subacromial impingement syndrome. Rotator cuff syndrome, Impingement syndrome of shoulder , Bursitis of shoulder
Conditions
Interventions
Intervention 1: In intervention group : 2 cc PRP is prepared according to the (Regenlab) manufacturar`s guidelines then is injected under ultrasound guidance using a lateral approach.If the WORC and D
Treatment - Drugs
In intervention group : 2 cc PRP is prepared according to the (Regenlab) manufacturar`s guidelines then is injected under ultrasound guidance using a lateral approach.If the WORC and DASH scores remai
Control group : The patients are received an individualized exercise program that is developed and supervised by a physician once a week. The patients are asked to exercise everyday for 3 months at ho
Sponsors
Iran University of Medical Science
Eligibility
Sex/Gender
All
Age
40 Years to No maximum
Inclusion criteria
Inclusion criteria: Inclusion criteria : A shoulder pain that has been lasted for more than three months , age over 40 exclusion criteria : Radicular pain , Other causes of shoulder pain such as the frozen shoulder, the history of shoulder surgery during 6 months ago , The inflammation disorders such as ; Rheumatoid arthritis , Fibromyalgia , Polymyalgia rheumatica . Full thickness tear of rotator cuff tendon , Ligamentous laxity or shoulder dislocation (a positive sulcus test or apprehensive test )
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Range Of Motion of shoulder joint. Timepoint: Before intervention and 1,3,6 months after intervention. Method of measurement: goniometer.;Strength of shoulder muscles. Timepoint: Before intervention and 1,3,6 months after intervention. Method of measurement: Muscle manual test (MMT).;WORC - score. Timepoint: Before intervention and 1,3,6 months after intervention. Method of measurement: WORC Questionnaire.;DASH- score. Timepoint: Before intervention and 1,3,6 months after intervention. Method of measurement: DASH Questionnaire.;Rotator cuff tendon pathology ( supra spinatus ,infra spinatus,teres minor, sub scapularis). Timepoint: Before intervention and 6 months after intervention. Method of measurement: MRI. | — |
Secondary
| Measure | Time frame |
|---|---|
| Acromiohumeral distance. Timepoint: Before intervention , 6 months after intervention. Method of measurement: MRI.;Sub acromion sub deltoid bursea pathology. Timepoint: Before intervention , 6 months after intervention. Method of measurement: MRI.;Glenohumeral fluid collections. Timepoint: Before intervention , 6 months after intervention. Method of measurement: MRI.;Acromion shape. Timepoint: Before intervention , 6 months after intervention. Method of measurement: MRI. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactParisa Nejati
Iran University of Medical Sciences
Outcome results
None listed