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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.
Comparing between combined shoulder anterior capsular block and intraarticular steroid injection versus intraarticular steroid injection for enhancing pain relief in adhesive capsulitis as regards:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 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 |
|
| Group intraarticular steroid injection (IASI) | Active Comparator | patients will receive intraarticular steroid injection of the affected shoulder joint |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group Group Shoulder anterior capsular block (SHAC) | Procedure | patients will receive ultrasound guided (SHAC) block combined with intraarticular steroid injection of the affected shoulder joint followed by home exercise program. |
| Measure | Description | Time Frame |
|---|---|---|
| pain intensity | measured by Visual Analogue Scale (VAS) 10 cm line labelled (0-10), in which 0 presents no pain and 10 represents the worst pain in each participant | BEFORE STARTING PROCEDURE (0 hour)(baseline) |
| pain intensity | measured by Visual Analogue Scale(VAS) as 10 cm line labelled (0-10), in which 0 presents no pain and 10 represents the worst pain in each participant | 15 minutes after the procedure |
| pain intensity | measured by Visual Analogue Scale (VAS) 10 cm line labelled (0-10), in which 0 presents no pain and 10 represents the worst pain in each participant | first 6 hours postoperative |
| pain intensity | measured by Visual Analogue Scale (VAS) 10 cm line labelled (0-10), in which 0 presents no pain and 10 represents the worst pain in each participant | one week after procedure |
| pain intensity | measured by Visual Analogue Scale (VAS) 10 cm line labelled (0-10), in which 0 presents no pain and 10 represents the worst pain in each participant | 3 weeks after procedure |
| pain intensity | measured by Visual Analogue Scale (VAS) 10 cm line labelled (0-10), in which 0 presents no pain and 10 represents the worst pain in each participant | 6 weeks after procedure |
| pain intensity | measured by Visual Analogue Scale (VAS) 10 cm line labelled (0-10), in which 0 presents no pain and 10 represents the worst pain in each participant |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of Shoulder Pain and Disability Index (SPADI) | SPADI contains 13 items that assess two domains - a five item subscale that measures pain and an eight item subscale that measures disability. Each subscale scored 10 ranging from 0 (best) to 10 (worst). It is a self administered, valid questionnaire, | baseline (0 ) and subsequently at one week, 3 weeks , 6 weeks and 8 weeks after procedure |
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Inclusion Criteria:
Exclusion Criteria:
Shoulder pain due to secondary causes, e.g. acute trauma, fractures, bony deformity, glenohumeral joint pathology, acromioclavicular joint pathology and rotator cuff disorder.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dina Salem, MD | Contact | 01099333513 | 002 | dinamaghraby@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Dina Salem, MD | FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculity of Medicine, Zagazig University | Recruiting | Zagazig | Egypt |
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pain relief in adhesive capsulitis by comparing shoulder anterior capsular block and intraarticular steroid injection versus intraarticular steroid injection
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The outcome assessors are blind to the study groups
| Group intraarticular steroid injection (IASI) | Procedure | patients will receive intraarticular steroid injection of the affected shoulder joint followed by home exercise program |
|
| 8 weeks after procedure |
| Total amount of rescue analgesia | Total amount of rescue analgesia (ibuprofen) | first 24 hours |
| patient's satisfaction | 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) | 1 week after procedure |
| Complications of SHAC block | Complications of SHAC block (local anesthetic toxicity, infection, bleeding) | 24 hours |
| PASSIVE AND ACTIVE RANGE OF MOTION | Passive and active shoulder flexion, abduction, and external rotation will be measured using goniometer | at baseline, first week and third week follow up post intervention. |
| ID | Term |
|---|---|
| D000377 | Agnosia |
| D002062 | Bursitis |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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