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Randomized Controlled Trial
. 2009 Sep 15:339:b3360.
doi: 10.1136/bmj.b3360.

Radial extracorporeal shockwave treatment compared with supervised exercises in patients with subacromial pain syndrome: single blind randomised study

Kaia Engebretsen  1 , Margreth Grotle, Erik Bautz-Holter, Leiv Sandvik, Niels G Juel, Ole Marius Ekeberg, Jens Ivar Brox
Affiliations
Randomized Controlled Trial

Radial extracorporeal shockwave treatment compared with supervised exercises in patients with subacromial pain syndrome: single blind randomised study

Kaia Engebretsen et al. BMJ. .

Abstract

Objective: To compare the effectiveness of radial extracorporeal shockwave treatment with that of supervised exercises in patients with shoulder pain.

Design: Single blind randomised study.

Setting: Outpatient clinic of physical medicine and rehabilitation department in Oslo, Norway.

Participants: 104 patients with subacromial shoulder pain lasting at least three months.

Interventions: Radial extracorporeal shockwave treatment: one session weekly for four to six weeks. Supervised exercises: two 45 minute sessions weekly for up to 12 weeks. Primary outcome measure Shoulder pain and disability index.

Results: A treatment effect in favour of supervised exercises at 6, 12, and 18 weeks was found. The adjusted treatment effect was -8.4 (95% confidence interval -16.5 to -0.6) points. A significantly higher proportion of patients in the group treated with supervised exercises improved-odds ratio 3.2 (1.3 to 7.8). More patients in the shockwave treatment group had additional treatment between 12 and 18 weeks-odds ratio 5.5 (1.3 to 26.4).

Conclusion: Supervised exercises were more effective than radial extracorporeal shockwave treatment for short term improvement in patients with subacromial shoulder pain.

Trial registration: Clinical trials NCT00653081.

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Conflict of interest statement

Competing interests: None declared.

Figures

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Fig 1 Flow chart of study
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Fig 2 Mean shoulder pain and disability index scores with 95% confidence intervals for supervised exercises and radial extracorporeal shockwave treatment
See this image and copyright information in PMC

Comment in

References

    1. Faber E, Kuiper JI, Burdorf A, Miedema HS, Verhaar JA. Treatment of impingement syndrome: a systematic review of the effects on functional limitations and return to work. J Occup Rehabil 2006;16:7-25. - PubMed
    1. Brox JI. Shoulder pain. Best Pract Res Clin Rheumatol 2003;17:33-56. - PubMed
    1. Blaine TA, Kim YS, Voloshin I, Chen D, Murakami K, Chang SS, et al. The molecular pathophysiology of subacromial bursitis in rotator cuff disease. J Shoulder Elbow Surg 2005;14(1 suppl S):84-9S. - PubMed
    1. Green S, Buchbinder R, Glazier R, Forbes A. Systematic review of randomised controlled trials of interventions for painful shoulder: selection criteria, outcome assessment, and efficacy. BMJ 1998;316:354-60. - PMC - PubMed
    1. Bohmer A, Staff PH, Brox JI. Supervised exercises in relation to rotator cuff disease (impingement syndrome, stages 1 and II): a treatment regimen and its rationale. Physiother Theory Pract 1998;14:93-105.

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