Can the efficacy of subacromial corticosteroid injection be improved using a single- session mobilization treatment in subacromial impingement syndrome? A randomized single-blind controlled trial
The objective in this study is to assess the short-term effects of a single-session mobilization in addition to subacromial corticosteroid (SACS) injection in impingement syndrome. The study was designed as a prospective randomized controlled single-blind, parallel group clinical trial. Patients (to...
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| Veröffentlicht in: | TURKISH JOURNAL OF MEDICAL SCIENCES 2020-02, Vol.50 (1), p.205-212 |
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| creator | Kulakli, Fazil Ilhanli, Ilker Sari, Ilker Fatih Türköz, Adem Çelik, Canan |
| description | The objective in this study is to assess the short-term effects of a single-session mobilization in addition to subacromial corticosteroid (SACS) injection in impingement syndrome.
The study was designed as a prospective randomized controlled single-blind, parallel group clinical trial. Patients (totally 84) were divided randomly into two groups equally. Forty-two patients in Group 1 received mobilization and SACS injection, whereas 42 patients in Group 2 only received SACS injections. A single SACS injection was applied in all patients. Mobilization was administered as a single session right after SACS injection. Patients’ evaluations were performed measuring active range of motion (AROM), visual analogue scale (VAS) during activity and rest, and Disabilities of Arm, Shoulder, and Hand Score (DASH) prior to treatment and in the first and fourth weeks following the treatment.
Both groups showed significant improvement in terms of AROM, VAS, and DASH scores in each evaluation step (P < 0.05). Visual analogue scale activity in the first week was significantly better in Group 1 (P = 0.028). Also, flexion and abduction degrees showed significantly better outcomes in Group 1 (P = 0.007, P = 0.036).
Addition of single-session mobilization might provide rapid improvement in flexion and abduction as well as early pain relief following SACS injections. |
| doi_str_mv | 10.3906/sag-1909-51 |
| format | Article |
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The study was designed as a prospective randomized controlled single-blind, parallel group clinical trial. Patients (totally 84) were divided randomly into two groups equally. Forty-two patients in Group 1 received mobilization and SACS injection, whereas 42 patients in Group 2 only received SACS injections. A single SACS injection was applied in all patients. Mobilization was administered as a single session right after SACS injection. Patients’ evaluations were performed measuring active range of motion (AROM), visual analogue scale (VAS) during activity and rest, and Disabilities of Arm, Shoulder, and Hand Score (DASH) prior to treatment and in the first and fourth weeks following the treatment.
Both groups showed significant improvement in terms of AROM, VAS, and DASH scores in each evaluation step (P < 0.05). Visual analogue scale activity in the first week was significantly better in Group 1 (P = 0.028). Also, flexion and abduction degrees showed significantly better outcomes in Group 1 (P = 0.007, P = 0.036).
Addition of single-session mobilization might provide rapid improvement in flexion and abduction as well as early pain relief following SACS injections.</description><identifier>ISSN: 1303-6165</identifier><identifier>ISSN: 1300-0144</identifier><identifier>EISSN: 1303-6165</identifier><identifier>DOI: 10.3906/sag-1909-51</identifier><identifier>PMID: 31865665</identifier><language>eng</language><publisher>Turkey: The Scientific and Technological Research Council of Turkey</publisher><subject>Adult ; Female ; Glucocorticoids - administration & dosage ; Humans ; Injections ; Male ; Manipulation, Orthopedic ; Middle Aged ; Prospective Studies ; Range of Motion, Articular ; Shoulder Impingement Syndrome - physiopathology ; Shoulder Impingement Syndrome - therapy ; Single-Blind Method</subject><ispartof>TURKISH JOURNAL OF MEDICAL SCIENCES, 2020-02, Vol.50 (1), p.205-212</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><rights>Copyright © 2019 The Author(s) 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0001-9418-5840 ; 0000-0003-0275-7093 ; 0000-0002-7998-8992 ; 0000-0002-5083-9731 ; 0000-0003-0127-6503</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7080397/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7080397/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31865665$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kulakli, Fazil</creatorcontrib><creatorcontrib>Ilhanli, Ilker</creatorcontrib><creatorcontrib>Sari, Ilker Fatih</creatorcontrib><creatorcontrib>Türköz, Adem</creatorcontrib><creatorcontrib>Çelik, Canan</creatorcontrib><title>Can the efficacy of subacromial corticosteroid injection be improved using a single- session mobilization treatment in subacromial impingement syndrome? A randomized single-blind controlled trial</title><title>TURKISH JOURNAL OF MEDICAL SCIENCES</title><addtitle>Turk J Med Sci</addtitle><description>The objective in this study is to assess the short-term effects of a single-session mobilization in addition to subacromial corticosteroid (SACS) injection in impingement syndrome.
