Effects of conservative therapy applied before arthroscopic subacromial decompression on the clinical outcome in patients with stage 2 shoulder impingement syndrome.

Abstract

BACKGROUND/AIM:

To investigate the effects of conservative therapy applied before arthroscopic subacromial decompression on the clinical outcome in patients with stage 2 shoulder impingement syndrome.

MATERIALS AND METHODS:

Sixty-eight patients having stage 2 shoulder impingement syndrome and treated with arthroscopic subacromial decompression were included in the study. We divided these patients into 2 groups, whereby 32 (47%) patients received conservative therapy before arthroscopic subacromial decompression and 36 (53%) patients did not receive conservative therapy. We compared both groups in terms of the the Constant, UCLA, and VAS scores for shoulder pain before and after arthroscopic subacromial decompression.

RESULTS:

Constant, UCLA, and VAS scores were statistically significantly improved in both groups after arthroscopic subacromial decompression (P <0.001). Constant, UCLA, and VAS scores before arthroscopic subacromial decompression were statistically better in Group 1 than in Group 2 (P < 0.001). No statistically significant difference was found between the groups in terms of Constant, UCLA, and VAS scores after arthroscopic subacromial decompression (P > 0.05).

CONCLUSION:

Conservative therapy applied in patients with stage 2 shoulder impingement syndrome before arthroscopic subacromial decompression does not have a positive contribution on the clinical outcome after arthroscopic subacromial decompression.

• Authors: Ali Aydin, Vahit Yildiz, Murat Topal, Kutsi Tuncer, Mehmet Köse, Eyüp Şenocak
• Journal: Turkish journal of medical sciences (Turk J Med Sci) Vol. 44 Issue 5 Pg. 871-4 ( 2014) ISSN: 1300-0144 [Print] Turkey
• PMID: 25539560 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)

Topics

• Adult
• Aged
• Arthroscopy
• Combined Modality Therapy
• Decompression, Surgical (methods)
• Female
• Humans
• Male
• Middle Aged
• Pain Measurement
• Range of Motion, Articular
• Retrospective Studies
• Shoulder Impingement Syndrome (complications, pathology, physiopathology, surgery, therapy)
• Shoulder Joint (physiopathology)
• Shoulder Pain (etiology, therapy)
• Treatment Outcome
• Wound Healing