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Comparison of the Efficacy of Local Corticosteroid Injection and Physical Therapy on Pain Severity, Joint Range of Motion and Muscle Strength in Patients with Shoulder Impingement Syndrome Referred to Rasool-e-Akram Medical Center from April 2008 to September 2009

Author(s): Ali Yeganeh | Mahsa Abdollahi | Morteza Nakhaei Amroodi | Hosein Farahini

Journal: Medical Journal of the Islamic Republic of Iran
ISSN 1016-1430

Volume: 25;
Issue: 3;
Start page: 142;
Date: 2011;
Original page

Keywords: Shoulder Impingement Syndrome (SIS) | Physiotherapy | Subacromial Corticosteroid Injection | Randomized Clinical Trial (RCT)

Backgrounds: Subacromial impingement is a common cause of shoulder pain and many patients with this condition recover with conservative management. The most commonly used modalities of nonoperative treatment include activity modification, anti-inflammatory medication and subacromial injection of steroid and ultrasound and physical therapy programs. This study assessed the value of physiotherapy versus subacromial corticosteroid injection in patients with shoulder impingement syndrome (SIS). Methods: Seventy three patients with SIS enrolled in the study and treated through physiotherapy (n=37) and subacromial corticosteroid injection (n=36). Two follow-up sessions accomplished at the end of 4th week and 3rd month of treatment respectively. Results: Corticosteroid injection caused dramatic improvement in the painful state (p
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