Subacromial impingement syndrome and pai

Not Applicable

Completed

• Conditions: Topic: Primary Care Research Network for England, Musculoskeletal; Musculoskeletal Diseases; Subacromial impingement syndrome; Subtopic: Not Assigned, Musculoskeletal (all Subtopics); Disease: Musculoskeletal, All Diseases

• Registration Number: ISRCTN42399123
• Lead Sponsor: Keele University (UK)

Brief Summary

2014 protocol in: http://www.ncbi.nlm.nih.gov/pubmed/24625273 2017 development and delivery in: http://www.ncbi.nlm.nih.gov/pubmed/28818450 2020 results in https://pubmed.ncbi.nlm.nih.gov/32816787/ (added 24/08/2020)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2011-03-22
• Study Completion: 2014-03-31
• Last Update Posted: 7 September 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 256

Inclusion Criteria

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

Exclusion Criteria

·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

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The Shoulder Pain and Disability Index (SPADI); Timepoint(s): Baseline questionnaire, 6 weeks follow-up questionnaire, 6 months follow-up questionnaire and 12 months