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The main purpose of this study is to compare treatment efficacy of different concentration dextrose injection in chronic subacromial bursitis .
Rotator cuff disorder with bursitis is one of the most frequent pathologies of the shoulder, which may cause serious restriction of daily activities and reduce quality of life. There are many ways in treating rotator cuff disorder with bursitis, including medication, physical therapy, kinesiological taping, acupuncture and local injection. Protholotherapy, which inject hyperosmolar dextrose to soft tissue, is a novel management in musculoskeletal disorders. However, only few trials exist in studying hyperosmolar dextrose injection for rotator cuff disorder with bursitis and most of them have small sample size and not randomized. The aim of this study was to figure out the effects of sonographically guided subacromial bursa injection with hyperosmolar dextrose in rotator cuff disorder with bursitis by a randomized controlled trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 15% Dextrose group | Experimental | 4.5cc 15% dextrose and 0.5cc 1% xylocaine was injected into inflamed subacromial bursa under sonographically guidance |
|
| control group | Placebo Comparator | 4.5cc normal saline and 0.5cc 1% xylocaine was injected into inflamed subacromial bursa under sonographically guidance |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 15% Dextrose | Procedure | inject 15% dextrose and xylocaine into subacrominal bursa under sonographically guidance |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline pain on activity at 1 week, 1 month, and 3 months after 3rd section of therapy | maximal visual analog scale (VAS) in the past week during shoulder activity. Visual analog scale is range from 0-10. The higher score indicated more severe pain. | before therapy sections, 1 week, 1 month, and 3 months after 3rd section of therapy |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline shoulder joint active range of motion (PROM) at 1 week, 1 month, and 3 months after 3rd section of therapy | abduction and flexion | before therapy sections, 1 week, 1 month, and 3 months after 3rd section of therapy |
| Change from Baseline Shoulder Pain and Disability Index (SPADI) score at 1 week, 1 month, and 3 months after 3rd section of therapy |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| MacKay Memorial Hospital | Taipei | Taiwan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32926850 | Derived | Chang YJ, Chang FH, Hou PH, Tseng KH, Lin YN. Effects of Hyperosmolar Dextrose Injection in Patients With Rotator Cuff Disease and Bursitis: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2021 Feb;102(2):245-250. doi: 10.1016/j.apmr.2020.08.010. Epub 2020 Sep 11. |
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| ID | Term |
|---|---|
| D005947 | Glucose |
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D006601 | Hexoses |
| D009005 | Monosaccharides |
| D000073893 | Sugars |
| D002241 | Carbohydrates |
| D000077324 |
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| Normal saline | Procedure | inject normal saline and xylocaine into subacrominal bursa under sonographically guidance |
|
Shoulder pain and disability questionnaire with two subscales, pain scale and function scale. Pain scale is range from 0-50. The higher scale indicates worse pain outcome. Function scale is range from 0-80. The higher scale indicates poor shoulder function. The total scale is summation of pain scale and function scale. |
| before therapy sections, 1 week, 1 month, and 3 months after 3rd section of therapy |
| Change from Baseline Ultrasound property at 1 week, 1 month, and 3 months after 3rd section of therapy | Thickness of bursa and elastogram | before therapy sections, 1 week, 1 month, and 3 months after 3rd section of therapy |
| Change from Baseline pain on resting at 1 week, 1 month, and 3 months after 3rd section of therapy | maximal visual analog scale (VAS) in the past week during resting. Visual analog scale is range from 0-10. The higher score indicated more severe pain. | before therapy sections, 1 week, 1 month, and 3 months after 3rd section of therapy |
| Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |