Subacromial impingement syndrome and pain: a randomised controlled trial of exercise and injection (the SUPPORT trial)

Keele University (UK)0 个研究点目标入组 256 人开始时间: 2011年3月22日最近更新: 2020年9月7日

适应症

试验速览

•1. 18 years and over, referred to interface service shoulder clinics with shoulder problems
•2. No history of significant shoulder trauma, for example, fracture or full thickness cuff tear
•3. A clinical diagnosis of subacromial impingement syndrome (SIS) i.e. pain in deltoid insertion area, positive Neer and HawkinsKennedy tests, pain on shoulder abduction
•Accurate diagnosis of SIS is challenging, but a combination of the patients? history and response to Neer and HawkinsKennedy tests (to rule SIS out with a negative test) and pain on shoulder abduction (to rule SIS in with a positive test) provides optimal sensitivity and specificity. Patients will not be required to undergo diagnostic imaging (eg MRI) to reflect current practice where treatment choices are informed by clinical findings;
•Target Gender: Male & Female ; Lower Age Limit 18 years

•·1. Below 18 years old
•2. Those whose main complaint is due to neck problems, acromioclavicular pathology, or other primary shoulder disorders including adhesive capsulitis or full thickness cuff tear
•3. Potentially serious pathology (inflammatory arthritis, polymyalgia rheumatica, malignancy etc) or ipsilateral shoulder surgery/replacement
•4. Those already on a surgical waiting list for shoulder surgery
•5. Contraindications to local corticosteroid injection (known blood coagulation disorders, warfarin therapy)
•6. Participation in a shoulderfocused exercise programme or shoulder injection in the last month
•7. Inability to provide written informed consent, complete written questionnaires, or read instruction leaflets written in English

发起方

Keele University (UK)