(Department of Physical Medicine and Rehabilitation, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey)
Korgun OKMEN
(Department of Anesthesiology and Reanimation, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey)
(Department of Physical Medicine and Rehabilitation, Uludağ University Faculty of Medicine, Bursa, Turkey)
Yıl: 2018Cilt: 33Sayı: 4ISSN: 2148-5046 / 2618-6500Sayfa Aralığı: 464 - 472İngilizce

112 0
Effectiveness of Superficial Radial Nerve Block on Pain, Function and Quality of Life in Patients With Hand Osteoarthritis: A Prospective, Randomized and Controlled Single-Blind Study
Objectives: This study aims to investigate the effects of ultrasound-guided superficial branch of the radial nerve (SBRN) block on pain, function and quality of life in patients with hand osteoarthritis (HOA). Patients and methods: In this prospective, randomized and controlled single-blind study, 50 female patients (mean age 59.0±5.1 years; range, 46 to 64 years) diagnosed with HOA were randomized into two groups. Group 1 (n=25) was administered an ultrasound-guided SBRN injection (with a combination of 2 mL 0.25% bupivacaine and 1 mL methylprednisolone acetate) + exercise, while group 2 (n=25) only exercised. Patients were assessed with a Visual Analog Scale for pain, hand grip strength (HGS), finger grip strength (FGS), Quick Disability of the Arm, Shoulder and Hand questionnaire, Duruöz Hand Index and Short-form 12. Data were obtained before treatment (W0), in the second week after treatment (W2) and in the fourth week after treatment (W4). Results: In group 1, a statistically significant improvement was obtained in all parameters at both W2 and W4 compared to the values recorded at W0 (p<0.05). In group 2, a statistically significant improvement was observed only in the parameters of HGS and FGS at W2 and W4 (p<0.05). A comparison of the scores of the two groups showed statistically significant superior improvement in group 1 in all parameters at both W2 and W4 (p<0.05). Conclusion: The findings of our study showed that an ultrasound-guided SBRN block combined with exercise is a significantly superior treatment to exercise-only regarding the improvements in the parameters of pain, function and quality of life in HOA patients.
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