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

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.

• Authors: Julio Ramírez-Ortiz, José Dolores Mendoza-Eufracio, María Ricarda García-Viveros, Félix Guillermo Márquez-Celedonio
• Journal: Revista medica del Instituto Mexicano del Seguro Social (Rev Med Inst Mex Seguro Soc) 2017 Sep-Oct Vol. 55 Issue 5 Pg. 608-614 ISSN: 2448-5667 [Electronic] Mexico
• Vernacular Title: Costo-efectividad de esteroides locales combinados con ejercicio terapéutico en síndrome de pinzamiento subacromial.
• PMID: 29193943 (Publication Type: Journal Article, Randomized Controlled Trial)

Chemical References

• Adrenal Cortex Hormones
• Anti-Inflammatory Agents

Topics

• Adolescent
• Adrenal Cortex Hormones (therapeutic use)
• Adult
• Anti-Inflammatory Agents (therapeutic use)
• Combined Modality Therapy
• Cost-Benefit Analysis
• Exercise Therapy (economics, methods)
• Female
• Humans
• Injections, Intra-Articular
• Male
• Mexico
• Middle Aged
• Shoulder Impingement Syndrome (economics, therapy)
• Treatment Outcome
• Young Adult