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This randomized clinical trial aims to compare the efficacy of corticosteroid injection and tendon dry needling for the treatment of subacromial impingement syndrome.
This randomized clinical trial will compare the efficacy of corticosteroid injection and tendon dry needling for the treatment of subacromial impingement syndrome.Participants will be randomized to receive either a corticosteroid injection or tendon dry needling treatment. The corticosteroid injection group will receive a single subacromial injection of 40mg triamcinolone acetonide under ultrasound guidance. The tendon dry needling group will receive a total of 3 sessions of dry needling treatment to the supraspinatus, infraspinatus, and subscapularis muscle tendons. Patients will be assessed before treatment, after treatment, after three weeks and after three months with visual analog scale, Shoulder Pain and Disability Index (SPADI) and shoulder range of motion measurements.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The corticosteroid (Triamcinolone Acetonide) injection group | Active Comparator | Participants in this group will receive a single subacromial injection of 40mg triamcinolone acetonide. |
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| Tendon dry needling group | Active Comparator | Participants in this group will receive a total of 3 sessions of dry needling treatment to the supraspinatus, infraspinatus, and subscapularis muscle tendons. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Corticosteroid injection | Procedure | Subacromial injection of 40mg triamcinolone acetonide. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Visual Analog Scale for Pain | A Visual Analog Scale (VAS) for pain is a commonly used tool to measure the intensity of pain experienced by a patient. It typically consists of a horizontal or vertical line, typically 10 centimeters long, with endpoints labeled as "no pain" and "worst possible pain." The patient is asked to mark on the line the point that best represents the intensity of their pain, with the distance from the "no pain" end of the line to the patient's mark representing the pain score. | First day, after three weeks, after three months |
| Change in The Shoulder Pain and Disability Index (SPADI) | The Shoulder Pain and Disability Index (SPADI) is a validated patient-reported outcome measure that is commonly used to assess pain and functional disability related to shoulder disorders. The SPADI consists of 13 items that assess pain and disability in two domains: 1) pain and 2) disability. The pain domain consists of five items that assess the intensity and frequency of shoulder pain, while the disability domain consists of eight items that assess the impact of shoulder pain on daily activities such as sleeping, dressing, and carrying objects. | First day, after three weeks, after three months |
| Change in Range Of Motion (ROM) Measurements | ROM of the shoulder joint is typically assessed using a goniometer, a device that measures joint angles. The goniometer is used to measure the degree of movement in different directions, including flexion, extension, abduction, adduction, internal rotation, and external rotation. The measurements obtained from the goniometer can then be used to determine the improvement or deterioration in ROM over time, which can be an indicator of treatment efficacy. | First day, after three weeks, after three months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mustafa H Temel, M.D. | Contact | +905342714872 | mhuseyintemel@gmail.com | |
| Fatih Bağcıer, M.D. | Contact | 05442429042 | bagcier_42@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Mustafa H Temel, M.D. | Uskudar State Hospital | Principal Investigator |
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Individual participant data will be shared upon reasonable request by the corresponding author.
1 month.
Individual participant data will be shared upon reasonable request by the corresponding author.
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| ID | Term |
|---|---|
| D020069 | Shoulder Pain |
| D019534 | Shoulder Impingement Syndrome |
| ID | Term |
|---|---|
| D018771 | Arthralgia |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D000305 | Adrenal Cortex Hormones |
| D000079245 | Dry Needling |
| ID | Term |
|---|---|
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
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Randomized controlled trial
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The outcomes assessor will be blinded.
| Dry Needling | Procedure | Dry needling treatment to the supraspinatus, infraspinatus, and subscapularis muscles tendons. |
|
| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000070599 | Shoulder Injuries |
| D014947 | Wounds and Injuries |
| D026741 | Physical Therapy Modalities |