Corticosteroid Injection Versus Tendon Dry Needling for Subacromial Impingement Syndrome

NCT ID: NCT05882786

Last Updated: 2023-05-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-01

Study Completion Date

2024-01-01

Brief Summary

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This randomized clinical trial aims to compare the efficacy of corticosteroid injection and tendon dry needling for the treatment of subacromial impingement syndrome.

Detailed Description

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This randomized clinical trial will compare the efficacy of corticosteroid injection and tendon dry needling for the treatment of subacromial impingement syndrome.Participants will be randomized to receive either a corticosteroid injection or tendon dry needling treatment. The corticosteroid injection group will receive a single subacromial injection of 40mg triamcinolone acetonide under ultrasound guidance. The tendon dry needling group will receive a total of 3 sessions of dry needling treatment to the supraspinatus, infraspinatus, and subscapularis muscle tendons. Patients will be assessed before treatment, after treatment, after three weeks and after three months with visual analog scale, Shoulder Pain and Disability Index (SPADI) and shoulder range of motion measurements.

Conditions

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Shoulder Pain Shoulder Impingement Syndrome Shoulder Impingement Subacromial Impingement Syndrome Subacromial Impingement

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized controlled trial
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The outcomes assessor will be blinded.

Study Groups

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The corticosteroid (Triamcinolone Acetonide) injection group

Participants in this group will receive a single subacromial injection of 40mg triamcinolone acetonide.

Group Type ACTIVE_COMPARATOR

Corticosteroid injection

Intervention Type PROCEDURE

Subacromial injection of 40mg triamcinolone acetonide.

Tendon dry needling group

Participants in this group will receive a total of 3 sessions of dry needling treatment to the supraspinatus, infraspinatus, and subscapularis muscle tendons.

Group Type ACTIVE_COMPARATOR

Dry Needling

Intervention Type PROCEDURE

Dry needling treatment to the supraspinatus, infraspinatus, and subscapularis muscles tendons.

Interventions

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Corticosteroid injection

Subacromial injection of 40mg triamcinolone acetonide.

Intervention Type PROCEDURE

Dry Needling

Dry needling treatment to the supraspinatus, infraspinatus, and subscapularis muscles tendons.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Adult patients aged 18-65 years old
* Diagnosis of subacromial impingement syndrome, confirmed by clinical examination and imaging (such as X-ray or MRI)
* Moderate to severe shoulder pain, with a score of at least 4 on a 0-10 visual analog scale (VAS) for pain
* Willingness to comply with the study protocol and attend all study visits and assessments
* Ability to provide informed consent to participate in the study.

Exclusion Criteria

* Contraindications to corticosteroid injection or dry needling, such as local infection, bleeding disorders, or allergy to the injectate or needle
* Previous shoulder surgery on the affected shoulder
* Other active shoulder conditions, such as rotator cuff tear or adhesive capsulitis, that may confound the study results
* Systemic conditions, such as rheumatoid arthritis or osteoarthritis, that may affect the shoulder joint and its function
* History of shoulder dislocation or instability
* Pregnancy or breastfeeding
* Current use of systemic corticosteroids or immunosuppressive drugs
* Injection to shoulder area in the past six months.
* Inability to complete the study assessments or follow the study protocol, such as due to cognitive impairment or language barrier.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Uskudar State Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Mustafa Hüseyin Temel

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mustafa H Temel, M.D.

Role: PRINCIPAL_INVESTIGATOR

Uskudar State Hospital

Central Contacts

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Mustafa H Temel, M.D.

Role: CONTACT

Phone: +905342714872

Email: [email protected]

Fatih Bağcıer, M.D.

Role: CONTACT

Phone: 05442429042

Email: [email protected]

Other Identifiers

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ImpDn1

Identifier Type: -

Identifier Source: org_study_id