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| Name | Class |
|---|---|
| Suez Canal University | OTHER |
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Background: The hip joint is frequently affected in axial spondyloarthritis (SpA) of adults with destructive effects in untreated patients. About 35% of axial SpA patients had either unilateral or bilateral hip arthritis. Destruction is more common with early-onset, active disease, or enthesitis.
Objectives: The aim of this study is to evaluate the effect of hip denervation (HD) and intra-articular hydration (IAH) on pain, function score, hip mobility scores in a cohort of axial SpA patients with grade 3 and 4 hip BASRI scores.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| placebo group | Placebo Comparator | 5ml of normal; saline-injected subcutaneously |
|
| Hip denervatiopn | Active Comparator | Hip denervation with lidocaine 2% to each genicular branch, 2ml at each point |
|
| Inra-articular hydration | Active Comparator | 10 ml of normal saline injected inside the hip under ultrasound guidance |
|
| compined group | Active Comparator | hip denervation and intra-articular hydration were conducted together in this group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| hip denervation | Drug | Lidocaine 2% 2ml was injected into each genicular nerve |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change in visual analogue scale | 0 means no pain, 100 means the highest degree of pain | Baseline , after 4 weeks and after 12 weeks |
| Change in Harris functional hip score | Pain receives 44 points, function 47 points, range of motion 5 points, and deformity 4 points. Function is subdivided into activities of daily living (14 points) and gait (33 points). The higher the HHS, the less dysfunction. A total score of <70 is considered a poor result; 70-80 is considered fair, 80-90 is good, and 90-100 is an excellent result | Baseline, after 4 weeks and after 12 weeks |
| Change in range of motion of the hip | hip flexion, extension , internal; rotation , external; rotation , abduction , and adduction all were recopreded | Baseline, after 4 weeks and after 12 weeks |
| Change in semiquantitative tenderness score | a score from 0-3, 90 means no tenderness and 3 means maximum tenderness | Baseline, after 4 weeks and after 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ahmed Elsaman | Sohag | 82749 | Egypt |
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| intra-articular hydration |
| Drug |
10 ml; of normal; saline were injected inside the hip joint |
|
| Combined group | Drug | hip denervation and intra-articular hydration were conducted together |
|
| Control group | Drug | Normal; saline was injected subcutaneously |
|
| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
| D008722 | Methods |
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