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The long term effectiveness of steroid injection for shoulder pain; a pragmatic randomised comparison with physiotherapy in primary care
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN24540377
Date ISRCTN assigned03/01/2003
Local reference number(s)H0563
Public titleThe long term effectiveness of steroid injection for shoulder pain; a pragmatic randomised comparison with physiotherapy in primary care
Scientific title
AcronymN/A
Disease/condition/study domainShoulder pain
Study hypothesisTo compare the long term effectiveness of local steroid injections administered by general practitioners with practice based physiotherapy for treating patients presenting in primary care with new episodes of unilateral shoulder pain.
Design/methodologyRandomised controlled trial
Research ethics reviewNot provided at time of registration
Countries of trialUnited Kingdom
Participants - inclusion criteria1. Males and females over 18 years with a clinical diagnosis of unilateral shoulder pain
2. First consultation with GP for this episode
3. Ability to understand and give informed consent
Participants - exclusion criteriaA history of inflammatory arthritis, polymyalgia rheumatica, or gross structural or neurological abnormality of the shoulder; contraindications to local steroid injection; history or examination leading to a suspicion of potentially serious disease; referred pain from neck or internal organs; clinical findings of ruptured rotator cuff; previous fracture or surgery to shoulder, upper limb, neck, or thorax; previous physical therapy for shoulder pain within the past 12 months; pregnancy or breast feeding.
Patient information material
Anticipated start date01/06/1998
Anticipated end date30/09/2000
Status of trialCompleted
Target number of participants207
Interventions1. Methyl prednisolone (40 mg) and lignocaine by local injection
2. Physiotherapy
Primary outcome measure(s)The primary outcome was disability at 6 months measured using a shoulder disability Questionnaire.
Secondary outcome measure(s)Secondary outcomes included: participants¿ global assessment of change compared with baseline; rating of pain severity; impairment of function; severity of main complaint; ranges of movement; co-interventions.
Publications1. Results in http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12695148
2. Results in http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=14965386
Sources of fundingArthritis Research Campaign
Sponsor nameArthritis Research Campaign (UK)
Sponsor detailsCopeman House
St Mary's Court
St Mary's Gate
Chesterfield
Derbyshire
United Kingdom
S41 7TD
Sponsor emailinfo@arc.org.uk
Sponsor websitehttp://www.arc.org.uk
Contact nameDr EM Hay
Contact detailsDepartment of Rheumatology
Haywood Hospital
High Lane
Burslem
Stoke-on-Trent
United Kingdom
ST6 7AG
Contact telephone+44 (0)1782 715444
Contact emaile.m.hay@cphc.keele.ac.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN24540377
Date last extracted from ISRCTN register17/04/2008
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