Stroke patients with shoulder adductor spasticity stroke, spasticity, alcohol neurolysis, shoulder adductor, pectoralis major, latissimus dorsi
Conditions
Interventions
1. Injection of 50% ethanol into the lateral pectoral nerve, which innervates the pectoralis major muscle, using 5 milliliters under ultrasound guidance and electrical stimulation at a current of 1 mi
Active Comparator Procedure/Surgery,Active Comparator Procedure/Surgery
Lateral pectoral followed by thoracodorsal alcohol neurolysis,Thoracodorsal followed by lateral pectoral alcohol neurolysis
Sponsors
Faculty of Medicine, Khon Kaen University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Age 18 to 80 years and diagnosed with stroke for at least 3 months, 2. Presence of shoulder adduction spasticity with a MAS score of 1+ to 3, 3. Stable vital signs and stable physical condition
Exclusion criteria
Exclusion criteria: 1. Presence of an infected wound at the treatment area (shoulder or axilla), 2. Presence of a pacemaker, 3. Pregnancy, 4. Prior injection of Botulinum toxin into any shoulder adductor muscle within the past 3 months, 5. Severe psychiatric disorders, significant cognitive impairment, or severe communication difficulties, 6. History of shoulder pathology that may result in adhesive capsulitis, such as tumors, prior shoulder surgery, shoulder osteoarthritis, or shoulder pain from other causes, 7. Presence of coagulopathy or current use of anticoagulant medications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Shoulder adductor spasticity pre treatment, 5-10-15-minute after injection of the first nerve, 5-10-15-minute after injection of the second nerve Modified Tardieu Scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Shoulder adductor spasticity pre treatment, 5-10-15-minute after injection of the first nerve, 5-10-15-minute after injection of the second nerve Modified Ashworth Scale,Immediate complication After the first nerve injection until the end of treatment Number of events | — |
Countries
Thailand
Contacts
Public ContactNapat Laorungrat
Faculty of Medicine, Khon Kaen University
Outcome results
None listed