The Effect of Combined PRP and Ideal Physiotherapy Program on Pain and Functionality in Shoulder Impingement Syndrome: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- Posture Assessment
研究概览
简要总结
Background Shoulder impingement syndrome is the most common disorder of the shoulder. Study results on the effectiveness of treatment options are inconclusive and limited. Therefore, more evidence is needed for long-term results Objective To investigate the effectiveness of the ideal physiotherapy protocol (IPRP-PT) applied after platelet-rich plasma (PRP) injection on pain and functionality in patients with shoulder impingement syndrome, and to propose an alternative treatment protocol.
Methods The study was performed in 54 patients with shoulder impingement syndrome who were injected with PRP. Patients were randomly divided into two equal groups. For 21 days, the study group received IPRP-PT study protocol, conventional physiotherapy and home exercise programme, while the control group received only conventional physiotherapy programme. Normal range of motion, muscle strength and posture were assessed. In addition, short form Mc-gill (SF-MPQ), Visual Analogue Scale (VAS), Constant Murley Shoulder Score, Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), Functional Impairment Test-Hand and Neck/Shoulder/Arm (FIT-HaNSA), were used.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 30-65 years
- •Diagnosis of stage I or II shoulder impingement syndrome
- •Received one dose of PRP injection
- •Referred for and seeking physical therapy
- •Voluntary participation
- •Ability to cooperate with the study procedures
排除标准
- •Previous surgical treatment for shoulder impingement syndrome
- •Presence of other orthopedic conditions (e.g., shoulder fractures)
- •Presence of neuromuscular disease
- •Presence of a pacemaker
- •Pregnancy
研究组 & 干预措施
Study group
干预措施: IPRP-PT Study Protocol (Other)
Study group
干预措施: Platelet Rich Plasma (PRP) (Drug)
Study group
干预措施: Conventional physiotherapy programme (Other)
Control Group
干预措施: Platelet Rich Plasma (PRP) (Drug)
Control Group
干预措施: Conventional physiotherapy programme (Other)
结局指标
主要结局
Posture Assessment
时间窗: Baseline and Day 21
Corbin posture scale was used. Postural scores obtained by looking laterally and posteriorly were summed and evaluated as (0-2: excellent, 3-4: very good, 5-7: good, 8-11: fair, 12≥ poor).
Range of Motion (ROM) Evaluation
时间窗: Baseline and Day 21
Normal joint movements were assessed using a universal goniometer. Passive and active shoulder joint flexion, extension, abduction, internal rotation, and external rotation were evaluated.
Manual Muscle Test
时间窗: Baseline and Day 21
During the manual muscle test, the patient was positioned appropriately for the muscle being evaluated. They were asked to actively perform the movement. The force generated by the muscle was evaluated by applying manual resistance. Muscle strength of the shoulder flexors, extensors, abductors, internal rotators, and external rotators was rated on a scale of 0-5 (no contraction 0, very weak 1, weak 2, moderate 3, good 4, and normal 5.
次要结局
- Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH)(Baseline and Day 21)
- Constant Murley Shoulder Score (CMS)(Baseline and Day 21)
- Pain Assessment(Baseline and Day 21)
- Functional Impairment Test-Hand and Neck/Shoulder/Arm (FIT-HaNSA)(Baseline and Day 21)
研究者
Hande Çağlıyan Erdoğan
Lecturer
Istinye University