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A Manual Physical Therapy Approach Versus Subacromial Corticosteroid Injection for Treatment of Shoulder Impingement Syndrome: a Randomized Clinical Trial
The purpose of this study is to evaluate and compare the short and long-term effectiveness of two common interventions, manual physical therapy versus corticosteroid injection, for the treatment of shoulder impingement syndrome.
Details
| Lead sponsor | Madigan Army Medical Center |
|---|---|
| Phase | NA |
| Status | COMPLETED |
| Enrolment | 104 |
| Start date | 2010-05 |
| Completion | 2013-08 |
Conditions
- Shoulder Impingement Syndrome
Interventions
- Manual Physical Therapy
- Corticosteroid Injection
Primary outcomes
- Shoulder Pain and Disability Index — 1 year
The SPADI is a 100-point, 13 item self-administered questionnaire divided into two subscales (pain and disability), with higher scores indicating greater pain and disability. It is responsive to change and accurately discriminates between patients who are improving or worsening. It has high test-retest reliability and internal consistency. The minimal detectable change (MDC) is 18 and the minimally clinically important difference (MCID) is between 8-13 points. The validity and responsiveness to change of SPADI have been described in physical therapy, as well as primary and secondary care settings.
Countries
United States