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首页> 外文期刊>Journal of shoulder and elbow surgery >A pilot randomized, controlled trial of treatment for painful arc of the shoulder.
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A pilot randomized, controlled trial of treatment for painful arc of the shoulder.

机译：一项针对肩部疼痛弧线的随机，对照试验性试验。

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There is a lack of evidence about the efficacy of routinely used interventions in shoulder pain, such as corticosteroid injection and physiotherapy. This pilot study was set up to assess the feasibility of a larger, randomized controlled trial. Patients with the clinical presentation of a painful arc of less than 6 months' duration were recruited through their general practitioners. A total of 112 patients were randomized to 4 groups: control, physiotherapy, a course of subacromial steroid injections, or both physiotherapy and steroid injections. The primary outcome measure was the Oxford Shoulder Score (OSS). Follow-up was 18 weeks and by postal questionnaire at 1 year. No significant differences were found within groups between the OSS scores or the Physical Health total of the Medical Outcomes Study Short Form 36 (SF-36) Health Survey at the beginning and end of the trial or at 1 year. By analysis of covariance, no significant differences were found between treatment groups. Larger studies are needed. A power calculation from our data suggests recruitment of more than 800 patients would be required to achieve a 90% chance of a clinically significant difference being detected between these groups.
机译：缺乏关于常规使用的干预措施（例如皮质类固醇注射和理疗）对肩部疼痛的疗效的证据。进行这项初步研究的目的是评估大型随机对照试验的可行性。通过其全科医生招募了临床症状少于6个月的患者。总共112例患者被随机分为4组：对照组，理疗，一疗程的肩峰下类固醇注射或物理疗法和类固醇注射。主要结果指标是牛津肩膀评分（OSS）。随访18周，术后1年进行邮寄问卷调查。在试验的开始和结束时或一年时，在OSS得分或医学成果研究简表36（SF-36）健康调查的身体健康总数之间，各组之间未发现显着差异。通过协方差分析，治疗组之间未发现显着差异。需要进行更大的研究。根据我们的数据进行的功效计算表明，需要招募800多名患者，才能有90％的机会在这些组之间检测出临床上的显着差异。

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