Comparative Study Between Shoulder Anterior Capsular Block Plus Steroid Injection Versus Steroid Injection Alone for Pain Management in Adhesive Capsulitis: A Randomized Trial

Zagazig University1 个研究点分布在 1 个国家目标入组 50 人开始时间: 2025年10月1日最近更新: 2025年11月19日

适应症

干预措施

试验速览

阶段: 不适用
状态: 招募中
发起方: Zagazig University
入组人数: 50
试验地点: 1
主要终点: pain intensity

研究概览研究设计入排标准研究组 & 干预措施结局指标研究者研究点记录与标识符相似试验

研究概览

简要总结

Improving pain in the patients with adhesive capsulitis by comparing the effect of combined shoulder anterior capsular block and intraarticular steroid injection versus intraarticular steroid injection.

详细描述

Comparing between combined shoulder anterior capsular block and intraarticular steroid injection versus intraarticular steroid injection for enhancing pain relief in adhesive capsulitis as regards:

To measure analgesic parameters including: assessment of pain score by using Visual Analogue Score during 8 weeks follow up in comparison to baseline and total amount of rescue analgesic (ibuprofen) consumption.
To assess the Shoulder pain and Disability Index
To record complications of the block (local anesthetic toxicity, infection, bleeding, nerve injury)
Over all patient's satisfaction: The patients will be asked to rate the overall degree of satisfaction of the analgesia by using a 5-points likert-like verbal scale (1 = very dissatisfied analgesia, 2 = dissatisfied analgesia, and 3 = neutral, 4=satisfied analgesia, and 5=very satisfied analgesia).

研究设计

研究类型: Interventional
分配方式: Randomized
干预模型: Parallel
主要目的: Treatment
盲法: Single (Outcomes Assessor)

盲法说明

The outcome assessors are blind to the study groups

入排标准

年龄范围: 41 Years 至 65 Years（Adult, Older Adult）
性别: All
接受健康志愿者: 是

入选标准

•Patients acceptance
•Age: 41-65 years old
•Sex: both sex (males or females).
•Physical status: American Society of Anesthesiologist (ASA) І, II.
•Patients attend orthopedic or pain clinic with complaint of shoulder pain and stiffness. These patients received conservative management of pain with no relief of symptoms for at least 2 weeks.

排除标准

•Shoulder pain due to secondary causes, e.g. acute trauma, fractures, bony deformity, glenohumeral joint pathology, acromioclavicular joint pathology and rotator cuff disorder.
•Patient with any contraindications of regional blocks (as coagulopathy or local infection at injection site)
•Patients with known history of allergy to the study drugs (bupivacaine and methylprednisolone).
•Advanced hepatic, renal, cardiovascular, neurologic and respiratory diseases, uncontrolled diabetes mellitus and thyroid.
•History of neuropathy in the involved limb or previous revision surgery.

研究组 & 干预措施

Group Shoulder anterior capsular block (SHAC)

Active Comparator

patients will receive ultrasound guided (SHAC) block combined with intraarticular steroid injection of the affected shoulder joint

干预措施: Group Group Shoulder anterior capsular block (SHAC) (Procedure)

Group intraarticular steroid injection (IASI)

Active Comparator

patients will receive intraarticular steroid injection of the affected shoulder joint

干预措施: Group intraarticular steroid injection (IASI) (Procedure)