- Turkish Journal of Medical Sciences
- Vol: 50 Issue: 1
- Can the efficacy of subacromial corticosteroid injection be improved using a single-session mobiliza...
Can the efficacy of subacromial corticosteroid injection be improved using a single-session mobilization treatment in subacromial impingement syndrome? A randomized single-blind controlled trial
Authors : Fazıl Kulakli, Ilker Ilhanli, Ilker Fatih Sari, Adem Türköz, Canan Çelik
Pages : 205-212
Doi:10.3906/sag-1909-51
View : 20 | Download : 7
Publication Date : 9999-12-31
Article Type : Makaleler
Abstract :Background/aim: The objective in this study is to assess the short-term effects of a single-session mobilization in addition to subacromial corticosteroid SACS injection in impingement syndrome.Materials and methods: The study was designed as a prospective randomized controlled single-blind, parallel group clinical trial. Patients totally 84 were divided randomly into two groups equally. Forty-two patients in Group 1 received mobilization and SACS injection, whereas 42 patients in Group 2 only received SACS injections. A single SACS injection was applied in all patients. Mobilization was administered as a single session right after SACS injection. Patient' evaluations were performed measuring active range of motion AROM , visual analogue scale VAS during activity and rest, and Disabilities of Arm, Shoulder, and Hand Score DASH prior to treatment and in the first and fourth weeks following the treatment.Results: Both groups showed significant improvement in terms of AROM, VAS, and DASH scores in each evaluation step P < 0.05 . Visual analogue scale activity in the first week was significantly better in Group 1 P = 0.028 . Also, flexion and abduction degrees showed significantly better outcomes in Group 1 P = 0.007, P = 0.036 . Conclusion: Addition of single-session mobilization might provide rapid improvement in flexion and abduction as well as early pain relief following SACS injections.Keywords : Subacromial impingement syndrome, mobilization, corticosteroid injection