Nerve Block, Pain, Rotator Cuff Tears
Conditions
Keywords
Rotator Cuff Tears, pain, nerve block, rehabilitation
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.
Interventions
PROCEDUREconventional physiotherapy program.
It will be applied to a rehabilitation program including joint range of motion exercises and physical therapy modalities by a physiotherapist at the Physical Therapy Hospital.
PROCEDURESuprascapular nerve block
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.
Sponsors
Kirsehir Ahi Evran Universitesi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
Investigator and outcome assessor will be different persons.
Intervention model description
Randomised controlled
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
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)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale (VAS) | Baseline | 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) | Baseline | Joint range of motion will be measured and recorded passively in all directions using a goniometer according to the neutral zero method. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Pain and Disability Index (SPADİ) | Baseline | 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 | 6th week | 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. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactBasak Cigdem Karacay, Asst Prof
Outcome results
None listed