Immediate changes in pressure pain sensitivity after thoracic spinal manipulative therapy in patients with subacromial impingement syndrome: A randomized controlled study

2015 ◽  
Vol 20 (4) ◽  
pp. 540-546 ◽  
Author(s):  
Joseph R. Kardouni ◽  
Scott W. Shaffer ◽  
Peter E. Pidcoe ◽  
Sheryl D. Finucane ◽  
Seth A. Cheatham ◽  
...  
Keyword(s):  
Pain Sensitivity ◽  
Spinal Manipulative Therapy ◽  
Impingement Syndrome ◽  
Randomized Controlled Study ◽  
Subacromial Impingement Syndrome ◽  
Controlled Study ◽  
Subacromial Impingement ◽  
Manipulative Therapy ◽  
Randomized Controlled ◽  
Thoracic Spinal

scholarly journals Treatment of Subacromial Impingement Syndrome: Platelet-Rich Plasma or Exercise Therapy? A Randomized Controlled Trial

2017 ◽  
Vol 5 (5) ◽  
pp. 232596711770236 ◽  
Author(s):  
Parisa Nejati ◽  
Armita Ghahremaninia ◽  
Farrokh Naderi ◽  
Safoora Gharibzadeh ◽  
Ali Mazaherinezhad
Keyword(s):  
Randomized Controlled Trial ◽  
Exercise Therapy ◽  
Muscle Force ◽  
Platelet Rich Plasma ◽  
Controlled Trial ◽  
Treatment Options ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Randomized Controlled

Background: Subacromial impingement syndrome (SAIS) is the most common disorder of the shoulder. The evidence for the effectiveness of treatment options is inconclusive and limited. Therefore, there is a need for more evidence in this regard, particularly for long-term outcomes. Hypothesis: Platelet-rich plasma (PRP) would be an effective method in treating subacromial impingement. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: This was a single-blinded randomized clinical trial with 1-, 3-, and 6-month follow-up. Sixty-two patients were randomly placed into 2 groups, receiving either PRP or exercise therapy. The outcome parameters were pain, shoulder range of motion (ROM), muscle force, functionality, and magnetic resonance imaging findings. Results: Both treatment options significantly reduced pain and increased shoulder ROM compared with baseline measurements. Both treatments also significantly improved functionality. However, the treatment choices were not significantly effective in improving muscle force. Trend analysis revealed that in the first and third months, exercise therapy was superior to PRP in pain, shoulder flexion and abduction, and functionality. However, in the sixth month, only shoulder abduction and total Western Ontario Rotator Cuff score were significantly different between the 2 groups. Conclusion: Both PRP injection and exercise therapy were effective in reducing pain and disability in patients with SAIS, with exercise therapy proving more effective.

Sign in / Sign up

Export Citation Format

Share Document