Hyaluronic Acid, Corticosteroid and Electrotherapy in Subacromial Impingement Syndrome

Şeyhmus KAPLAN

Status

Completed

Conditions

Subacromial Impingement

Pain, Shoulder

Treatments

Drug: Corticosteroids Triamcinolone Acetonide

Drug: Hyaluronic acid

Other: Electrotherapy

Study type

Interventional

Funder types

Other

Identifiers

NCT04833738

Yuzuncu Yil University

Details and patient eligibility

About

Background: Electrotherapy, corticosteroid, and hyaluronic acid have been used to treat subacromial impingement syndrome. However, we need to compare treatment options to provide the optimal results. This study aims to compare the effect of hyaluronic acid, corticosteroid, and electrotherapy in subacromial impingement syndrome.

Design: Ninety five patients were randomised into three equal groups according to treatment types. Hyaluronic acid (20 mg/2ml, three times one week apart) or corticosteroid (triamcinolone acetonide, 40 mg/ml, single dose) treatments were applied as subacromial injections. Electrotherapy consisted of 14 sessions TENS (20 min.), hotpack (20 min.) and ultrasound (1.5watt/cm2, 1 MHz, 6 min.). Patients were evaluated before treatment, one and four weeks post end of treatment. Visual Analogue Scale (VAS), range of motion (ROM), and Shoulder Disability Questionnaire (SDQ) were used as outcome measures.

Enrollment

90 patients

Sex

All

Ages

20 to 50 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

The diagnosis of subacromial impingement syndrome

Exclusion criteria

Patients aged <20 or >50 years or who have the following medical conditions were excluded: physical therapy or injection in the past 6 months, shoulder instability, acute trauma, adhesive capsulitis, psychiatric illness, diabetes mellitus, malignancy.