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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Group | Experimental | In addition to the conventional physiotherapy program, patients in the intervention group will receive a suprascapular nerve block with musculoskeletal USG guidance available in our clinic at the beginning of rehabilitation. 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. |
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| Control Group | Active Comparator | Patients in the control group will only receive a conventional physiotherapy program. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| conventional physiotherapy program. | Procedure | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Scale (VAS) | 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. | Baseline |
| Visual Analog Scale (VAS) | 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. | 6th week |
| Visual Analog Scale (VAS) | 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. | 10th week |
| Shoulder joint range of motion (ROM) | Joint range of motion will be measured and recorded passively in all directions using a goniometer according to the neutral zero method. | Baseline |
| Shoulder joint range of motion (ROM) | Joint range of motion will be measured and recorded passively in all directions using a goniometer according to the neutral zero method. | 6th week |
| Shoulder joint range of motion (ROM) | Joint range of motion will be measured and recorded passively in all directions using a goniometer according to the neutral zero method. |
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder Pain and Disability Index (SPADÄ°) | 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. | Baseline |
| Shoulder Pain and Disability Index (SPADÄ°) |
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Inclusion Criteria:
-Having undergone arthroscopic rotator cuff repair surgery within the last week
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Basak Cigdem Karacay, Asst Prof | Contact | +9 0386 280 51 00. | basakcigdem@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Basak Cigdem Karacay, Asst Prof | Kirsehir Ahi Evran University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ahi Evran University | Recruiting | Kirşehir | City Centre | 40100 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D000070636 | Rotator Cuff Injuries |
| D010146 | Pain |
| ID | Term |
|---|---|
| D012421 | Rupture |
| D014947 | Wounds and Injuries |
| D000070599 | Shoulder Injuries |
| D013708 | Tendon Injuries |
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Randomised controlled
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Investigator and outcome assessor will be different persons.
| Suprascapular nerve block | Procedure | 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. |
|
| 10 th week |
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. |
| 6th week |
| Shoulder Pain and Disability Index (SPADÄ°) | 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. | 10th week |
| Modified Constant-Murley Scoring | 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. | 6th week |
| Modified Constant-Murley Scoring | 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. | 10th week |
| Modified Constant-Murley Scoring | 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. | Baseline |
| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |