Exercise therapy after corticosteroid injection for moderate to severe shoulder pain: Large pragmatic randomised trial

BMJ (Online)

Volumn 340, Issue 7762, 2010, Pages 30-

  Crawshaw, Dickon P ^a,b   Helliwell, Philip S ^b   Hensor, Elizabeth M A ^c   Hay, Elaine M ^d   Aldous, Simon J ^e   Conaghan, Philip G ^b,c  

^a Leeds Community Healthcare   (United Kingdom)

^b UNIVERSITY OF LEEDS   (United Kingdom)

^c CHAPEL ALLERTON HOSPITAL   (United Kingdom)

^d KEELE UNIVERSITY   (United Kingdom)

^e LEEDS TEACHING HOSPITALS NHS TRUST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

CORTICOSTEROID; PLACEBO; TRIAMCINOLONE ACETONIDE; ANALGESIC AGENT;

ADULT; AGED; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DISABILITY; FEMALE; FOLLOW UP; HUMAN; KINESIOTHERAPY; MAJOR CLINICAL STUDY; MALE; MANIPULATIVE MEDICINE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SHOULDER IMPINGEMENT SYNDROME; SHOULDER PAIN; TREATMENT OUTCOME; DISABLED PERSON; INTRAARTICULAR DRUG ADMINISTRATION; INTRAMUSCULAR DRUG ADMINISTRATION; METHODOLOGY; MIDDLE AGED; MULTIMODALITY CANCER THERAPY; PATIENT COMPLIANCE;

ADRENAL CORTEX HORMONES; ADULT; AGED; ANALGESICS; COMBINED MODALITY THERAPY; DISABLED PERSONS; EXERCISE THERAPY; FEMALE; HUMANS; INJECTIONS, INTRA-ARTICULAR; INJECTIONS, INTRAMUSCULAR; MALE; MIDDLE AGED; MUSCULOSKELETAL MANIPULATIONS; PATIENT COMPLIANCE; SHOULDER IMPINGEMENT SYNDROME; SHOULDER PAIN;

EID: 77956071194     PISSN: None     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.c3037     Document Type: Article

References (43)

