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2017, Number 5

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Rev Med Inst Mex Seguro Soc 2017; 55 (5)

Cost-effectiveness of local steroid combined with therapeutic exercise in subacromial impingement syndrome

Ramírez-Ortiz J, Mendoza-Eufracio JD, García- Viveros MR, Márquez-Celedonio FG

Language: Spanish
References: 24
Page: 608-614
PDF size: 379.71 Kb.


ABSTRACT

Background: The most common cause of injury is shoulder impingement syndrome. Management includes physical therapy, analgesics, steroids and surgery. The aim of the study was to determine the cost-effectiveness of using steroids combined with therapeutic exercise at home in the chronic impingement syndrome.
Methods: Clinical trial randomized in 30 people with subacromial impingement syndrome underwent two treatments: steroid and at home rehabilitation booklet evaluated at the first and fourth week through UCLA Shoulder rating scale
Results: We studied 17 men (56.7 %) and 13 women (43.3 %), mean age was 42.87 years. Group 2 earned greater improvement in UCLA Shoulder rating scale 18.87 at baseline and 27.60 at the end. With 30.27 accumulated disability days for group 1, and 14.80 for group 2.
Conclusions: The combination of local steroids with therapeutic exercise is more effective clinically and declining disability compared to conventional physical therapy.


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