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CompletedNCT03652480Updated Aug 31, 2018

Shoulder Corticosteroid Injection in Diabetic Patients

An observational study in Shoulder Pain, Corticosteroid Injection and Type2 Diabetes Mellitus, sponsored by University of Turin, Italy. Completed. Open to participants aged 40 Years to 85 Years. Per ClinicalTrials.gov, last updated 2018-08-31.

Sponsored by University of Turin, Italy · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
20
Ages
40 Years to 85 Years
Sex
All
01

Study summary

In type 2 diabetic patients affected by chronic shoulder pain, subacromial injection with corticosteroid could be an effective treatment. The aim of this study was to measure the risk-benefit ratio of this treatment.Twenty patients with well-controlled diabetes were included in a prospective study. In a first pre-injection phase, patients were asked to measure glycemia for 7 days, before breakfast and dinner, then 2 hours after lunch and dinner. Baseline data including Constant Score (CS), Subjective Shoulder Value (SSV) and Numerical Rating Scale (NRS) for pain were collected. Patients were treated with subacromial injection with 40mg of Methylprednisolone Acetate and 2ml of Lidocaine. At discharge, patients were asked to re-measured glycemia for the following week.

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Conditions studied

  • Shoulder Pain
  • Corticosteroid Injection
  • Type2 Diabetes Mellitus

Keywords

  • shoulder pain
  • type 2 diabetes
  • subacromial corticosteroid injection
  • glycemia
  • efficacy
  • safety
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In context

Shoulder Pain

707 studies on the registry are indexed under Shoulder Pain; 152 are open to participants now.

This study's enrollment of 20 is below the median of 82 across 130 observational studies indexed under Shoulder Pain.

Browse Shoulder Pain studies →

Lead sponsor

University of Turin, Italy is the lead sponsor of 206 studies on the registry; 34 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
40 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Type-2 diabetic patients affected complaining of chronic shoulder pain resistant to at least 6 months of conservative therapy (NSAIDs, painkillers and physiotherapy).

Inclusion criteria

  • Consent to participate in the study.
  • Severe overall pain and night pain: Numerical Rating Scale (NRS) for pain[8] above or equal to 60/100; the scale was modified from 0-10 to 0-100 (0 = no pain 100 = unbearable pain).
  • No significant improvement after at least 2 courses of physiotherapy (including direct assistance from a physical therapist with specific exercises, manual therapy, and physical agents in order to reduce inflammation and pain).
  • Clinical signs of subacromial tendinobursitis, with or without signs of rotator cuff tear, defined as positive Neer, Yocum and Hawkins tests[9-15]. Pain experienced during the execution of these tests needed to reproduce the type of pain that patients complained the most.
  • No indication for surgery due to the age, concomitant comorbidities or patient's refusal to undergo surgery.
  • Well-controlled type-2 diabetes, defined as:

    • Fasting and pre-prandial blood glucose levels in the range of 90- 150mg/dL.
    • Hb1Ac \<64mmol/mol (corresponding to 8%) measured within 6 months.
  • A device for self-measurement of blood sugar levels at home
  • Patients need to have a recent (within 6 months) x-ray and an MRI or ultrasound of the affected shoulder

Exclusion criteria

Exclusion Criteria:

  • Corticosteroid treatment in the past 3 months.
  • Complaints of shoulder stiffness more than shoulder pain.
  • Symptomatic glenohumeral arthritis defined as shoulder stiffness plus moderate radiographic signs of arthritis (grade >2 according to Hamada classification and grade >1 according to Samilson-Prieto classification for eccentric and concentric arthritis respectively).
  • Shoulder trauma within 3 months of inclusion evaluation for in this study.
  • High blood pressure values (systolic blood pressure >140mmHg, diastolic blood pressure >80mmHg).
  • Glaucoma.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
20 participants (actual)
Patient registry
No

Interventions

  • DrugMethylPREDNISolone Acetate 40 MG/ML
06

What researchers measure

Primary outcomes

  1. Glycemia

    Post-injections glucose blood levels (mg/dl)

    Time frame: Patients were requested to measure their blood sugar levels 4 times a day for the following 7 days

Secondary outcomes

  1. Constant Score (CS)

    The CS is a 100-points scale composed of a number of individual parameters. These parameters define the level of pain and the ability to carry out the normal daily activities of the patient. Subjective findings (severity of pain, activities of daily living and working in different positions) of the participants are responsible for 35 points and objective measurements (active range of motion without pain, measurements exo -and endorotation via reference points and measuring muscle strength) are responsible for the remaining 65 points.

    Time frame: 30 days post-injection, 6 months post-injection

  2. Oxford Shoulder Score (OSS)

    The OSS questionnaire contains 12 items, each with five potential answers. Patients are asked to rate their symptoms between 1 (minimal symptoms) and 5 (severe symptoms). The combined total gives a minimum score of 12 and a maximum of 60

    Time frame: 30 days post-injection, 6 months post-injection

  3. Subjective Shoulder Value (SSV)

    The SSV is defined as a patient's subjective shoulder assessment expressed as a percentage of an entirely normal shoulder, which would score 100%

    Time frame: 30 days post-injection, 6 months post-injection

  4. Subjective Outcomes Determination (SOD) score

    The SOD score is a simple tool with a categorical and a numerical component to compare surgical outcomes to both the preoperative status as well as to the preinjury state. Patients are asked to compare how they feel currently to how they felt before their surgery and to state if they overall consider themselves to be better, worse ore they are not sure. If they feel better, they are asked to indicate if they consider the operated part of the body to be Improved, Greatly improved, Almost Normal, or Normal. If they feel worse, the respondent is asked if they are Worse, Profoundly Worse, or As Bad As Dying

    Time frame: 30 days post-injection, 6 months post-injection

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Blonna D, Bonasia DE, Mattei L, Bellato E, Greco V, Rossi R. Efficacy and Safety of Subacromial Corticosteroid Injection in Type 2 Diabetic Patients. Pain Res Treat. 2018 Sep 20;2018:9279343. doi: 10.1155/2018/9279343. eCollection 2018. PubMed 30327731 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 31, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03652480
Lead sponsor
University of Turin, Italy
Responsible party
Enrico Bellato (Researcher, University of Turin, Italy) — Principal investigator
First posted
Aug 29, 2018
Start date
Mar 2013
Primary completion
Mar 2014
Completion
Sep 30, 2014
Last update
Aug 31, 2018
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2018. You cannot join it, but the record below documents what was studied.

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