Ultrasound Guided Suprascapular Nerve Block versus Intra-articular Steroid Injection in the Treatment of Periarthritis Shoulder: A Randomised Clinical Trial
Introduction: Suprascapular Nerve Block (SSNB) and Intra-articular (IA) steroid injection are used for management of Periarthritis (PA) of shoulder with variable results. Aim: To compare the efficacy of SSNB and IA steroid injection for management of PA shoulder. Materials and Methods: In this...
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| Autores principales: | , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
JCDR Research and Publications Private Limited
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/379cae8de10c46a9ac2afa3bb5f4082e |
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| Sumario: | Introduction: Suprascapular Nerve Block (SSNB) and Intra-articular
(IA) steroid injection are used for management of Periarthritis (PA) of
shoulder with variable results.
Aim: To compare the efficacy of SSNB and IA steroid injection
for management of PA shoulder.
Materials and Methods: In this randomised clinical trial, 100
patients of PA shoulder from Physical Medicine and Rehabilitation
(PMR) Outpatient Department (OPD) were enrolled over the
period of 18 months and were divided in two equal groups using
computerised block randomisation. Group A patients received
IA methylprednisolone while Group B patients were subjected
to Ultrasound (USG) guided SSNB. Assessment was done at
baseline and at 1, 4 and 12 weeks after the intervention, using
Numerical Pain Rating Scale (NPRS), active and passive Range
Of Motion (ROM) of shoulder and Shoulder Pain And Disability
Index (SPADI). Statistical significance was determined by Chisquare for qualitative variables and by unpaired t-test or paired
t-test for quantitative variables. The p<0.05 was taken as a level
of statistical significance.
Results: Both groups had significant improvement (p<0.0005)
in pain, ROM and functional index at all follow-ups. Comparison
between the groups revealed a better outcome in Group A, in terms
of NPRS, SPADI score, internal and external rotations at 1, 4 and
12 weeks (p<0.0005). Both the groups were comparable in terms
of abduction, flexion and extension at first week (p<0.0005) with
Group A showing better improvement at subsequent follow-up.
Conclusion: Both SSNB and IA steroid injection can be used
for treatment of PA shoulder but IA steroid injections gave
better results as compared to SSNB. SSNB may be used as an
adjunct to exercise therapy and as an alternative to IA steroid
injection if required. |
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