SAT0416 Efficacy of the Corticosteroid Injection, Physical Therapy and Exercises in Subacromial Impingement Syndrome

Background Subacromial impingement syndrome is the most common reason for shoulder pain which represents a spectrum of pathology ranging from subacromial bursitis to rotator cuff tendinopathy and full-thickness rotator cuff tears. Management includes physical therapy, injections, and in some cases surgery. Objectives To compare the efficacy of subacromial corticosteroid injection, physical therapy and exercise package treatment with the efficacy of physical therapy and exercise package treatment in patients with subacromial impingement syndrome. Methods Sixty patients with diagnosis of subacromial impingement syndrome were recruited consecutively into the study. Patients were divided into two groups. Thirty subjects recruited in Group1 where subacromial corticosteroid injection (Triamcinolone Acetonide 40mg/1ml, once at onset), physical therapy (hot pack, TENS and ultrasound-1.5Watt/cm2) and 3 phases shoulder home exercise programme (twice a day during 3 months) were applied. Another 30 subjetcs recruited in Group2 where physical therapy and 3 phases shoulder home exercises were applied with same protocol. Patients in both groups were assessed before treatment and at 15th day, 1st and 3rd months after treatment. The shoulder specific examination tests (Neer, Hawkins, Jobe, painful arc) were assessed. The shoulder pain at rest, during movement, and at night were assessed using visual analog scales (VAS). All subgroups (range of motion, daily activities etc) of Constant Murley Score (CMS) and Disability of Arm, Shoulder and Hand Questionnaire (DASH) were managed to all subjects. Wilcoxon, McNemar, Mann Whitney U methods were used for statistical analysis. p0.05). The statistically significant improvement was obtained in pain at rest, during movement and at night in both groups, at all evaluations after treatment when compared to baseline values (p