Effectiveness of physiotherapy and costs in patients with clinical signs of shoulder impingement
syndrome: One-year follow-up of a randomized controlled trial
Engelsk titel: Effectiveness of physiotherapy and costs in patients with clinical signs of shoulder impingement
syndrome: One-year follow-up of a randomized controlled trial
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Författare:
Kromer, Thilo O
;
de Bie, Rob A
;
Bastiaenen, Caroline H G
Språk: Eng
Antal referenser: 40
Dokumenttyp:
RCT
UI-nummer: 15029277
Sammanfattning
OBJECTIVES: To investigate the effect of manual physiotherapy and exercises compared with
exercises alone in patients with shoulder impingement syndrome one year after inclusion.
DESIGN: Randomized controlled trial.
SUBJECTS: Patients with shoulder impingement of more than 4 weeks.
METHODS: The intervention group received individualized manual physiotherapy plus individualized
exercises; the control group received individualized exercises only. Both groups had 10 treatments
over 5 weeks; afterwards all patients continued their exercises for another 7 weeks at home. Primary
outcomes were the Shoulder Pain and Disability Index and Patients’ Global Impression of Change.
The Generic Patient-Specific Scale was used as secondary outcome. Costs were recorded in a log-
book.
RESULTS: Ninety patients were included in the study and 87 could be analyzed at 1-year follow-up.
Both groups showed significant improvements in all outcome measures, but no difference was
detected between the groups. Only costs differed significantly in favour of the control group (p = 0.03)
after 5 weeks.
CONCLUSION: Individualized exercises resulted in lower costs than manual physiotherapy and
showed a significant effect on pain and functioning within the whole group after one year. Exercises
should therefore be considered as a basic treatment. Due to the progressive improvement that
occurred during the follow-up period with individualized exercises further treatments should be
delayed for 3 to 4 months.