ISRCTN ISRCTN25817033
DOI https://doi.org/10.1186/ISRCTN25817033
Secondary identifying numbers 0705/789
Submission date
07/03/2006
Registration date
11/05/2006
Last edited
08/05/2013
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr Dickon Crawshaw
Scientific

Leeds General Infirmary
Physiotherapy Gymnasium
Great George Street
Leeds
LS1 3EX
United Kingdom

Phone +44 (0)113 3923245
Email dickon.crawshaw@nhs.net

Study information

Study designTwo-arm 12-week randomised trial with observational follow-up to 24 weeks
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study acronymSWOPS
Study objectivesTo investigate whether a combined approach of physiotherapy with subacromial corticosteroid injection is more effective in reducing pain and disability at 12 weeks than physiotherapy alone in older patients with moderate to severe shoulder pain due to subacromial impingement syndrome.
Ethics approval(s)Approved by the Leeds (West) Research Ethics Committee on 31/10/05, project reference 05/Q1205/174
Health condition(s) or problem(s) studiedSubacromial impingement syndrome
InterventionParticipants are randomised to receive one of the following treatments:
1. Subacromial corticosteroid (triamcinolone acetonide) injection combined with a standardised physiotherapy regimen
2. Standardised physiotherapy regimen alone
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Corticosteroid
Primary outcome measureThe shoulder pain and disability index (SPADI) at week 12 will be considered the primary outcome
Secondary outcome measures1. Participant global assessment of change from baseline will be recorded using a five-point scale
2. Overall health status will be recorded using the Euroqol
3. Information on use of therapeutic interventions from weeks 12 to 24 will be recorded
Overall study start date14/03/2006
Completion date14/03/2009

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants220
Key inclusion criteria1. Age 40 years or older with unilateral shoulder pain. Shoulder pain is defined as pain in the shoulder region, including the upper arm, elicited or exacerbated by active or passive shoulder movement.br/>2. Subject rating of pain as moderate or severe on a 3-point scale (mild/moderate/severe)
3. Non-capsular pattern of restriction where capsular pattern is defined as painful and limited passive glenohumeral mobility, lateral rotation must be relatively more restricted than abduction and medial rotation. Some loss of lateral rotation permitted but no more than 25% compared to opposite side.
4. Positive impingement test (Hawkins or Neer)
Key exclusion criteria1. Unable to give informed consent
2. Known blood coagulation disorders
3. Evidence of referred pain from the cervical spine or internal organs
4. Neurological abnormality of the shoulder
5. History of rheumatoid arthritis, polymyalgia rheumatica or other inflammatory arthritis
6. Bilateral shoulder pain
7. Contraindications to local steroid/lidocaine injection
8. Pregnancy or breastfeeding
9. Previous fracture, dislocation or surgery to shoulder, upper limb, neck, or thorax
10. No previous steroid injections in the symptomatic shoulder in the previous 6 months
11. No previous physiotherapy for the symptomatic shoulder in the previous 6 months
Date of first enrolment14/03/2006
Date of final enrolment14/03/2009

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Leeds General Infirmary
Leeds
LS1 3EX
United Kingdom

Sponsor information

West Yorkshire Primary Care Research and Development Unit (UK)
Government

Bradford South and West Primary Care Trust
Allerton Health Centre
Bell Dean Road
Bradford
BD15 7NJ
United Kingdom

Email sally-anne.pearson@bradford.nhs.uk

Funders

Funder type

Charity

Arthritis UK (UK) - formerly Arthritis Research Campaign (ref: 17236)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 28/06/2010 Yes No
Results article results 01/08/2013 Yes No