Short Term Effect of Ultrasound and Peripheral Nerve Stimulator Guided Femoral Nerve Block With Phenol on Outcomes in People With Traumatic Spinal Cord Injury
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Spinal Cord Injuries
- Sponsor
- Gaziler Physical Medicine and Rehabilitation Education and Research Hospital
- Enrollment
- 14
- Primary Endpoint
- Modified Ashworth Scale
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
A pre-post descriptive study was performed to examine the immediate effects of ultrasound (US) guided femoral nerve block with phenol (UGFNBwP) in managing lower limb spasticity of individuals with traumatic spinal cord injury (SCI).
Detailed Description
Study Design: A pre-post descriptive study was performed. Objectives: To examine the immediate effects of ultrasound (US) guided femoral nerve block with phenol (UGFNBwP) in managing lower limb spasticity of individuals with traumatic spinal cord injury (SCI). Setting: Ankara, Turkey Methods: Nineteen patients with traumatic SCI presenting with lower extremity spasticity were treated with UGFNBwP. Modified Ashworth Scale (MAS) of hip flexion and knee extension, functional independence measure (FIM) motor subscale, difficulty of catheterization (DoC), hygiene score (HS), spasm frequency (SF), sleep quality (SQ) and patient satisfaction (PS) were measured in all patients prior to treatment, at first week and second month.
Investigators
Yasin Demir
Principal Investigator
Gaziler Physical Medicine and Rehabilitation Education and Research Hospital
Eligibility Criteria
Inclusion Criteria
- •Traumatic etiology
- •Duration of spinal cord injury more than twelve months
- •Spasticity of hip flexor and/or knee extensor muscle
- •Use of any oral medications to reduce spasticity at stable doses for at least one month before first assessment
- •The patients have to accept to continue same dose until end of the last assessment
- •Medical clearance to participate
Exclusion Criteria
- •Having established contracture of the knee/hip joint
- •Aged over 65 years
- •History of surgery for knee/hip disorders
- •Non-traumatic etiology
Outcomes
Primary Outcomes
Modified Ashworth Scale
Time Frame: up to 8 weeks
Scale measures muscle tone (spasticity). (min-max:0-4).Higher values represent a worse outcome.
Secondary Outcomes
- Functional independence measure(up to 8 weeks)