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Rev Med Inst Mex Seguro Soc. 2017 Sep-Oct;55(5):608-614.

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

[Article in Spanish; Abstract available in Spanish from the publisher]

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Departamento de Salud en el Trabajo, Unidad de Medicina Familiar No. 61, Instituto Mexicano del Seguro Social, Veracruz, Veracruz, México


in English, Spanish


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.


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.


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.


The combination of local steroids with therapeutic exercise is more effective clinically and declining disability compared to conventional physical therapy.


Shoulder; Shoulder impingement syndrome; Shoulder injuries

[Indexed for MEDLINE]

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