Hyaluronic Acid, Corticosteroid and Electrotherapy in Subacromial Impingement Syndrome

Subakromiyal sıkışma Sendromunda Hyaluronik Asit, Kortikosteroid ve Elektroterapi


Lead Sponsor: Şeyhmus KAPLAN

Source Yuzuncu Yıl University
Brief Summary

Background: Electrotherapy, corticosteroid, and hyaluronic acid have been used to treat subacromial impingement syndrome. However, we need to compare treatment options to provide the optimal results. This study aims to compare the effect of hyaluronic acid, corticosteroid, and electrotherapy in subacromial impingement syndrome. Design: Ninety five patients were randomised into three equal groups according to treatment types. Hyaluronic acid (20 mg/2ml, three times one week apart) or corticosteroid (triamcinolone acetonide, 40 mg/ml, single dose) treatments were applied as subacromial injections. Electrotherapy consisted of 14 sessions TENS (20 min.), hotpack (20 min.) and ultrasound (1.5watt/cm2, 1 MHz, 6 min.). Patients were evaluated before treatment, one and four weeks post end of treatment. Visual Analogue Scale (VAS), range of motion (ROM), and Shoulder Disability Questionnaire (SDQ) were used as outcome measures.

Overall Status Completed
Start Date 2013-09-11
Completion Date 2014-05-28
Primary Completion Date 2013-12-10
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Visual Analogue Scale 1 min.
range of motion 5 min.
Shoulder Disability Questionnaire 15 min
Enrollment 90

Intervention Type: Drug

Intervention Name: Hyaluronic acid

Arm Group Label: hyaluronic acid

Intervention Type: Drug

Intervention Name: Corticosteroids Triamcinolone Acetonide

Description: triamcinolone acetonide, 40 mg/ml, single dose

Arm Group Label: corticosteroid

Intervention Type: Other

Intervention Name: Electrotherapy

Description: electrotherapy

Arm Group Label: Electrotherapy



Inclusion Criteria: - The diagnosis of subacromial impingement syndrome Exclusion Criteria: - Patients aged <20 or >50 years or who have the following medical conditions were excluded: physical therapy or injection in the past 6 months, shoulder instability, acute trauma, adhesive capsulitis, psychiatric illness, diabetes mellitus, malignancy.



Minimum Age:

20 Years

Maximum Age:

50 Years

Healthy Volunteers:


Verification Date


Responsible Party

Type: Sponsor-Investigator

Investigator Affiliation: Yuzuncu Yıl University

Investigator Full Name: Şeyhmus KAPLAN

Investigator Title: Department of Sports Medicine

Has Expanded Access No
Condition Browse
Number Of Arms 3
Arm Group

Label: Electrotherapy

Type: Active Comparator

Label: corticosteroid

Type: Active Comparator

Label: hyaluronic acid

Type: Active Comparator

Patient Data No
Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Primary Purpose: Treatment

Masking: Single (Outcomes Assessor)

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