Synnøve Kristin Kvalheim

• Moosmeyer, Stefan; Ekeberg, Ole Marius; Hallgren, Hanna Bjørnsson; Heier, Ingar; Kvalheim, Synnøve Kristin & Juel, Niels Gunnar [Show all 9 contributors for this article] (2023). Ultrasound guided lavage with corticosteroid injection versus sham lavage with and without corticosteroid injection for calcific tendinopathy of shoulder: randomised double blinded multi-arm study. The BMJ. 383. doi: 10.1136/bmj-2023-076447. Full text in Research Archive
• Moosmeyer, Stefan; Ekeberg, Ole Marius; Hallgren, Hanna Bjørnsson; Heier, Ingar; Kvalheim, Synnøve Kristin & Blomquist, Jesper [Show all 11 contributors for this article] (2017). KALK study: ultrasound guided needling and lavage (barbotage) with steroid injection versus sham barbotage with and without steroid injection - protocol for a randomized, double-blinded, controlled, multicenter study. BMC Musculoskeletal Disorders. 18:138, p. 1–9. doi: 10.1186/s12891-017-1501-9. Full text in Research Archive Show summary

  Background: For the treatment of calcific tendinitis of the shoulder a variety of treatment regimes exist. Commonly used treatment measures include medication with oral analgesics, corticosteroid injections, extracorporeal shockwave therapy, ultrasound guided needling and lavage, and surgical treatment. Earlier cohort studies suggest that patients may benefit from these treatments, but there are few randomized studies and conflicting evidence about the effectiveness of the various treatments. In the present study we aim to compare the effectiveness of ultrasound guided needling and lavage (barbotage) together with a steroid injection to sham barbotage with and without an additional steroid injection. Methods: The study will be performed in six secondary-care institutions in Norway and Sweden. It is designed as a pragmatic, randomized, three-arm, parallel group, double-blinded, sham-controlled clinical trial with a 2-year follow-up. It will be performed on 210 patients, aged 30 years or older, presenting with painful arc, positive impingement sign and a calcium deposit > 5 mm. Randomization to one of the three treatment options will be performed by using an online central randomization system. The three treatment groups are barbotage together with a subacromial steroid injection (the barbotage group), sham barbotage together with a subacromial steroid injection (the steroid group) or sham barbotage without a subacromial steroid injection (the placebo group). In the placebo group the steroid injection will be replaced by a short-acting local anaesthetic. Standardized home-based post-treatment physiotherapy will be performed by all patients for 8 weeks. Follow-ups are at 2 and 6 weeks, 4, 8, 12 and 24 months after treatment was given and will be performed with the patients and the outcome assessors blinded for group assignment. Primary outcome will be the Oxford shoulder score at 4 month follow-up. Secondary outcome measures are the QuickDASH upper extremity score, the EQ-5D-5L general health score and visual analogue scales for pain at rest, during activity, and at night. Discussion: The scientific evidence from this placebo-controlled trial will be of importance for future treatment recommendations in patients with calcific tendinitis.

• Kvalheim, Synnøve Kristin; Sandvik, Leiv; Winsvold, Bendik K S; Hagen, Knut & Zwart, John-Anker (2016). Early menarche and chronic widespread musculoskeletal complaints- Results from the HUNT study. European Journal of Pain. ISSN 1090-3801. 20(3), p. 458–464. doi: 10.1002/ejp.747. Full text in Research Archive
• Kvalheim, Synnøve Kristin; Sandven, Irene; Hagen, Knut & Zwart, John-Anker (2013). Smoking as a risk factor for chronic musculoskeletal complaints is influenced by age. The HUNT Study. Pain. ISSN 0304-3959. 154(7), p. 1073–1079. doi: 10.1016/j.pain.2013.03.015. Full text in Research Archive
• Juel, Niels Gunnar; Oland, Gunnar; Kvalheim, Synnøve Kristin; Løve, Tormod & Ekeberg, Ole Marius (2013). Adhesive capsulitis: one sonographic-guided injection of 20 mg triamcinolon into the rotator interval. Rheumatology International. ISSN 0172-8172. 33(6), p. 1547–1553. doi: 10.1007/s00296-012-2503-4. Full text in Research Archive
• Ekeberg, Ole Marius; Bautz-Holter, Erik; Juel, Niels Gunnar; Engebretsen, Kaia Beck; Kvalheim, Synnøve Kristin & Brox, Jens Ivar (2010). Clinical, socio-demographic and radiological predictors of short-term outcome in rotator cuff disease. BMC Musculoskeletal Disorders. 11. doi: 10.1186/1471-2474-11-239. Full text in Research Archive
• Ekeberg, Ole Marius; Bautz-Holter, Erik; Tveitå, Einar; Juel, Niels Gunnar; Kvalheim, Synnøve Kristin & Brox, Jens Ivar (2009). Subacromial ultrasound guided or systemic steroid injection for rotator cuff disease; a randomised double blind study. BMJ. British Medical Journal. ISSN 0959-8146. doi: 10.1136/bmj.a3112. Full text in Research Archive

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• Juel, Niels Gunnar; Oland, Gunnar; Kvalheim, Synnøve Kristin; Ekeberg, Ole Marius; Kristiansen, Siri & Love, Tormod (2012). Adhesive Capsulitis. The Effect Of 1 Ultrasound Guided Injection Of 20 Mg Triamcinolone Into The Rotator Interval. Medicine & Science in Sports & Exercise. ISSN 0195-9131. 44, p. 193–193. Full text in Research Archive

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