Abstract | BACKGROUND: AIM: DESIGN OF STUDY: Systematic review. METHOD: An English language search for randomised controlled trials was conducted from: MEDLINE, EMBASE, CINAHL, PEDro, SIGLE, National Technical Information Service, British National Bibliography, Index of Scientific and Technical Proceedings databases, and the Cochrane Library. Randomised controlled trials were identified from reference lists of review and eligible articles. The studies were assessed using a recognised rating system of methodological trial quality. The conclusions and results of the identified studies, based on their main outcome measures, were then summarised. RESULTS: Nine randomised controlled trials were identified and four studies were rated as high quality. Three high quality studies showed a beneficial effect for the use of multiple corticosteroid injections with outcome measures of pain reduction, improved function, and increased range of shoulder movement. CONCLUSION: The evidence suggested that multiple injections were beneficial until 16 weeks from the date of the first injection. Up to three injections were beneficial, with limited evidence that four to six injections were beneficial. No evidence was found to support giving more than six injections.
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Authors | Nicholas Shah, Mark Lewis |
Journal | The British journal of general practice : the journal of the Royal College of General Practitioners
(Br J Gen Pract)
Vol. 57
Issue 541
Pg. 662-7
(Aug 2007)
ISSN: 0960-1643 [Print] England |
PMID | 17688763
(Publication Type: Journal Article, Review, Systematic Review)
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Chemical References |
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Topics |
- Adrenal Cortex Hormones
(administration & dosage)
- Adult
- Bursitis
(drug therapy, physiopathology)
- Humans
- Injections, Intra-Articular
- Randomized Controlled Trials as Topic
- Range of Motion, Articular
(physiology)
- Shoulder Joint
(physiopathology)
- Treatment Outcome
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