Subacromial corticosteroid injection or acupuncture with home exercises when treating patients with subacromial impingement in primary care – a randomized clinical trial

Bergström, Anna; Schröder, Karin; Foldevi, Mats; Linde, Klaus

doi:10.1016/j.dza.2011.04.006

Cited by 5 publications

(15 citation statements)

References 28 publications

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“…Included studies investigated physical resources (n=11 for laser therapy,28 55–64 n=5 for pulsed electromagnetic field (PEMF),30 52 65–67 n=5 for ultrasound,29 62–64 68 n=2 for microwave therapy,29 69 and n=1 for transcutaneous electrical nerve stimulation70), exercise therapy (n=20),15 16 21–23 50 51 53 71–82 manual therapy (n=14),17–19 33 74 83–91 taping (n=6)24 25 54 92–94 and acupuncture (n=4) 26 27 95 96. GRADE analysis and synthesis of evidence for physical resources, exercise therapy, manual therapy and taping are presented in tables 1–4, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Acupuncture associated with home exercises versus corticosteroid injection : One study27 compared the effects of acupuncture associated with exercise therapy with injection of corticosteroid in 123 participants with SAPS. In a follow-up of 12 months, acupuncture associated with exercise therapy and corticosteroid injection was equally efficient to improve pain and function.…”

Section: Resultsmentioning

confidence: 99%

“…Conservative interventions to treat patients with subacromial pain include stretching and strengthening exercises,12–16 joint mobilisation and manipulation,17–20 scapular and proprioceptive training,21–23 taping,24 25 acupuncture26 27 and many physical modalities 28–30…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of physical therapy treatment of clearly defined subacromial pain: a systematic review of randomised controlled trials

et al. 2016

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Effectiveness of physical therapy treatment of clearly defined subacromial pain: a systematic review of randomised controlled trials

et al. 2016

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“…Acupuncture and electro-acupuncture (acupuncture with electrical stimulation of the inserted needles) are other common methods of treating shoulder pain. Despite its popularity (Kleinhenz et al, 1999;Molsberger et al, 2010;Johansson et al, 2011), findings from research investigating acupuncture in the treatment of shoulder pain have proven to be equivocal (Berry et al, 1980;Roach et al, 1991;Kleinhenz et al, 1999;Guerra de Hoyos et al, 2004;Green et al, 2005;Johansson et al, 2005;Lathia et al, 2009;Molsberger et al, 2010), as well as controversial (e.g. http://www.dcscience.net/?p=6089, Which?http:// www.which.co.uk/news/2014/01/five-surprising-fac ts-about-health-treatments-350088/).…”

Section: Introductionmentioning

confidence: 99%

Acupuncture and electro‐acupuncture for people diagnosed with subacromial pain syndrome: A multicentre randomized trial

Lewis

Sim

Barlas

2017

European Journal of Pain

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Background:Musculoskeletal disorders have been identified globally as the second most common healthcare problem for 'years lived with disability', and of these shoulder conditions are amongst the most common, frequently associated with substantial pain and morbidity. Exercise and acupuncture are often provided as initial treatments for musculoskeletal shoulder conditions but their clinical effectiveness is uncertain. This study compared group exercise with group exercise plus either acupuncture or electro-acupuncture in patients with subacromial pain syndrome. Methods:Two hundred and twenty-seven participants were recruited to a three-arm parallel-group randomized clinical trial. The primary outcome measure was the Oxford Shoulder Score. Follow-up was post treatment, and at 6 and 12 months. Between-group differences (two comparisons: the exercise group versus each of the acupuncture groups) were analysed at 6 months. A similar comparison across all follow-up time points was also conducted. Data were analysed on intentionto-treat principles with imputation of missing values. Results:Treatment groups were similar at baseline, and all treatment groups demonstrated an improvement over time. Between-group estimates at 6 months were, however, small and nonsignificant, for both of the comparisons. The analyses across all follow-up time points yielded similar conclusions. There was a high rate of missing values (22% for the Oxford Shoulder Score). A sensitivity analysis using complete data gave similar conclusions to the analysis with missing values imputed. Conclusions:In the current investigation, neither acupuncture nor electro-acupuncture were found to be more beneficial than exercise alone in the treatment of subacromial pain syndrome. These findings may support clinicians with treatment planning. Significance:Shoulder pain is common and associated with substantial morbidity. Acupuncture is a popular treatment for shoulder pain. The findings suggest that acupuncture and electro-acupuncture offer no additional benefit over exercise in the treatment of shoulder pain of musculoskeletal origin.3

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“…The original searches of seven systematic reviews identified 27 RCTs with a low risk of bias (reported in 29 articles; Appendix VIB; Abrisham et al, 2011;Ainsworth et al, 2007;Albert et al, 2007;Barra Lopez et al, 2013;Bennell et al, 2010;Bergman et al, 2004;Bron et al, 2011;Cacchio et al, 2006;Cook et al, 2014;Engebretsen et al, 2009Engebretsen et al, , 2011Geraets et al, 2005;Gerdesmeyer et al, 2003;Ginn & Cohen, 2005;Guerra de Hoyos et al, 2004;Haahr & Andersen, 2006;Haahr et al, 2005;Hay et al, 2003;Johansson et al, 2011;Lombardi et al, 2008;Ludewig & Borstad, 2003;Molsberger et al, 2010;Santamato et al, 2009;Speed et al, 2002;Szczurko et al, 2009;Van Der Heijden et al, 1999;Vas et al, 2008). Four articles reported outcomes of different follow-ups based on two RCTs conducted by Engebretsen et al (2009Engebretsen et al ( , 2011, Haahr and Andersen (2006), and Haahr et al (2005).…”

Section: Evidence From Original Searchesmentioning

confidence: 99%

Noninvasive management of soft tissue disorders of the shoulder: A clinical practice guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) collaboration

Côté

Wong

et al. 2021

European Journal of Pain

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Shoulder pain is a common musculoskeletal condition in the general population. In the United States, the annual prevalence of shoulder pain was approximately 9% in adults in the period of 2002-2009 and shoulder pain ranked fourth behind low back pain, knee pain, and neck pain as the most prevalent musculoskeletal condition in 2009 (National Center for Health Statistics, 2011). Shoulder pain is a major cause of disability worldwide (Vos et al., 2016). Furthermore, shoulder pain places a significant economic burden on the healthcare system and society. Employed persons with shoulder pain require a median of 23 days off work in the United States and an average of 39 days off work in Canada (Saskatchewan Workers' Compensation Board,

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Subacromial corticosteroid injection or acupuncture with home exercises when treating patients with subacromial impingement in primary care – a randomized clinical trial

Cited by 5 publications

References 28 publications

Effectiveness of physical therapy treatment of clearly defined subacromial pain: a systematic review of randomised controlled trials

Effectiveness of physical therapy treatment of clearly defined subacromial pain: a systematic review of randomised controlled trials

Acupuncture and electro‐acupuncture for people diagnosed with subacromial pain syndrome: A multicentre randomized trial

Noninvasive management of soft tissue disorders of the shoulder: A clinical practice guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) collaboration

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