The study was designed as a prospective randomized controlled single-blind, parallel group clinical trial. Patients (totally 84) were divided randomly into two groups equally. Forty-two patients in Group 1 received mobilization and SACS injection, whereas 42 patients in Group 2 only received SACS injections. A single SACS injection was applied in all patients. Mobilization was administered as a single session right after SACS injection. Patients’ evaluations were performed measuring active range of motion (AROM), visual analogue scale (VAS) during activity and rest, and Disabilities of Arm, Shoulder, and Hand Score (DASH) prior to treatment and in the first and fourth weeks following the treatment.
Both groups showed significant improvement in terms of AROM, VAS, and DASH scores in each evaluation step (P < 0.05). Visual analogue scale activity in the first week was significantly better in Group 1 (P = 0.028). Also, flexion and abduction degrees showed significantly better outcomes in Group 1 (P = 0.007, P = 0.036).
Addition of single-session mobilization might provide rapid improvement in flexion and abduction as well as early pain relief following SACS injections.</description><subject>Adult</subject><subject>Female</subject><subject>Glucocorticoids - administration & dosage</subject><subject>Humans</subject><subject>Injections</subject><subject>Male</subject><subject>Manipulation, Orthopedic</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Range of Motion, Articular</subject><subject>Shoulder Impingement Syndrome - physiopathology</subject><subject>Shoulder Impingement Syndrome - therapy</subject><subject>Single-Blind Method</subject><issn>1303-6165</issn><issn>1300-0144</issn><issn>1303-6165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkUtLAzEQx4Mo1tfJu-Quq8lms20uSim-QPCi55BnTdlNSpIW2q_nFzNbHygEJsz85zcz_AE4x-iKMNReJzGvMEOsongPHGGCSNXilu7_-Y_AcUoLhGrSUHYIRgRPWtq29Ah8zISH-d1AY61TQm1gsDCtpFAx9E50UIWYnQopmxichs4vjMoueCgNdP0yhrXRcJWcn0MBh9CZCiaT0qDpg3Sd24pdQ45G5N74XCD_RhRM6TO7Utp4XdLmFk5hFF4XxbYM-AbLznldVvI5hq4r-RwL4BQcWNElc_YdT8Db_d3r7LF6fnl4mk2fK0UIy5WiQiPGdK0azepaCsEsG8umYRKV10iGJGmplGONDaZST5S22DYMEYuQpOQE3HxxlyvZG63KvlF0fBldL-KGB-H4_4p373we1nyMJoiwcQFcfgHK5SlFY397MeKDl7x4yQcvOcVFffF33K_2xzzyCXQxoxA</recordid><startdate>20200213</startdate><enddate>20200213</enddate><creator>Kulakli, Fazil</creator><creator>Ilhanli, Ilker</creator><creator>Sari, Ilker Fatih</creator><creator>Türköz, Adem</creator><creator>Çelik, Canan</creator><general>The Scientific and Technological Research Council of Turkey</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9418-5840</orcidid><orcidid>https://orcid.org/0000-0003-0275-7093</orcidid><orcidid>https://orcid.org/0000-0002-7998-8992</orcidid><orcidid>https://orcid.org/0000-0002-5083-9731</orcidid><orcidid>https://orcid.org/0000-0003-0127-6503</orcidid></search><sort><creationdate>20200213</creationdate><title>Can the efficacy of subacromial corticosteroid injection be improved using a single- session mobilization treatment in subacromial impingement syndrome? A randomized single-blind controlled trial</title><author>Kulakli, Fazil ; Ilhanli, Ilker ; Sari, Ilker Fatih ; Türköz, Adem ; Çelik, Canan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-c5ad099d2c4d922baa9f97b449b09b04b90b365bb7d1e15bd8cdf1f4903f00b53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Female</topic><topic>Glucocorticoids - administration & dosage</topic><topic>Humans</topic><topic>Injections</topic><topic>Male</topic><topic>Manipulation, Orthopedic</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Range of Motion, Articular</topic><topic>Shoulder