Hyaluronic Acid, Corticosteroid and Electrotherapy in Subacromial Impingement Syndrome

Şeyhmus KAPLAN90 enrolled

Overview

Background: Electrotherapy, corticosteroid, and hyaluronic acid have been used to treat subacromial impingement syndrome. However, we need to compare treatment options to provide the optimal results. This study aims to compare the effect of hyaluronic acid, corticosteroid, and electrotherapy in subacromial impingement syndrome. Design: Ninety five patients were randomised into three equal groups according to treatment types. Hyaluronic acid (20 mg/2ml, three times one week apart) or corticosteroid (triamcinolone acetonide, 40 mg/ml, single dose) treatments were applied as subacromial injections. Electrotherapy consisted of 14 sessions TENS (20 min.), hotpack (20 min.) and ultrasound (1.5watt/cm2, 1 MHz, 6 min.). Patients were evaluated before treatment, one and four weeks post end of treatment. Visual Analogue Scale (VAS), range of motion (ROM), and Shoulder Disability Questionnaire (SDQ) were used as outcome measures.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Subacromial Impingement Pain, Shoulder

Interventions

Eligibility

Sex: ALLMin age: 20 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * The diagnosis of subacromial impingement syndrome Exclusion Criteria: * Patients aged \<20 or \>50 years or who have the following medical conditions were excluded: physical therapy or injection in the past 6 months, shoulder instability, acute trauma, adhesive capsulitis, psychiatric illness, diabetes mellitus, malignancy.

Outcomes

Primary Outcomes

Visual Analogue Scale

Higher scores represent higher level of shoulder pain.

Time frame: 1 min.

range of motion

Higher scores represent lower level of shoulder function.

Time frame: 5 min.

Shoulder Disability Questionnaire

Higher scores represent higher level of shoulder pain.

Time frame: 15 min