Conservative Treatment can reduce the Rate of Arthroscopic Subacromial Decompression Surgery: A Randomised Control Trial
Bibliographic record
Abstract
OBJECTIVE: To relieve symptoms of subacromial pain syndrome, and associated upper limb functional limitations to reduce the need for arthroscopic subacromial decompression surgery for grade I, IItendinopathy by using a well-developed conservative treatment plan. METHODOLOGY: A randomized control clinical trial was performed on 100 patients suffering from subacromial pain syndrome in November 2020. Patients with failed previous pharmacological treatment and interest for subacromial decompression surgery were screened and selected after filling inclusion criteria (long-standing shoulder pain due to grade I, II supraspinatus tendon calcification diagnosed on radiograph, and upper limb functional limitation), randomly divided into two groups, the intervention group(n=50), and control group (n=50). The patients in the intervention group received moist-heat for 10 minutes, and isometric exercises, non-steroidal anti-inflammatory drugs twice a day for 12 weeks, then progressive resistance exercises along with medicine up to 24 weeks. The patients in the control group received routine medication or continued conventional remedies. The intensity of pain was measured by a numeric rating pain scale, and upper limb functional activities were measured by the disability of arm, shoulder, and hand index before and after treatment. RESULTS: Disability of arm, shoulder, and hand index score showed a significant improvement in upper limb functional activities (<0.05) in the intervention group after 12 and 24 weeks. Similarly, a significant improvement in pain intensity was observed in the intervention group (<0.05) after treatment compared to the control group. CONCLUSION: It was concluded that conservative treatment reduced shoulder pain, upper limb disabilities by improving upper limb functional capacity in subacromial pain syndrome patients.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".