Show simple item record

dc.contributor.authorCook, Tim
dc.contributor.authorMinns Lowe, Catherine
dc.contributor.authorMaybury, Mark
dc.contributor.authorLewis, Jeremy
dc.date.accessioned2018-06-04T16:43:36Z
dc.date.available2018-06-04T16:43:36Z
dc.date.issued2018-04-01
dc.identifier.citationCook , T , Minns Lowe , C , Maybury , M & Lewis , J 2018 , ' Are corticosteroid injections more beneficial than anaesthetic injections alone in the management of rotator cuff-related shoulder pain? A systematic review. ' , British Journal of Sports Medicine , vol. 52 , no. 8 , pp. 497-504 . https://doi.org/10.1136/bjsports-2016-097444
dc.identifier.issn0306-3674
dc.identifier.otherPURE: 13722232
dc.identifier.otherPURE UUID: 3471b28f-c628-4a15-931f-76cf3bc8f56e
dc.identifier.otherScopus: 85044847239
dc.identifier.urihttp://hdl.handle.net/2299/20116
dc.descriptionThis is the accepted version of the following article: Tim Cook, Catherine Minns Lowe, Mark Maybury, and Jeremy S. Lewis, ‘Are corticosteroid injections more beneficial than anaesthetic injections alone in the management of rotator cuff-related shoulder pain? A systematic review’, British Journal of Sports Medicine, April 2018, which has been published in final form at http://dx.doi.org/10.1136/bjsports-2016-097444. Published by BMJ Journals. © 2018 The Author(s). Content in the UH Research Archive is made available for personal research, educational, and non-commercial purposes only. Unless otherwise stated, all content is protected by copyright, and in the absence of an open license, permissions for further re-use should be sought from the publisher, the author, or other copyright holder.
dc.description.abstractObjective To compare the effectiveness of corticosteroid injections to local anaesthetic injections in the management of rotator cuff-related shoulder pain (RCRSP). Design Systematic review with best evidence synthesis. Data sources The Cochrane, PubMed, CINAHL Plus, PEDro and EMBASE electronic databases were searched (inception until 8 June 2017). Reference lists of included articles were also hand searched. Eligibility criteria Two reviewers independently evaluated eligibility. Randomised controlled trials (RCTs) were included if they compared subacromial injections of corticosteroid with anaesthetic injections. Two reviewers independently extracted data regarding short-term, midterm and long-term outcomes for pain, self-reported function, range of motion and patient-perceived improvement. Results Thirteen RCTs (n=1013) were included. Four trials (n=475) were judged as being at low risk of bias. Three studies of low risk of bias favoured the use of corticosteroid over anaesthetic-only injections in the short term (up to 8 weeks). There was strong evidence of no significant difference between injection types in midterm outcomes (12-26 weeks). There was limited evidence of no significant difference between injection types in long-term outcomes. Conclusion Corticosteroid injections may have a short-term benefit (up to 8 weeks) over local anaesthetic injections alone in the management of RCRSP. Beyond 8 weeks, there was no evidence to suggest a benefit of corticosteroid over local anaesthetic injections. Trial registration number PROSPERO CRD42016033161.en
dc.format.extent8
dc.language.isoeng
dc.relation.ispartofBritish Journal of Sports Medicine
dc.subjectreview
dc.subjectrotator cuff
dc.subjectsteroids
dc.subjectOrthopedics and Sports Medicine
dc.subjectPhysical Therapy, Sports Therapy and Rehabilitation
dc.titleAre corticosteroid injections more beneficial than anaesthetic injections alone in the management of rotator cuff-related shoulder pain? A systematic review.en
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionDepartment of Allied Health Professions, Midwifery and Social Work
dc.contributor.institutionDepartment of Allied Health Professions and Midwifery
dc.contributor.institutionPhysiotherapy
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85044847239&partnerID=8YFLogxK
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1136/bjsports-2016-097444
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record