1. Van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis 1995;54:959-64.
2. Linsell L, Dawson J, Zondervan K, Rose P, Randall T, Fitzpatrick R, et al. Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral. Rheumatology (Oxford) 2006;45:215-21. (Pubitemid 43160089)
3. Croft P, Pope D, Silman A. The clinical course of shoulder pain: prospective cohort study in primary care. Primary Care Rheumatology Society Shoulder Study Group. BMJ 1996;313:601-2.
4. Neer CS 2nd. Impingement lesions. Clin Orthop Relat Res 1983;173:70-7.
5. Ostor AJ, Richards CA, Prevost AT, Speed CA, Hazleman BL. Diagnosis and relation to general health of shoulder disorders presenting to primary care. Rheumatology (Oxford) 2005;44:800-5.
6. Chard MD, Hazleman R, Hazleman BL, King RH, Reiss BB. Shoulder disorders in the elderly: a community survey. Arthritis Rheum 1991;34:766-9.
7. Hay EM, Thomas E, Paterson SM, Dziedzic K, Croft PR. A pragmatic randomised controlled trial of local corticosteroid injection and physiotherapy for the treatment of new episodes of unilateral shoulder pain in primary care. Ann Rheum Dis 2003;62:394-9. (Pubitemid 36469727)
8. Van der Windt DA, Koes BW, Deville W, Boeke AJ, de Jong BA, Bouter LM. Effectiveness of corticosteroid injections versus physiotherapy for treatment of painful stiff shoulder in primary care: randomised trial. BMJ 1998;317:1292-6. (Pubitemid 28502415)
9. Winters JC, Sobel JS, Groenier KH, Arendzen HJ, Meyboom-de Jong B. Comparison of physiotherapy, manipulation, and corticosteroid injection for treating shoulder complaints in general practice: randomised, single blind study. BMJ 1997;314:1320-5.
10. Green S, Buchbinder R, Glazier R, Forbes A. Systematic review of randomised controlled trials of interventions for painful shoulder: selection criteria, outcome assessment, and efficacy. BMJ 1998;316:354-60. (Pubitemid 28121262)
11. Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev 2003;2:CD004258.
12. Sauers EL. Effectiveness of rehabilitation for patients with subacromial impingement syndrome. J Athl Train 2005;40:221-3.
13. Morrison DS, Frogameni AD, Woodworth P. Non-operative treatment of subacromial impingement syndrome. J Bone Joint Surg Am 1997;79:732-7. (Pubitemid 27215408)
14. Engebretsen K, Grotle M, Bautz-Holter E, Sandvik L, Juel NG, Ekeberg OM, et al. Radial extracorporeal shockwave treatment compared with supervised exercises in patients with subacromial pain syndrome: single blind randomised study. BMJ 2009;339:b3360.
15. Brox JI, Staff PH, Ljunggren AE, Brevik JI. Arthroscopic surgery compared with supervised exercises in patients with rotator cuff disease (stage II impingement syndrome). BMJ 1993;307:899-903.
16. Brox JI, Gjengedal E, Uppheim G, Bohmer AS, Brevik JI, Ljunggren AE, et al. Arthroscopic surgery versus supervised exercises in patients with rotator cuff disease (stage II impingement syndrome): a prospective, randomized, controlled study in 125 patients with a 2 1/2-year follow-up. J Shoulder Elbow Surg 1999;8:102-11.
17. Kuhn JE. Exercise in the treatment of rotator cuff impingement: a systematic review and a synthesized evidence-based rehabilitation protocol. J Shoulder Elbow Surg 2009;18:138-60.
18. Arroll B, Goodyear-Smith F. Corticosteroid injections for painful shoulder: a meta-analysis. Br J Gen Pract 2005;55:224-8. (Pubitemid 40361413)
19. Brox JI, Roe C, Saugen E, Vollestad NK. Isometric abduction muscle activation in patients with rotator tendinosis of the shoulder. Arch Phys Med Rehabil 1997;78:1260-7. (Pubitemid 27494644)
20. Carette S, Moffet H, Tardif J, Bessette L, Morin F, Fremont P, et al. Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo-controlled trial. Arthritis Rheum 2003;48:829-38. (Pubitemid 36302022)
21. Calis M, Akgun K, Birtane M, Karacan I, Calis H, Tuzun F. Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum Dis 2000;59:44-7. (Pubitemid 30303896)
22. MacDonald PB, Clark P, Sutherland K. An analysis of the diagnostic accuracy of the Hawkins and Neer subacromial impingement signs. J Shoulder Elbow Surg 2000;9:299-301.
23. Saunders S, Cameron G. Injection techniques in orthopaedic and sports medicine. W B Saunders, 1997.
24. ACPOM. A clinical guideline for the use of injection therapy by physiotherapists. Chartered Society of Physiotherapy, 1999.
25. Bang MD, Deyle GD. Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. J Orthop Sports Phys Ther 2000;30:126-37.
26. Senbursa G, Baltaci G, Atay A. Comparison of conservative treatment with and withoutmanual physical therapy for patients with shoulder impingement syndrome: a prospective, randomized clinical trial. Knee Surg Sports Traumatol Arthrosc 2007;15:915-21.
27. Roach KE, Budiman-Mak E, Songsiridej N, Lertratanakul Y. Development of a shoulder pain and disability index. Arthritis Care Res 1991;4:143-9.
28. Williams JW Jr, Holleman DR Jr, Simel DL. Measuring shoulder function with the shoulder pain and disability index. J Rheumatol 1995;22:727-32.
29. Tennant A, Conaghan PG. The Rasch measurement model in rheumatology: what is it and why use it? When should it be applied, and what should one look for in a Rasch paper? Arthritis Rheum 2007;57:1358-62.
30. Foster NE, Dziedzic KS, van der Windt DA, Fritz JM, Hay EM. Research priorities for non-pharmacological therapies for common musculoskeletal problems: nationally and internationally agreed recommendations. BMC Musculoskelet Disord 2009;10:3.
31. Watson J, Helliwell P, Morton V, Adebajo A, Dickson J, Russell I, et al. Shoulder acute pain in primary healthcare: is retraining effective for GP principals? SAPPHIRE - a randomized controlled trial. Rheumatology (Oxford) 2008;47:1795-802.
32. Bamji AN. Treatment of shoulder pain. Ann Rheum Dis 2004;63:607.
33. Van der Windt DA, Koes BW, Boeke AJ, Deville W, De Jong BA, Bouter LM. Shoulder disorders in general practice: prognostic indicators of outcome. Br J Gen Pract 1996;46:519-23. (Pubitemid 26313186)
34. Kuijpers T, van der Windt DA, Boeke AJ, Twisk JW, Vergouwe Y, Bouter LM, et al. Clinical prediction rules for the prognosis of shoulder pain in general practice. Pain 2006;120:276-85. (Pubitemid 43172862)
35. Ekeberg OM, Bautz-Holter E, Tveita EK, Juel NG, Kvalheim S, Brox JI. Subacromial ultrasound guided or systemic steroid injection for rotator cuff disease: randomised double blind study. BMJ 2009;338:a3112.
36. Adebajo AO, Nash P, Hazleman BL. A prospective double blind dummy placebo controlled study comparing triamcinolone hexacetonide injection with oral diclofenac 50 mg TDS in patients with rotator cuff tendinitis. J Rheumatol 1990;17:1207-10. (Pubitemid 20334701)
37. Petri M, Dobrow R, Neiman R, Whiting-O'Keefe Q, Seaman WE. Randomized, double-blind, placebo-controlled study of the treatment of the painful shoulder. Arthritis Rheum 1987;30:1040-5. (Pubitemid 17149914)
38. Vecchio PC, Hazleman BL, King RH. A double-blind trial comparing subacromialmethylprednisolone and lignocaine in acute rotator cuff tendinitis. Br J Rheumatol 1993;32:743-5.
39. Blair B, Rokito AS, Cuomo F, Jarolem K, Zuckerman JD. Efficacy of injections of corticosteroids for subacromial impingement syndrome. J Bone Joint Surg Am 1996;78:1685-9. (Pubitemid 27020615)
40. McInerney JJ, Dias J, Durham S, Evans A. Randomised controlled trial of single, subacromial injection of methylprednisolone in patients with persistent, post-traumatic impingement of the shoulder. Emerg Med J 2003;20:218-21. (Pubitemid 36617311)
41. Plafki C, Steffen R, Willburger RE, Wittenberg RH. Local anaesthetic injection with and without corticosteroids for subacromial impingement syndrome. Int Orthop 2000;24:40-2. (Pubitemid 30326277)
42. Roland M, Torgerson DJ. What are pragmatic trials? BMJ 1998;316:285.
43. Naredo E, Cabero F, Beneyto P, Cruz A, Mondejar B, Uson J, et al. A randomized comparative study of short term response to blind injection versus sonographic-guided injection of local corticosteroids in patients with painful shoulder. J Rheumatol 2004;31:308-14. (Pubitemid 38160754)