scholarly journals Image-guided versus blind corticosteroid injections in adults with shoulder pain: A systematic review

2011 ◽  
Vol 12 (1) ◽  
Author(s):  
Edmund Soh ◽  
Wenyun Li ◽  
Keh Oon Ong ◽  
Wen Chen ◽  
Dianne Bautista
Keyword(s):  
Systematic Review ◽  
Shoulder Pain ◽  
Image Guided ◽  
Corticosteroid Injections

scholarly journals Are corticosteroid injections more beneficial than anaesthetic injections alone in the management of rotator cuff-related shoulder pain? A systematic review

2018 ◽  
Vol 52 (8) ◽  
pp. 497-504 ◽  
Author(s):  
Tim Cook ◽  
Catherine Minns Lowe ◽  
Mark Maybury ◽  
Jeremy S Lewis
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Shoulder Pain ◽  
Local Anaesthetic ◽  
Risk Of Bias ◽  
Long Term Outcomes ◽  
Short Term ◽  
Significant Difference ◽  
Corticosteroid Injections

ObjectiveTo compare the effectiveness of corticosteroid injections to local anaesthetic injections in the management of rotator cuff-related shoulder pain (RCRSP).DesignSystematic review with best evidence synthesis.Data sourcesThe Cochrane, PubMed, CINAHL Plus, PEDro and EMBASE electronic databases were searched (inception until 8 June 2017). Reference lists of included articles were also hand searched.Eligibility criteriaTwo reviewers independently evaluated eligibility. Randomised controlled trials (RCTs) were included if they compared subacromial injections of corticosteroid with anaesthetic injections. Two reviewers independently extracted data regarding short-term, midterm and long-term outcomes for pain, self-reported function, range of motion and patient-perceived improvement.ResultsThirteen RCTs (n=1013) were included. Four trials (n=475) were judged as being at low risk of bias. Three studies of low risk of bias favoured the use of corticosteroid over anaesthetic-only injections in the short term (up to 8 weeks). There was strong evidence of no significant difference between injection types in midterm outcomes (12–26 weeks). There was limited evidence of no significant difference between injection types in long-term outcomes.ConclusionCorticosteroid injections may have a short-term benefit (up to 8 weeks) over local anaesthetic injections alone in the management of RCRSP. Beyond 8 weeks, there was no evidence to suggest a benefit of corticosteroid over local anaesthetic injections.Trial registration numberPROSPERO CRD42016033161.

CLINICAL OUTCOME OF BLIND VERSUS SONOGRAPHIC GUIDED INFILTRATION OF CORTICO STEROID FOR PAINFUL SHOULDER CONDITIONS IN ADULTS – A COMPARATIVE STUDY

2021 ◽  
pp. 57-59
Author(s):  
Paramjit Singh ◽  
Rajesh Kapila ◽  
Sarika Kapila ◽  
Kamal Arora ◽  
Sheenam Bansal ◽  
...  
Keyword(s):  
Pain Relief ◽  
Shoulder Pain ◽  
Constant Score ◽  
Corticosteroid Injection ◽  
Visual Analogue Score ◽  
Functional Improvement ◽  
P Value ◽  
Painful Shoulder ◽  
Image Guided ◽  
Corticosteroid Injections

Background: Painful shoulder is one of the commonest ailmaent encountered in the outpatient department of orthopedica now a days. One of the ways to get relief from the pain is to instill intraarticular corticosteroids. Corticosteroid injections can be performed blind or with image guidance. The objective of this study was to compare the accuracy and efcacy of image guided intraarticular corticosteroid injections in shoulder pain versus blind, with specic reference to pain relief as per VAS and functional improvement as per constant score. Objective : To compare the efcacy of image guided intra-articular corticosteroid injection in shoulder pain versus blind method of inltration, with specic reference to 1. pain relief as per visual analogue score. 2. To compare post inltration functional improvement of as per constant score with these two methods. Methods: The present Study included 50 adults with a history of pain around the shoulder of three or more than three months duration and were divided into two groups of 25 patients each by simple computer based allocation. Results: Both groups showed improvement as per CONSTANT SCORE, (26.64 to 72.00, an improvement of 45.36 in USG group and 27.48 to 58.60, an improvement of 31.12 in blind group with significant p value of 0.001). Conclusion: USG inltration of corticosteroids in shoulder pain is a superior method compared to blind inltration as clearly established by signicant improvement in pain and range of motion (ROM) of shoulder joint (more in ultrasonic group compared to blind group) probably due to accurate needle placement and proper dosage of drug is delivered at the required site.

Baduanjin Exercise for Shoulder Pain: A Systematic Review

2020 ◽  
Vol 15 (1) ◽  
pp. 89-100
Author(s):  
Hyun-Tae Kim ◽  
Sang-Hyun Lee ◽  
Sun-Young Park ◽  
In Heo ◽  
Man-Suk Hwang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Shoulder Pain

Effects of electromyographic biofeedback interventions for shoulder pain and function: Systematic review and meta-analysis

2021 ◽  
pp. 026921552199095
Author(s):  
Danilo Harudy Kamonseki ◽  
Letícia Bojikian Calixtre ◽  
Rodrigo Py Gonçalves Barreto ◽  
Paula Rezende Camargo
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Confidence Interval ◽  
Shoulder Pain ◽  
Meta Analysis ◽  
Quality Of Evidence ◽  
Electromyographic Biofeedback ◽  
Mean Differences ◽  
And Function

Objective: To systematically review the effectiveness of electromyographic biofeedback interventions to improve pain and function of patients with shoulder pain. Design: Systematic review of controlled clinical trials. Literature search: Databases (Medline, EMBASE, CINAHL, PEDro, CENTRAL, Web of Science, and SCOPUS) were searched in December 2020. Study selection criteria: Randomized clinical trials that investigated the effects of electromyographic biofeedback for individuals with shoulder pain. Patient-reported pain and functional outcomes were collected and synthesized. Data synthesis: The level of evidence was synthesized using GRADE and Standardized Mean Differences and 95% confidence interval were calculated using a random-effects inverse variance model for meta-analysis. Results: Five studies were included with a total sample of 272 individuals with shoulder pain. Very-low quality of evidence indicated that electromyographic biofeedback was not superior to control for reducing shoulder pain (standardized mean differences = −0.21, 95% confidence interval: −0.67 to 0.24, P = 0.36). Very-low quality of evidence indicated that electromyographic biofeedback interventions were not superior to control for improving shoulder function (standardized mean differences = −0.11, 95% confidence interval: −0.41 to 0.19, P = 0.48). Conclusion: Electromyographic biofeedback may be not effective for improving shoulder pain and function. However, the limited number of included studies and very low quality of evidence does not support a definitive recommendation about the effectiveness of electromyographic biofeedback to treat individuals with shoulder pain.

Effects of Workplace-Based Intervention for Shoulder Pain: A Systematic Review and Meta-analysis

2020 ◽  
Author(s):  
Sol Patricia Beltran Picón ◽  
Gabriel de Amorim Batista ◽  
Ana Carolina Rodarti Pitangui ◽  
Rodrigo Cappato de Araújo
Keyword(s):  
Systematic Review ◽  
Shoulder Pain ◽  
Meta Analysis
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