Comparison of the Effectiveness of Platelet-Rich Plasma, Corticosteroid, and Physical Therapy in Subacromial Impingement Syndrome

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dc.contributor.authorPasin, Tuğçe
dc.contributor.authorAtaoğlu, Safinaz
dc.contributor.authorPasin, Özge
dc.contributor.authorAnkaralı, Handan
dc.date.accessioned2020-04-30T22:41:27Z
dc.date.available2020-04-30T22:41:27Z
dc.date.issued2019
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000484127900010en_US
dc.descriptionPubMed: 31598597en_US
dc.description.abstractObjectives: This study aims to investigate and compare the efficacy of platelet-rich plasma (PRP) injection, corticosteroid injection, and physical therapy in addition to exercise treatment on pain, shoulder functions, and quality of life in patients with subacromial impingement syndrome (SAIS). Patients and methods: Ninety patients (37 males, 53 females; mean age 48.99 years; range, 33 to 60 years) who were diagnosed as Stage 2 SAIS were included in the study. Patients were randomized into three groups. PRP injection was administered into the subacromial space of the affected shoulder in group 1, corticosteroid injection was administered in the subacromial joint space in group 2, and 10 sessions of physical therapy were given in group 3 five times weekly including transcutaneous electrical nerve stimulation, ultrasound, and hot packs. Moreover, an exercise program was administered in all groups. visual analog scale (VAS) was used to determine the resting and moving shoulder pain; while the Shoulder Disability Questionnaire, Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire, and the University of California, Los Angeles Shoulder Rating Scale (UCLA SRS) were used to evaluate the functionality of patients. Quality of life was analyzed using a generic Short Form 36 (SF-36). Results: All scores improved in all three groups compared with the period before treatment. Comparison of the groups showed higher scores in group 1 compared to groups 2 and 3 at week eight on QuickDASH, UCLA SRS, VAS at rest and during activity, and SF-36 pain subgroup scores. Conclusion: All three treatment modalities were effective in the treatment of SAIS. However, we suggest that the inexpensive and noninvasive methods of physical therapy and exercise should be the first preferred treatment in SAIS owing to causing no adverse events.en_US
dc.description.sponsorshipDuzce University Research Fund (Scientific Research Projects)Duzce University [2015.04.03.393]en_US
dc.description.sponsorshipThis work was produced based on a research project funded by the Duzce University Research Fund (Scientific Research Projects) under grant number 2015.04.03.393.en_US
dc.identifier.doi10.5606/ArchRheumatol.2019.7225en_US
dc.identifier.endpage316en_US
dc.identifier.issn2148-5046
dc.identifier.issn1309-0283
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage308en_US
dc.identifier.urihttps://doi.org/10.5606/ArchRheumatol.2019.7225
dc.identifier.urihttps://hdl.handle.net/20.500.12684/3189
dc.identifier.volume34en_US
dc.identifier.wosWOS:000484127900010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherTurkish League Against Rheumatismen_US
dc.relation.ispartofArchives Of Rheumatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCorticosteroiden_US
dc.subjectexerciseen_US
dc.subjectphysical therapyen_US
dc.subjectplatelet-rich plasmaen_US
dc.titleComparison of the Effectiveness of Platelet-Rich Plasma, Corticosteroid, and Physical Therapy in Subacromial Impingement Syndromeen_US
dc.typeArticleen_US

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