeks was allowed between injection and commencement of classes
or physiotherapy.
Classes were planned to be run by a rotating group of physiotherapists with at least 1 year
of musculoskeletal outpatient's experience. They were to receive instruction on the protocol
to use in the classes. Classes were to consist of six 30 min sessions on a weekly basis. A
minimum of 5 and maximum of 10 participants were to attend. Advice was to be given on the
nature of the condition. Subjects were to be instructed and supervised in exercises for
scapulo-humeral mobility, scapulo-humeral stability and specific rotator cuff rehabilitation
exercises. Subjects were to be introduced to ongoing classes as they are recruited to the
trial.
Six sessions of routine physiotherapy at weekly intervals were to be undertaken. Treatment
was to be based on evidence-based guidelines for the treatment of shoulder impingement
(Evidence-based clinical guidelines for the diagnosis, assessment and physiotherapy
management of shoulder impingement syndrome Chartered Society of Physiotherapists 2005) and
consist of mobilisation techniques and supervised exercises and stretches. A therapist with
at least 1 year of musculoskeletal outpatients experience was to provide treatments.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Recruiting |
NCT04930393 -
Evaluating the Efficacy of PECS II Block Versus Axillary Ring Block in Rotator Cuff Repair Patients
|
N/A | |
| Completed |
NCT03717753 -
Rotator Cuff Pathway
|
N/A | |
| Completed |
NCT04454671 -
Ultrasound-guided Percutaneous Neuromodulation Versus Dry Needling in Shoulder Pain Treatment
|
N/A | |
| Completed |
NCT06274827 -
Electromyographic Analysis of Scapular Muscles During Closed Kinetic Chain Exercises
|
N/A | |
| Not yet recruiting |
NCT05413213 -
Ambulatory Rehabilitation Program in Patients With Degenerative Rupture of the Rotator Cuff Tendons of the Shoulder
|
N/A | |
| Not yet recruiting |
NCT05043844 -
Comparison of the Incidence of Shoulder Pain According to Postoperative Use of Abdominal Binder
|
N/A | |
| Recruiting |
NCT02903719 -
The Effect of Phrenic Nerve Block on Postoperative Shoulder Pain in Patients for Liver Resection.
|
Phase 4 | |
| Completed |
NCT02554968 -
Reliability and Validity of Patient Reported Outcome Measures in Head and Neck Cancer
|
||
| Completed |
NCT02777281 -
Safe and Effective Shoulder Exercise Training in Manual Wheelchair Users With SCI
|
N/A | |
| Recruiting |
NCT02242630 -
Relationship to Dose of Triamcinolone Acetonide and Methylyprednisolone to Improvement in Subacromial Bursitis
|
N/A | |
| Active, not recruiting |
NCT02843269 -
Multiple-component Workplace FRamed Intervention to Decrease Occupational Muscle Pain - FRIDOM
|
N/A | |
| Completed |
NCT02631395 -
The Effect of a Shoulder Training Program to Prevent Shoulder Pain Among Girls in Junior Team Handball
|
N/A | |
| Completed |
NCT01733914 -
Contralateral Acupuncture in the Treatment of Chronic Shoulder Pain
|
Phase 2 | |
| Completed |
NCT01885377 -
SWESS: The SWedish Exercise Shoulder Study in Primary Care for Patients With Subacromial Pain
|
N/A | |
| Completed |
NCT01205542 -
Work Place Adjusted Intelligent Physical Exercise Reducing Musculoskeletal Pain in Shoulder and Neck (VIMS) - Shoulder Function
|
N/A | |
| Completed |
NCT01843660 -
An Efficacy and Safety Study of Tramadol Hydrochloride-Paracetamol in Treatment of Moderate to Severe Acute Neck-Shoulder Pain and Low Back Pain
|
Phase 4 | |
| Completed |
NCT00743600 -
Ultrasound Evaluation of the Rotator Cable and Associated Structures.
|
N/A | |
| Completed |
NCT00679887 -
Chronic Shoulder Pain Treated by Pressures With the Thumbs on the Trigger Points
|
Phase 1/Phase 2 | |
| Completed |
NCT03353272 -
The Influence of a Cognitive Behavioral Approach on Changing Patient Expectations in Shoulder Pain
|
N/A | |
| Not yet recruiting |
NCT05670080 -
Does MI Have a Therapeutic Role in Arthroscopic Rotator Cuff Repair?
|
N/A |