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BMJ. 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.

Author information

1
Department of Physical Medicine and Rehabilitation, Ullevaal University Hospital, Kirkeveien 166, 0407 Oslo, Norway. kaiabe@medisin.uio.no

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.

PMID:
19755551
PMCID:
PMC2744862
DOI:
10.1136/bmj.b3360
[Indexed for MEDLINE]
Free PMC Article

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