Impingement Syndrome - physiopathology</topic><topic>Shoulder Impingement Syndrome - therapy</topic><topic>Single-Blind Method</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kulakli, Fazil</creatorcontrib><creatorcontrib>Ilhanli, Ilker</creatorcontrib><creatorcontrib>Sari, Ilker Fatih</creatorcontrib><creatorcontrib>Türköz, Adem</creatorcontrib><creatorcontrib>Çelik, Canan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>TURKISH JOURNAL OF MEDICAL SCIENCES</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kulakli, Fazil</au><au>Ilhanli, Ilker</au><au>Sari, Ilker Fatih</au><au>Türköz, Adem</au><au>Çelik, Canan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can the efficacy of subacromial corticosteroid injection be improved using a single- session mobilization treatment in subacromial impingement syndrome? A randomized single-blind controlled trial</atitle><jtitle>TURKISH JOURNAL OF MEDICAL SCIENCES</jtitle><addtitle>Turk J Med Sci</addtitle><date>2020-02-13</date><risdate>2020</risdate><volume>50</volume><issue>1</issue><spage>205</spage><epage>212</epage><pages>205-212</pages><issn>1303-6165</issn><issn>1300-0144</issn><eissn>1303-6165</eissn><abstract>The objective in this study is to assess the short-term effects of a single-session mobilization in addition to subacromial corticosteroid (SACS) injection in impingement syndrome.
The study was designed as a prospective randomized controlled single-blind, parallel group clinical trial. Patients (totally 84) were divided randomly into two groups equally. Forty-two patients in Group 1 received mobilization and SACS injection, whereas 42 patients in Group 2 only received SACS injections. A single SACS injection was applied in all patients. Mobilization was administered as a single session right after SACS injection. Patients’ evaluations were performed measuring active range of motion (AROM), visual analogue scale (VAS) during activity and rest, and Disabilities of Arm, Shoulder, and Hand Score (DASH) prior to treatment and in the first and fourth weeks following the treatment.
Both groups showed significant improvement in terms of AROM, VAS, and DASH scores in each evaluation step (P < 0.05). Visual analogue scale activity in the first week was significantly better in Group 1 (P = 0.028). Also, flexion and abduction degrees showed significantly better outcomes in Group 1 (P = 0.007, P = 0.036).
Addition of single-session mobilization might provide rapid improvement in flexion and abduction as well as early pain relief following SACS injections.</abstract><cop>Turkey</cop><pub>The Scientific and Technological Research Council of Turkey</pub><pmid>31865665</pmid><doi>10.3906/sag-1909-51</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-9418-5840</orcidid><orcidid>https://orcid.org/0000-0003-0275-7093</orcidid><orcidid>https://orcid.org/0000-0002-7998-8992</orcidid><orcidid>https://orcid.org/0000-0002-5083-9731</orcidid><orcidid>https://orcid.org/0000-0003-0127-6503</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; PubMed Central; TÜBİTAK Scientific Journals |
| subjects | Adult Female Glucocorticoids - administration & dosage Humans Injections Male Manipulation, Orthopedic Middle Aged Prospective Studies Range of Motion, Articular Shoulder Impingement Syndrome - physiopathology Shoulder Impingement Syndrome - therapy Single-Blind Method |
| title | Can the efficacy of subacromial corticosteroid injection be improved using a single- session mobilization treatment in subacromial impingement syndrome? A randomized single-blind controlled trial |
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