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ISSN 2063-5346
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COMPARISON OF THE EFFECTIVENESS OF EARLY INTRA-SHOULDER INJECTION WITH RECEIVING ONLY PHYSIOTHERAPY TREATMENT IN PATIENTS WITH CHRONIC SHOULDER PAIN REFERRED TO THE ORTHOPEDIC CLINIC OF IMAM KHOMEINI AND GOLESTAN EDUCATIONAL CENTERS IN AHVAZ IN 202

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Payam Mohammad Hoseini , Armin Kia , Mohammad Fakoor , Hanon Sadoni
» doi: 10.31838/ecb/2023.12.s1.116

Abstract

Background & Aims: Objective to compare the effectiveness of corticosteroid injections with physiotherapy for the treatment of painful stiff shoulder. Methods: This study was designed as a prospective randomized. Subjects 78 patient for shoulder pain were enrolled in the study. Interventions Patients were randomly allocated to 6 weeks of treatment either with corticosteroid injections or physiotherapy. Primary outcome measures were the success of treatment as measured by scores on scales measuring improvement in the main complaint and pain, and improvement in scores on a scale measuring shoulder disability. Results: 18 (23 %) were male and 60 (67%) were female. The average age of the patients in this study also was 56.88 years. 73.1 % of subjects have an Adhesive capsulitis and 26.9% subacromial impingement (SI). The difference in improvement favored those treated with corticosteroids and physiotherapy in nearly all outcome measures; these differences were statistically significant. There was an improvement in overall shoulder disability and patient global assessment at 6 weeks in both groups treated with corticosteroid injection with physiotherapy and the group with physiotherapy treated; but we observed better results and significantly differences in corticosteroid injection with physiotherapy than physiotherapy group in all of variables except DASH Score (p=0. 171). The range of ROM improved at 6 weeks in those having injection with physiotherapy treatment was significant differences with who treated with physiotherapy (p=0.034). At 6- and 12-weeks differences between the groups were comparatively small.

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