1. [Cost-effectiveness of local steroid combined with therapeutic exercise in subacromial impingement syndrome].
- Author
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Ramírez-Ortiz J, Mendoza-Eufracio JD, García-Viveros MR, and Márquez-Celedonio FG
- Subjects
- Adolescent, Adult, Combined Modality Therapy, Exercise Therapy methods, Female, Humans, Injections, Intra-Articular, Male, Mexico, Middle Aged, Shoulder Impingement Syndrome economics, Treatment Outcome, Young Adult, Adrenal Cortex Hormones therapeutic use, Anti-Inflammatory Agents therapeutic use, Cost-Benefit Analysis, Exercise Therapy economics, Shoulder Impingement Syndrome therapy
- Abstract
Background: 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., Methods: 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., Results: 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., Conclusions: The combination of local steroids with therapeutic exercise is more effective clinically and declining disability compared to conventional physical therapy. more...
- Published
- 2017