Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study

TARAKTAŞ, Aslıhan; Geler Külcü, Duygu; Unlu Ozkan, Feyza; ÇİZMECİ, Pelin; BADUR, Naciye; Aktas, Ilknur

Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study

Duygu Geler KÜLCÜ, (Department of Physical Medicine and Rehabilitation, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey)

Aslıhan TARAKTAŞ, (Department of Physical Medicine and Rehabilitation, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey)

Naciye BADUR, (Department of Physical Medicine and Rehabilitation, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey)

Pelin ÇİZMECİ, (Department of Algology, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey)

Feyza Ünlü ÖZKAN, (Department of Physical Medicine and Rehabilitation, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey)

İlknur AKTAŞ (Department of Physical Medicine and Rehabilitation, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

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Yıl: 2017 Cilt: 63 Sayı: 1 Sayfa Aralığı: 42 - 49 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study

Öz:

Amaç: Bu çalışmada hemiplejik omuz ağrısında (HOA) kör ve stimülatör kılavuzluğunda, farklı supraskapular sinir blokajı (SSSB) uygulama yöntemlerinin birbirlerine üstünlüğü araştırıldı.Hastalar ve yöntemler: Eylül 2014 - Kasım 2014 tarihleri arasında yapılan bu çalışmaya katılma kriterlerini karşılayan 26 inme hastası (19 erkek, 7 kadın; ort. yaş 61.0±9.4 yıl; dağılım 53-76 yıl) dahil edildi. Hastalar randomize olarak iki eşit gruba ayrıldı. Grup A'daki hastalara kör SSSB, grup B'deki hastalara ise stimülatör kılavuzluğunda SSSB verildi. Eklem hareket açıklığı (EHA) (gonyometre ile) ve ağrı düzeyleri (görsel analog ölçeği-GAÖ ile) değerlendirildi. Ölçümler SSSB öncesinde, bir saat sonrasında ve bir hafta sonrasında yapıldı.Bulgular: Her iki grupta GAÖ ağrı skorlarında zamanla anlamlı olarak azalma (p<0.0001); fleksiyon ve abdüksiyon EHA açılarında (sırasıyla grup A: p=0.002 ve p=0.010; grup B: p=0.004 ve p=0.012) ise anlamlı artış gözlendi. Ek olarak grup B internal rotasyon EHA açılarında artış saptandı (p=0.036). Gruplar arasında, GAÖ ve EHA açıları bir saatlik ve bir haftalık değişim skorlarında anlamlı bir farklılık yoktu (p>0.05).Sonuç: Kör ya da stimülatör kılavuzluğunda yapılan supraskapular sinir blokajı tekniklerinin her ikisi de güvenli ve hemiplejik omuz ağrısı tedavisinde ağrının giderilmesinde etkilidir. Hiçbir enjeksiyon tekniği diğerinden üstün değildir

Anahtar Kelime:

Konular: Rehabilitasyon

Hemiplejik omuz ağrısında kör ve stimülatör kılavuzluğunda supraskapular sinir blokajının karşılaştırılması: Pilot çalışma

Öz:

Objectives: This study aims to compare the superiority of different suprascapular nerve block (SSNB) application methods on hemiplegic shoulder pain (HSP), in a blinded and stimulator guided manner.Patients and methods: Twenty-six stroke patients (19 males, 7 females; mean age 61.0±9.4 years; range 53 to 76 years) meeting the enrollment criteria, were included in this study between September 2014 and November 2014. Patients were randomly divided into two equal groups. Patients in group A received blinded SSNB and patients in group B received stimulator guided SSNB. Range of motion (ROM) (by goniometer) and pain levels (by visual analog scale-VAS) were assessed. Evaluations were made before, one hour after and one week after SSNBs.Results: In each group, VAS pain scores significantly decreased over time (p<0.0001) and a significant increase in terms of flexion and abduction ROM angles (group A: p=0.002 and p=0.010; group B: p=0.004 and p=0.012, respectively) was observed. In addition, internal rotation ROM angles were found to have increased in group B (p=0.036). There were no significant differences in ROM and VAS one hour and one-week change scores between the two groups (p>0.05).Conclusion: Both blinded or stimulator guided suprascapular nerve block techniques were safe and effective for pain relief in hemiplegic shoulder pain management. None of the injection techniques was superior to the other

Anahtar Kelime:

Konular: Rehabilitasyon

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Geler Külcü D, TARAKTAŞ A, BADUR N, ÇİZMECİ P, Unlu Ozkan F, Aktas I (2017). Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study. , 42 - 49.
Chicago	Geler Külcü Duygu,TARAKTAŞ Aslıhan,BADUR Naciye,ÇİZMECİ Pelin,Unlu Ozkan Feyza,Aktas Ilknur Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study. (2017): 42 - 49.
MLA	Geler Külcü Duygu,TARAKTAŞ Aslıhan,BADUR Naciye,ÇİZMECİ Pelin,Unlu Ozkan Feyza,Aktas Ilknur Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study. , 2017, ss.42 - 49.
AMA	Geler Külcü D,TARAKTAŞ A,BADUR N,ÇİZMECİ P,Unlu Ozkan F,Aktas I Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study. . 2017; 42 - 49.
Vancouver	Geler Külcü D,TARAKTAŞ A,BADUR N,ÇİZMECİ P,Unlu Ozkan F,Aktas I Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study. . 2017; 42 - 49.
IEEE	Geler Külcü D,TARAKTAŞ A,BADUR N,ÇİZMECİ P,Unlu Ozkan F,Aktas I "Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study." , ss.42 - 49, 2017.
ISNAD	Geler Külcü, Duygu vd. "Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study". (2017), 42-49.

APA	Geler Külcü D, TARAKTAŞ A, BADUR N, ÇİZMECİ P, Unlu Ozkan F, Aktas I (2017). Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 63(1), 42 - 49.
Chicago	Geler Külcü Duygu,TARAKTAŞ Aslıhan,BADUR Naciye,ÇİZMECİ Pelin,Unlu Ozkan Feyza,Aktas Ilknur Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 63, no.1 (2017): 42 - 49.
MLA	Geler Külcü Duygu,TARAKTAŞ Aslıhan,BADUR Naciye,ÇİZMECİ Pelin,Unlu Ozkan Feyza,Aktas Ilknur Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.63, no.1, 2017, ss.42 - 49.
AMA	Geler Külcü D,TARAKTAŞ A,BADUR N,ÇİZMECİ P,Unlu Ozkan F,Aktas I Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2017; 63(1): 42 - 49.
Vancouver	Geler Külcü D,TARAKTAŞ A,BADUR N,ÇİZMECİ P,Unlu Ozkan F,Aktas I Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2017; 63(1): 42 - 49.
IEEE	Geler Külcü D,TARAKTAŞ A,BADUR N,ÇİZMECİ P,Unlu Ozkan F,Aktas I "Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 63, ss.42 - 49, 2017.
ISNAD	Geler Külcü, Duygu vd. "Blinded and stimulator guided comparison of suprascapular nerve block in hemiplegic shoulder pain: a pilot study". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 63/1 (2017), 42-49.