A randomized controlled study to evaluate the effect of suprascapular nerve block on procedural pain of hydrodilatation of the shoulder capsule in cases of primary frozen shoulder in Sawai Man Singh Medical College
试验速览
- 阶段
- 2 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 68
- 试验地点
- 1
- 主要终点
- 1.To evaluate the effect of suprascapular nerve block on procedural pain using VAS, during hydrodilatation of the shoulder capsule between the two groups.
研究概览
简要总结
Frozen shoulder, also known as adhesive capsulitis, has a prevalence of 2-5% in the general population and is considered to be one of the most serious painful conditions involving the musculoskeletal system.
It is characterised by the formation of scar tissue, adhesions and capsular thickening within the shoulder.This results in symptoms of localized pain and restricted range of motion.
Despite much research and advocation for treatment modalities such as corticosteroid injections, mobilizations and acupuncture, optimal management protocol for AC is not clearly defined, with no specific guidelines for clinicians to follow when faced with a patient.
Hydro dilatation of the shoulder joint capsule is a novel treatment to alleviate the pain of the applied shoulder. Hydro dilatation consists of injecting fluid in the glenohumeral joint under fluoroscopic control to rupture the capsule to increase the shoulder’s mobility.
It is an easy, safe, and cost-effective method to treat frozen shoulder in terms of functionality and pain relief.
The hydro dilatation method can cause pain in the shoulder during the intervention, so early manual exercise after the intervention is required to inhibit pain.
Suprascapular nerve block (SSNB) has been found effective in reducing pain originating from the shoulder joint including that in FS.
The suprascapular nerve supplies 70% of the sensory nerve supply to the shoulder joint, and local anesthetic block of this nerve is effective in certain shoulder pain disorders.
The literature comparing the efficacy of SSNB used as an adjunct in hydro dilatation of frozen shoulder remains sparse.
Therefore, this study aims to understand the effects of the SSNB on procedural pain of hydro dilatation of the shoulder capsule in case of AC.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients diagnosed with primary frozen shoulder and managed conservatively with pharmacotherapy +_ physical therapy for more than 3 months.
- •Patients giving informed written consent.
- •Patients coming in to ASA grade I,II.
- •Patients should not be part of any other study.
排除标准
- •Patients with the history of coagulopathy or are on blood thinning medications at the time of the procedure.
- •Patients who have a history of shoulder surgery, breast surgery, fracture around the shoulder and upper extremities, have a history of cerebrovascular disease, cervical radiculopathy.
- •Patients who have secondary and tertiary frozen shoulder including extra capsular pathology.
- •Patients having uncontrolled diabetes mellitus, thyroid disorders or other systemic disorders.
结局指标
主要结局
1.To evaluate the effect of suprascapular nerve block on procedural pain using VAS, during hydrodilatation of the shoulder capsule between the two groups.
时间窗: 1.VAS at the time of the procedure.
次要结局
- To assess and compare the effect of suprascapular nerve block on shoulder pain at rest using VAS between two groups.(2. To assess and compare the effect of suprascapular nerve block on shoulder pain and disability using SPADI score between study groups.)
研究者
Dr Samridhi Nanda
Sawai Man Singh Medical College and Attached Hospital.