Physical Therapy Versus Steroid Injection for Shoulder Impingement Syndrome
Completed · Not applicable
Conditions studied: Shoulder Impingement Syndrome
In brief
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.
Key facts
- Study ID
- NCT01190891
- Run by
- Madigan Army Medical Center
- People needed
- 104
- Starts
- 2010-05-01
- Expected to finish
- 2013-08-01
- Last updated by the study team
- 2016-04-29
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Age between 18-65
- Read, write, and speak English
- Tricare beneficiary and eligible for healthcare at a military treatment facility
- Primary complaint of shoulder pain
- Meets diagnostic criteria for shoulder impingement (mentioned below)
- To be included in the study participants are required to have:
- pain with one of the 2 tests in category I, and
- pain with one test from either category II or category III. * "pain" is defined as reproduction of the usual pain that the subject experiences that makes up the nature of their complaint.
- Category I: Impingement signs
- Passive overpressure at full shoulder flexion with the scapula stabilized.
- Passive internal rotation at 90 degrees of shoulder flexion in the scapular plane and in progressive degrees of horizontal adduction.
- Category II: Active shoulder abduction Active shoulder abduction Category Ill: resisted break tests
- Abduction
- Internal rotation
- External rotation
You may not qualify if…
- History of shoulder injection in last 3 months
- History of shoulder dislocation, subluxation, fracture, adhesive capsulitis of the glenohumeral joint, or cervical/shoulder/upper back surgery
- Full-thickness rotator cuff tears
- Presence of cervical radiculopathy, radiculitis, or referral from cervical spine
- Total baseline SPADI score not less than 20% (to prevent a ceiling effect with treatment)
- Prior OMPT treatment to the involved limb for the current episode of pain
- Military service members pending a medical evaluation board, a physical valuation board, or equivalent discharge process, or in medical hold to determine long term disposition. For non-military personnel, anyone that is pending or undergoing any litigation for their injury.
- Contraindication to receiving a corticosteroid injection (allergies, adverse reactions, history of multiple injections in that area even if not within last 30 days, etc)
- Inability to fill out informed consent form
- Unable to come into the clinic for regular treatment over the course of the following month.
Where it is running
- Madigan Army Medical Center — Tacoma, Washington, United States
Full record on ClinicalTrials.gov
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