Woo Hyun Jeon1, Gun Woong Park1, Ho Joong Jeong2, Young Joo Sim2. 1. Department of Rehabilitation Medicine, Dong-Eui Medical Center, Busan, Korea. 2. Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine, Busan, Korea.
Abstract
OBJECTIVE: To assess the relative effectiveness of three injections methods suprascapular nerve block (SSNB) alone, intra-articular steroid injection (IAI) alone, or both-on relief of hemiplegic shoulder pain. METHODS: We recruited 30 patients with hemiplegic shoulder pain after stroke. SSNB was performed in 10 patients, IAI in 10 patients, and a combination of two injections in 10 patients. All were ultrasonography guided. Each patient's maximum passive range of motion (ROM) in the shoulder was measured, and the pain intensity level was assessed with a visual analogue scale (VAS). Repeated measures were performed on pre-injection, and after injection at 1 hour, 1 week, and 1 month. Data were analyzed by Kruskal-Wallis and Friedman tests. RESULTS: All variables that were repeatedly measured showed significant differences in shoulder ROM with time (p<0.05), but there was no difference according injection method. In addition, VAS was statistically significantly different with time, but there was no difference by injection method. Pain significantly decreased until a week after injection, but pain after a month was relatively increased. However, pain was decreased compared to pre-injection. CONCLUSION: The three injection methods significantly improved shoulder ROM and pain with time, but no statistically significant difference was found between them.
OBJECTIVE: To assess the relative effectiveness of three injections methods suprascapular nerve block (SSNB) alone, intra-articularsteroid injection (IAI) alone, or both-on relief of hemiplegic shoulder pain. METHODS: We recruited 30 patients with hemiplegic shoulder pain after stroke. SSNB was performed in 10 patients, IAI in 10 patients, and a combination of two injections in 10 patients. All were ultrasonography guided. Each patient's maximum passive range of motion (ROM) in the shoulder was measured, and the pain intensity level was assessed with a visual analogue scale (VAS). Repeated measures were performed on pre-injection, and after injection at 1 hour, 1 week, and 1 month. Data were analyzed by Kruskal-Wallis and Friedman tests. RESULTS: All variables that were repeatedly measured showed significant differences in shoulder ROM with time (p<0.05), but there was no difference according injection method. In addition, VAS was statistically significantly different with time, but there was no difference by injection method. Pain significantly decreased until a week after injection, but pain after a month was relatively increased. However, pain was decreased compared to pre-injection. CONCLUSION: The three injection methods significantly improved shoulder ROM and pain with time, but no statistically significant difference was found between them.
Authors: Ingrid A K Snels; Jos H M Dekker; Johanna H van der Lee; Gustaaf J Lankhorst; Heleen Beckerman; Lex M Bouter Journal: Am J Phys Med Rehabil Date: 2002-02 Impact factor: 2.159
Authors: Mehmet Ali Taskaynatan; Bilge Yilmaz; Ahmet Ozgul; Kamil Yazicioglu; Tunc Alp Kalyon Journal: Tohoku J Exp Med Date: 2005-01 Impact factor: 1.848
Authors: Martijn H Niessen; Dirkjan H Veeger; Carel G Meskers; Peter A Koppe; Manin H Konijnenbelt; Thomas W Janssen Journal: Arch Phys Med Rehabil Date: 2009-09 Impact factor: 3.966
Authors: Hubert Jezierski; Michał Podgórski; Ludomir Stefańczyk; David Kachlik; Michał Polguj Journal: Biomed Res Int Date: 2017-12-20 Impact factor: 3.411
Authors: Donghwi Park; Kwang Jae Yu; Ju Young Cho; Seung Beom Woo; Junu Park; Zeeihn Lee; Jong Min Kim Journal: Medicine (Baltimore) Date: 2017-11 Impact factor: 1.889