Murat Karkucak1, Nurce Cilesizoglu, Erhan Capkin, Ipek Can, Ibrahim Batmaz, Servet Kerimoglu, Mustafa Avni Onder, Adem Karaca, Ahmet Ayar. 1. From the Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Medical School, Farabi Hospital, Karadeniz Technical University, Trabzon, Turkey (MK, EC); Department of Physical Medicine and Rehabilitation, Medical School, Farabi Hospital, Karadeniz Technical University, Trabzon, Turkey (NC, IC); Department of Physical Medicine and Rehabilitation, Dıcle University Medical School, Diyarbakır, Turkey (IB); Department of Orthopedics and Traumatology, Medical School, Karadeniz Technical University, Trabzon, Turkey (SK, MAO); Department of Physical and Rehabilitation Medicine, Erzincan University Medical School, Erzincan, Turkey (AK); and Department of Physiology, Medical School, Karadeniz Technical University, Trabzon, Turkey (AA).
Abstract
OBJECTIVE: Local injections are widely used in patients with a painful shoulder. The aim of this study was to evaluate the possible impact of patients' visual information on the effectiveness of ultrasound (US)-guided local injections on anxiety levels and shoulder pain. DESIGN: A total of 151 patients, scheduled for local injection owing to shoulder pain, were randomly assigned into two groups in a consecutive order. Patients in group I (n = 72) were provided information related to US findings and allowed to watch the procedures from the monitor, whereas patients in group II (n = 79) received the injection only without any collaboration. Data were collected from both groups immediately before and after injections through visual analog scale and questionnaire (the State-Trait Anxiety Inventory [STAI] forms 1 and 2). RESULTS: US-guided local injections provided significant improvement of anxiety and pain in both groups, irrespective of providing visual information. Group I and group II comparisons with respect to the visual analog scale, STAI 1, and STAI 2 yielded significant difference only for postinjection STAI 2 in group I (P = 0.006). Intragroup comparisons revealed significant differences between preinjection and postinjection values (group I: visual analog scale, P = 0.001; STAI form 1, P = 0.001; STAI form 2, P = 0.002; group II: visual analog scale, P = 0.001; STAI form 1, P = 0.002; STAI form 2, P = 0.042). There was no significant difference between the groups in terms of postinjection satisfaction levels from the procedures (P = 0.824). CONCLUSIONS: Performing US-guided shoulder injections with patient visual information provides positive contributions to coping with pain and anxiety. In particular, the patient collaboration-based US-guided injections have positive consequences on patients' long-standing "trait-anxiety" levels.
RCT Entities:
OBJECTIVE: Local injections are widely used in patients with a painful shoulder. The aim of this study was to evaluate the possible impact of patients' visual information on the effectiveness of ultrasound (US)-guided local injections on anxiety levels and shoulder pain. DESIGN: A total of 151 patients, scheduled for local injection owing to shoulder pain, were randomly assigned into two groups in a consecutive order. Patients in group I (n = 72) were provided information related to US findings and allowed to watch the procedures from the monitor, whereas patients in group II (n = 79) received the injection only without any collaboration. Data were collected from both groups immediately before and after injections through visual analog scale and questionnaire (the State-Trait Anxiety Inventory [STAI] forms 1 and 2). RESULTS: US-guided local injections provided significant improvement of anxiety and pain in both groups, irrespective of providing visual information. Group I and group II comparisons with respect to the visual analog scale, STAI 1, and STAI 2 yielded significant difference only for postinjection STAI 2 in group I (P = 0.006). Intragroup comparisons revealed significant differences between preinjection and postinjection values (group I: visual analog scale, P = 0.001; STAI form 1, P = 0.001; STAI form 2, P = 0.002; group II: visual analog scale, P = 0.001; STAI form 1, P = 0.002; STAI form 2, P = 0.042). There was no significant difference between the groups in terms of postinjection satisfaction levels from the procedures (P = 0.824). CONCLUSIONS: Performing US-guided shoulder injections with patient visual information provides positive contributions to coping with pain and anxiety. In particular, the patient collaboration-based US-guided injections have positive consequences on patients' long-standing "trait-anxiety" levels.
Authors: Paolo Simoni; Marco Grumolato; Olivier Malaise; Marco Preziosi; Francoise Pasleau; Fréderic de Lemos Esteves Journal: Radiol Med Date: 2017-05-18 Impact factor: 3.469