Evidence map›Paper›PMID 20584793›Full record

Trial reportBMJ (Clinical research ed.)2010

Exercise therapy after corticosteroid injection for moderate to severe shoulder pain: large pragmatic randomised trial.

Dickon P Crawshaw, Philip S Helliwell, Elizabeth M A Hensor, Elaine M Hay, Simon J Aldous, Philip G Conaghan

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03752619 (Peripheral Nerve Stimulation), which is not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
8.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03752619 nacompletednot on this mapstarted 2019, after this paper: background citation

Peripheral Nerve Stimulation(PNS) for Subacromial Impingement Syndrome(SIS)

TypeinterventionalSponsorMetroHealth Medical CenterRan2019 to 2024Enrolled116ConditionsShoulder Pain, Shoulder Impingement Syndrome, Shoulder Tendinitis, Shoulder BursitisArmsContracting Producing Peripheral Nerve Stimulation, Non Contracting Producing Peripheral Nerve Stimulation, Physical Therapy
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Guideline
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  3. Effectiveness of Occupational Therapy Interventions for Musculoskeletal Shoulder Conditions: A Systematic Review.The American journal of occupational therapy : official publication of the American Occupational Therapy Association
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Dickon P CrawshawLeeds Musculoskeletal and Rehabilitation Service, Leeds Community Healthcare, Leeds LS7 4SA.
Philip S Helliwell
Elizabeth M A Hensor
Elaine M Hay
Simon J Aldous
Philip G Conaghan
University of Leeds · GBKeele University · GBLeeds Community Healthcare NHS Trust · GBLeeds Teaching Hospitals NHS Trust · GBNIHR Leeds Musculoskeletal Biomedical Research Unit · GB

Funding

Department of Health RP-PG-0707-10131
6 · The paper itself

Abstract

objectiveTo compare the effectiveness of subacromial corticosteroid injection combined with timely exercise and manual therapy (injection plus exercise) or exercise and manual therapy alone (exercise only) in patients with subacromial impingement syndrome.

designPragmatic randomised clinical trial.

settingPrimary care based musculoskeletal service. Patients Adults aged 40 or over with subacromial impingement syndrome with moderate or severe shoulder pain.

interventionsInjection plus exercise or exercise only.

main outcome measuresPrimary outcome was the difference in improvement in the total shoulder pain and disability index at 12 weeks.

results232 participants were randomised (115 to injection plus exercise, 117 to exercise only). The mean age was 56 (range 40-78), 127 were women, and all had had a median of 16 weeks of shoulder pain (interquartile range 12-28). At week 12 there was no significant difference between the groups in change in total pain and disability index (mean difference between change in groups 3.26 (95% confidence interval -0.81 to 7.34), P=0.116). Improvement was significantly greater in the injection plus exercise group at week 1 (6.56, 4.30 to 8.82) and week 6 (7.37, 4.34 to 10.39) for the total pain and disability index (P<0.001), with no differences at week 24 (-2.26, -6.77 to 2.25, P=0.324).

conclusionsIn the treatment of patients with subacromial impingement syndrome, injection plus exercise and exercise only are similarly effective at 12 weeks. Trial registration ISRCT 25817033; EudraCT No 2005-003628-20.

Indexed as

Adrenal Cortex HormonesAdultAgedAnalgesicsCombined Modality TherapyExercise TherapyFemaleHumansInjections, Intra-ArticularInjections, IntramuscularMaleMiddle AgedMusculoskeletal ManipulationsPatient CompliancePersons with DisabilitiesShoulder Impingement SyndromeAdrenal Cortex HormonesAnalgesics

Identifiers

PMID20584793
PMCPMC2893301
OpenAlexW2166823752

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.