1. Comparing the effect of physiotherapy and physiotherapy plus corticosteroid injection on pain intensity, disability, quality of life, and treatment effectiveness in patients with Subacromial Pain Syndrome: a randomized controlled trials.
- Author
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Raeesi, Javad, Negahban, Hossein, Kachooei, Amir Reza, Moradi, Ali, Ebrahimzadeh, Mohammad Hosein, and Daghiani, Maryam
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SHOULDER pain treatment , *ADRENOCORTICAL hormones , *INJECTIONS , *PAIN measurement , *ANALYSIS of variance , *PHYSICAL therapy , *SUBACROMIAL impingement syndrome , *FUNCTIONAL status , *VISUAL analog scale , *SEVERITY of illness index , *TREATMENT effectiveness , *RANDOMIZED controlled trials , *COMPARATIVE studies , *PRE-tests & post-tests , *T-test (Statistics) , *QUALITY of life , *BLIND experiment , *QUESTIONNAIRES , *DESCRIPTIVE statistics , *CHI-squared test , *REPEATED measures design , *COMBINED modality therapy , *STATISTICAL sampling , *STATISTICAL models , *DATA analysis software , *PAIN management , *LONGITUDINAL method - Abstract
Purpose: To compare the short and medium-term effects of physiotherapy plus corticosteroid injection (combined) with physiotherapy alone on pain intensity, disability, Quality of Life (QoL), and treatment effectiveness in patients with Subacromial Pain Syndrome (SAPS). Methods: In this double-blind, parallel Randomized Controlled Trial (RCT), 50 patients with SAPS were randomly assigned into combined (N=25, a single injection 3-6 days before physiotherapy) and physiotherapy alone group (N=25). Pain, disability, QoL, and treatment-effectiveness were measured at preintervention, post-intervention, and 3 and 6-month follow-up with Visual Analog Scale (VAS), Shortened Disability of the Arm, Shoulder, and Hand (Quick-DASH), Shoulder Pain and Disability Index (SPADI) (primary outcome measure), Western Ontario Rotator Cuff (WORC), and Global Rating of Change (GRC) respectively. A 2×4 (group×time) mixed model analysis of variance (ANOVA) was applied for analysis. Results: The ANOVA revealed statistically significant group-in-time interaction for all outcome measures (p-value < 0.05). The independent t-test showed more effectiveness in the combined group at mediumterm, as the mean scores of almost all outcome measures were substantially lesser (p<0.01). Moreover, in short-time, despite a greater number of patients stating "completely recovered" in the combined group, there was no statistically significant difference between groups. Conclusions: Effects of physiotherapy plus corticosteroid injection could be more long-lasting than physiotherapy alone in improving pain intensity, disability, QoL, and treatment effectiveness in patients with SAPS. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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