Dergiler / Eurasian Journal of Medical Investigation / 2021 / Cilt: 5 - Sayı: 1

Comparison of the Efficiency of Platelet-Rich Plasma and Corticosteroid Injection Therapies in Improving Pain and Shoulder Functions in Subacromial Impingement Syndrome

Sayfa
136–141
Yayın Tarihi
2022-11-06
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Although corticosteroid was more effective than the PRP in theshort term, it was observed that PRP was more effective in the long term

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objectives: Conservative treatment is the primary treatment modality for subacromial impingement syndrome (SIS),which includes rest, lifestyle changes, injections, strengthening the muscles around the scapula, ultrasound, and physical therapy modalities.
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Temel Bulgular & Veri:In the current study, it was aimedto evaluate and compare the pain and functional effects of PRP and corticosteroid injections, which are among the SISconservative treatment methods.Methods: Of 114 patients who were conservatively treated via the subacromial injection method, 83 patients who metthe study criteria were included.
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Sonuç & Katkı:Although corticosteroid was more effective than the PRP in theshort term, it was observed that PRP was more effective in the long term
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Objectives: Conservative treatment is the primary treatment modality for subacromial impingement syndrome (SIS),which includes rest, lifestyle changes, injections, strengthening the muscles around the scapula, ultrasound, and physical therapy modalities. While most patients who have received corticosteroid injections have reported recurrent symptoms, it was observed that there were no long-term effects and many complications were reported. Platelet-rich plasma(PRP) has recently attracted attention due to its many growth factors and proteins. In the current study, it was aimedto evaluate and compare the pain and functional effects of PRP and corticosteroid injections, which are among the SISconservative treatment methods.Methods: Of 114 patients who were conservatively treated via the subacromial injection method, 83 patients who metthe study criteria were included. Demographic data of the patients, such as age, gender, and the affected part, werecollected. The PRP and corticosteroid injection method applied to the subacromial space were recorded. The VisualAnalog Scale (VAS) and Constant-Murley Score (CMS) were used to evaluate the pain and functional effects at the timeof admission (pre-injection), and at 1, 3, and 6 months post-injection.Results: The VAS value of the PRP group at 1 month post-injection was higher than that in the corticosteroid group,while the 6-month post-injection value was lower. Althought he CMS values of the PRP group at 3 and 6 months postinjection were higher than those in the corticosteroid group, the 1-month post-injection value was lower than that inthe corticosteroid group.Conclusion: It can be said that the pain of the patients was reduced and their joint functions were increased as a resultof the PRP and corticosteroid injection treatments. Although corticosteroid was more effective than the PRP in theshort term, it was observed that PRP was more effective in the long term

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Bu Makaleye Atıf Yap

BİNGÖL, İ., BİÇİCİ, V. (2022). Comparison of the Efficiency of Platelet-Rich Plasma and Corticosteroid Injection Therapies in Improving Pain and Shoulder Functions in Subacromial Impingement Syndrome. Eurasian Journal of Medical Investigation, Cilt: 5 - Sayı: 1, 136–141. https://ajindex.com/articles/650389

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Kaynakça (16)

  1. Roddy E, Zwierska I, Hay EM, Jowett S, Lewis M, Stevenson K, et al. Subacromial impingement syndrome and pain: Protocol for a randomised controlled trial of exercise and corticosteroid injection (the SUPPORT trial). BMC Musculoskelet Disord 2014;15:81
  2. Gerber C, Galantay RV, Hersche O. The pattern of pain produced by irritation of the acromioclavicular joint and the subacromial space. J Shoulder Elbow Surg 1998;7:352–5
  3. Bigliani LU. The morphology of the acromion and its relationship to rotator cuff tears. Orthop Trans 1986;10:228
  4. Epstein RE, Schweitzer ME, Frieman BG, Fenlin JM, Mitchell DG. Hooked acromion: Prevalence on MR images of painful shoulders. Radiology 1993;187:479-81
  5. Toivonen DA, Tuite MJ, Orwin JF. Acromial structure and tears of the rotator cuff. J Shoulder Elbow Surg 1995;4:376–83
  6. Winters JC, Jorritsma W, Groenier KH, Sobel JS, Meyboom-de Jong B, Arendzen HJ. Treatment of shoulder complaints in general practice: Long term results of a randomised, single blind study comparing physiotherapy, manipulation, and corticosteroid injection. BMJ 1999;318:1395–6
  7. Morrison DS, Frogameni AD, Woodworth P. Non-operative treatment of subacromial impingement syndrome. J Bone Joint Surg Am 1997;79:732–7
  8. Lewis JS. Rotator cuff tendinopathy/subacromial impingement syndrome: Is it time for a new method of assessment? Br J Sports Med 2009;43:259–64
  9. Rees JD, Maffulli N, Cook J. Management of tendinopathy. Am J Sports Med 2009;37:1855–67
  10. Kon E, Filardo G, Delcogliano M, Presti ML, Russo A, Bondi A, et al. Platelet-rich plasma: New clinical application: A pilot study for treatment of jumper’s knee. Injury 2009;40:598–603
  11. Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 1990;13:227–36
  12. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 1987;214:160– 4
  13. Killian ML, Cavinatto L, Galatz LM, Thomopoulos S. Recent advances in shoulder research. Arthritis Res Ther 2012;14:214
  14. Molloy T, Wang Y, Murrell G. The roles of growth factors in tendon and ligament healing. Sports Med 2003;33:381–94
  15. Klein MB, Yalamanchi N, Pham H, Longaker MT, Chang J. Flexor tendon healing in vitro: Effects of TGF-beta on tendon cell collagen production. J Hand Surg Am 2002;27:615–20
  16. Kleinman M, Gross AE. Achilles tendon rupture following steroid injection. Report of three cases. J Bone Joint Surg Am 1983;65