Suprascapular Nerve Block in Patients Rehabilitated After Arthroscopic Rotator Cuff Repair

Not Applicable

Recruiting

• Conditions: Nerve Block; Pain; Rotator Cuff Tears
• Interventions: Procedure: conventional physiotherapy program.; Procedure: Suprascapular nerve block

• Registration Number: NCT06272786
• Lead Sponsor: Kirsehir Ahi Evran Universitesi

Brief Summary

Suprascapular nerve block is an injection method that has been shown to be effective in shoulder rehabilitation in diseases such as adhesive capsulitis and stroke .. Applying the block under USG guidance instead of blinding increases the effectiveness and reduces complications.

Detailed Description

Suprascapular nerve block is an injection method that has been shown to be effective in shoulder rehabilitation in diseases such as adhesive capsulitis and stroke .Applying the block under USG guidance instead of blinding increases the effectiveness and reduces complications There are many studies in the literature on suprascapular, axillary, and interscalene nerve blocks in early pain management after shoulder arthroplasty. All of these focus on pain in the perioperative or early postoperative period. There is a study on USG-guided suprascapular nerve block. In this study, unlike the studies in the literature, it was aimed to show the effectiveness of USG-guided suprascapular nerve block in the subacute rehabilitation process of patients.

Study Timeline

• Study First Submitted: 2024-02-13
• Study First Submitted QC: 2024-02-16
• Study First Posted: 2024-02-22
• Study Start: 2024-07-28
• Status Verified: 2024-08
• Last Update Submitted: 2024-08-01
• Last Update Posted: 2024-08-02
• Primary Completion: 2025-02-01
• Study Completion: 2025-03-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

-Having undergone arthroscopic rotator cuff repair surgery within the last week

Exclusion Criteria

• History of previous surgery on the same shoulder
• History of systemic inflammatory rheumatological disease
• Neurological diseases with muscle weakness in the upper extremity (MS, ALS, Muscular -Dystrophy)
• History of malignancy, pregnancy, breastfeeding
• Use of steroids or immunosuppressive drugs
• History of allergic reactions to local analgesics
• Fibromyalgia syndrome
• Chronic painful conditions that require opioid use
• Presence of known psychiatric disease
• Cognitive impairment (Mini Mental Test Score <23)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental Group	conventional physiotherapy program.	In addition to the conventional physiotherapy program, patients in the intervention group will receive a suprascapular nerve block with musculoskeletal USG guidance available in our clinic at the beginning of rehabilitation. Bupivacaine hydrochloride will be used in this injection. 5 ml of bupivacaine hydrochloride 5% and 5 ml of saline will be drawn into a 10 ml syringe and ejection will be performed from the superior of the suprascapular noch under USG guidance.
Control Group	conventional physiotherapy program.	Patients in the control group will only receive a conventional physiotherapy program.
Experimental Group	Suprascapular nerve block	In addition to the conventional physiotherapy program, patients in the intervention group will receive a suprascapular nerve block with musculoskeletal USG guidance available in our clinic at the beginning of rehabilitation. Bupivacaine hydrochloride will be used in this injection. 5 ml of bupivacaine hydrochloride 5% and 5 ml of saline will be drawn into a 10 ml syringe and ejection will be performed from the superior of the suprascapular noch under USG guidance.

Primary Outcome Measures

Name	Time	Method
Visual Analog Scale (VAS)	10th week	In the study, pain intensity was evaluated with the Visual Analogue Scale (VAS). Numbers from 0 to 10 on VAS; Patients will be asked to score their pain levels at rest, activity and at night, with 0 being defined as "no pain" and 10 being "unbearable pain". Increased scores indicate higher pain intensity.
Shoulder joint range of motion (ROM)	10 th week	Joint range of motion will be measured and recorded passively in all directions using a goniometer according to the neutral zero method.

Secondary Outcome Measures

Name	Time	Method
Shoulder Pain and Disability Index (SPADİ)	10th week	SPADI is a scale consisting of a total of 13 questions with 2 subscales: pain and disability. The score of the total and all sub-parameters is evaluated on a scale of 0-100. A high score indicates increased pain and impaired shoulder function.
Modified Constant-Murley Scoring	Baseline	Modified Constant-Murley Scoring includes a total of four parameters: pain, activities of daily living (ADL), active ROM and strength. The total score is evaluated on a scale of 0-100 points by summing all subparametricS. A low score reflects increased pain and impaired shoulder functions, both in terms of subparametrics and the total score.

Trial Locations

Locations (1)

Ahi Evran University; 🇹🇷 Kirşehir, City Centre, Turkey