(Cost-)Effectiveness of local corticosteroid injection versus physiotherapist-led exercise therapy in shoulder complaints: a multicenter randomized, 12 months comparative parallel-group trial

Erasmus Medical Center, Department of General Practice0 个研究点目标入组 213 人开始时间: 待定最近更新: 2024年6月11日

试验速览

暂无简介。

•1) contacted their GP due to a new episode of shoulder pain (ICPC L92 or L08 with unequivocal diagnosis of shoulder complaints);
•2) aged 18 years and over;
•3) corticosteroid injection or physiotherapist-led exercise therapy is indicated in this patient as recommended by the guideline for shoulder complaints issued by the NHG;
•4) signed informed consent form.

•1) They are outside the scope of the NHG guideline (eg, shoulder complaints due to recent serious trauma, malignity’s, systemic diseases, neurological or cardial diseases)
•2) There is a history of significant shoulder trauma (eg, dislocation, fracture or full thickness tear requiring surgery)
•3) They have received a corticosteroid injection or physiotherapy for shoulder complaints in the last 6 months
•4) local or systemic infection, after recent vaccination with live attenuated vaccine
•5) coagulopathy, use of anticoagulants
•6) A history of gastric ulcer
•7) Use of CYP3A-inductors
•8) Pregnancy
•9) Use of oral corticosteroids
•10) Allergy to corticosteroids or to anesthetics of the amide type or to the respective preservative (methyl or propyl parahydroxybenzoate or their metabolite para-aminobenzoic acid) or to sulfite;
•11) Unable to complete questionnaires in Dutch

发起方

Erasmus Medical Center, Department of General Practice