Suprascapular Nerve Block in Patients Rehabilitated After Arthroscopic Rotator Cuff Repair

Kirsehir Ahi Evran Universitesi

Status: Enrolling

Conditions: Nerve Block; Pain; Rotator Cuff Tears

Treatments: Procedure: Suprascapular nerve block; Procedure: conventional physiotherapy program.

Study type: Interventional

Funder types: Other

Identifiers

NCT06272786

2023-18/128

Details and patient eligibility

About

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.

Full 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.

Enrollment: 36 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

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)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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36 participants in 2 patient groups

Experimental Group

Experimental group

Description:

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.

Treatment:

Procedure: conventional physiotherapy program.

Procedure: Suprascapular nerve block

Control Group

Active Comparator group

Description:

Patients in the control group will only receive a conventional physiotherapy program.

Treatment:

Procedure: conventional physiotherapy program.