The Shoulder Window of Opportunity Study (SWOP) - A pragmatic randomised trial comparing corticosteroid injection with timely physiotherapy with physiotherapy alone for older subjects with subacromial impingement syndrome and moderate to severe pain and disability. - The SWOP Study

West Yorkshire Primary Care R&D Unit0 个研究点目标入组 220 人开始时间: 2005年9月12日最近更新: 2019年11月25日

适应症

试验速览

暂无简介。

•1. Age 40 years or older with unilateral shoulder pain. Shoulder pain is defined as pain in the shoulder region, including the upper arm, elicited or exacerbated by active or passive shoulder movement.
•2. Subject rating of pain as moderate or severe on a 3 point scale (mild/moderate/severe).
•3. Non-capsular pattern of restriction where capsular pattern is defined as painful and limited passive glenohumeral mobility, lateral rotation must be relatively more restricted than abduction and medial rotation (van der Windt 1998 25). Some loss of lateral rotation permitted but no more than 25% compared to opposite side.
•4. Positive impingement test (Hawkins or Neer).
•Are the trial subjects under 18? no
•Number of subjects for this age range:
•F.1.2 Adults (18-64 years) yes
•F.1.2.1 Number of subjects for this age range
•F.1.3 Elderly (>=65 years) yes
•F.1.3.1 Number of subjects for this age range

•1. Unable to give informed consent
•2. Known blood coagulation disorders
•3. Evidence of referred pain from the cervical spine or internal organs.
•4. Neurological abnormality of the shoulder
•5. History of rheumatoid arthritis, polymyalgia rheumatica or other inflammatory arthritis
•6. Bilateral shoulder pain
•7. Contraindications to local steroid/lidocaine injection
•8. Pregnancy or breast feeding
•9. Previous fracture, dislocation or surgery to shoulder, upper limb, neck, or thorax
•10. No previous steroid injections in the symptomatic shoulder in the previous 6 months
•11. No previous physiotherapy for the symptomatic shoulder in the previous 6 months.

发起方

West Yorkshire Primary Care R&D Unit