Comparison of subacromial corticosteroid injection and physical therapy in patients with subacromial impingement syndrome: A prospective, randomized trial

Authors : Cengizhan DOĞAN, Sertaç KETENCİ, Bora UZUNER, Halil Erdinç ŞEN, Ayhan BİLGİCİ, Gamze ALAYLI, Ömer KURU

Pages : 511-515

View : 37 | Download : 11

Publication Date : 2021-10-09

Article Type : Research Paper

Abstract :Objectives: The aim of this randomized trial was to evaluate the efficacy of subacromial corticosteroid injection and physical therapy insert ignore into journalissuearticles values(PT); in patients with subacromial impingement syndrome insert ignore into journalissuearticles values(SIS);. Patients and Methods: Forty patients who diagnosed as SIS were included in this study and were randomly assigned to the PT and injection groups. Pain during rest, sleep and motion were evaluated by visual analog scale insert ignore into journalissuearticles values(VAS);. Disability was determined by Costant-Murley score. Physical and social functions were evaluated with Short Form-36 insert ignore into journalissuearticles values(SF-36);. Active range of motion insert ignore into journalissuearticles values(ROM); was measured by goniometer. Patients were evaluated at baseline, 3rd and 8th weeks of the therapy. PT continued for 3 weeks with ultrasound and interferential current combined to local heat and exercise. For patients in the injection group, a single steroid injection of 40 mg triamcinolone acetonide into the subacromial space was combined with exercise. Results: After 8 weeks, significant improvements at pain, SF-36 and Costant-Murley scores were observed in both groups insert ignore into journalissuearticles values(p<0.001);. Improvement rates of pain during sleep and motion were significantly higher in PT group than the injection group after 8 weeks insert ignore into journalissuearticles values(p<0.01);. Significant improvements were determined at ROM in both groups insert ignore into journalissuearticles values(p<0.001);. No statistical significant differences were found between two groups in terms of Costant-Murley and ROM scores. Results of the PT group were significantly better in terms of physical and social function, and pain subscores of SF-36 insert ignore into journalissuearticles values(p<0.05);. Conclusion: Our results suggest that both PT and corticosteroid injection have beneficial effects on shoulder mobility and pain relief in SIS. PT should be an alternative and effective treatment method to corticosteroid injection in SIS.
Keywords : impingement, injection, physical therapy

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