Effectiveness of Suprascapular Nerve Pulsed Radiofrequency Treatment for Hemiplegic Shoulder Pain: A Randomized-Controlled Trial
Background: Hemiplegic shoulder pain is one of the most common complications after stroke. Although there are many treatment strategies for this complication, sometimes very resistant cases are also seen. Objectives: To evaluate the effect of suprascapular nerve pulsed radiofrequency (PRF) treatment...
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| Veröffentlicht in: | Pain physician 2020, Vol.23 (3), p.245-252 |
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| description | Background: Hemiplegic shoulder pain is one of the most common complications after stroke.
Although there are many treatment strategies for this complication, sometimes very resistant
cases are also seen.
Objectives: To evaluate the effect of suprascapular nerve pulsed radiofrequency (PRF)
treatment for hemiplegic shoulder pain (HSP).
Study Design: A prospective randomized-controlled trial.
Setting: University hospital.
Methods: This study included 30 patients with HSP following stroke. The patients were
randomly assigned to receive PRF to the suprascapular nerve (PRF group, n = 15) or suprascapular
nerve block (NB) with lidocaine (NB group, n = 15). The patients were randomized into 2 groups
(n = 15 both). In addition, the patients received physical therapy to the shoulder, including hot
pack, transcutaneous electrical nerve stimulation, and stretching and strengthening exercise (5
days per week for 3 weeks in a total of 15 sessions). Visual Analog Scale (VAS) for pain, the Goal
Attainment Scale (GAS) during upper-body dressing, and shoulder range of motion (ROM) were
assessed at baseline, 1 month, and 3 months after the procedure.
Results: Between the groups, comparison revealed that decrease in the VAS score was
statistically significantly higher at the first (3.5 1.9 vs. 1.2 1.0) and third month (4.2 1.7 vs. 1.2
0.9) in the PRF group compared with the NB group (P < 0.01). The PRF group had significantly
higher increases in shoulder ROM compared with the NB group (P < 0.05).The positive changes
in GAS score at month 3 in the PRF group was significantly higher than that in the NB group (P
< 0.05).
Limitation: There is a need for further studies with a longer follow-up period.
Conclusions: In light of these findings, the combination of PRF applied to the suprascapular
nerve and physical therapy was superior to the combination of suprascapular NB and physical
therapy.
Key words: Hemiplegic shoulder, stroke, pain, radiofrequency, suprascapular nerve. |
| doi_str_mv | 10.36076/ppj.2020/23/245 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2411559123</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2655993226</sourcerecordid><originalsourceid>FETCH-LOGICAL-c346t-d2db3ba0871e6b5e73111fcff142cb3e72851bbd94dad4cb6f77ec574a055bdd3</originalsourceid><addsrcrecordid>eNpdkUtLxDAURoMoOD72LgNu3NTJo2mtOxl8gag44zqkyY1mSJuatMK48qcbHytXd3Pu4YOD0BElp7widTUfhvUpI4zMGZ-zUmyhGaOCFJSWzTaaUcF5walodtFeSmtCeNU0fIY-L60FPbp36CElHCxeTkNUSath8irie4jvgB8nn8DgJ2VcsBHeJuj1Bq8iqLGDfsQ2RHwDnRs8vDiNl69h8gYiflSuP8cX-bE3oXMfYIpF6McYvM-6VXTKH6Adq7L98O_uo-ery9Xiprh7uL5dXNwVmpfVWBhmWt4qclZTqFoBNaeUWm0tLZluOdTsTNC2NU1plCl1W9m6Bi3qUhEhWmP4Pjr59Q4x5P1plJ1LGrxXPYQpSVZSKkRDGc_o8T90HabY53WSVZlpOGNVpsgvpWNIKYKVQ3SdihtJifxJInMS-Z1EMp79gn8B-x6B-g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2655993226</pqid></control><display><type>article</type><title>Effectiveness of Suprascapular Nerve Pulsed Radiofrequency Treatment for Hemiplegic Shoulder Pain: A Randomized-Controlled Trial</title><source>EZB-FREE-00999 freely available EZB journals</source><creator>Aras, Berke</creator><creatorcontrib>Aras, Berke</creatorcontrib><description>Background: Hemiplegic shoulder pain is one of the most common complications after stroke.
Although there are many treatment strategies for this complication, sometimes very resistant
cases are also seen.
Objectives: To evaluate the effect of suprascapular nerve pulsed radiofrequency (PRF)
treatment for hemiplegic shoulder pain (HSP).
Study Design: A prospective randomized-controlled trial.
Setting: University hospital.
Methods: This study included 30 patients with HSP following stroke. The patients were
randomly assigned to receive PRF to the suprascapular nerve (PRF group, n = 15) or suprascapular
nerve block (NB) with lidocaine (NB group, n = 15). The patients were randomized into 2 groups
(n = 15 both). In addition, the patients received physical therapy to the shoulder, including hot
pack, transcutaneous electrical nerve stimulation, and stretching and strengthening exercise (5
days per week for 3 weeks in a total of 15 sessions). Visual Analog Scale (VAS) for pain, the Goal
Attainment Scale (GAS) during upper-body dressing, and shoulder range of motion (ROM) were
assessed at baseline, 1 month, and 3 months after the procedure.
Results: Between the groups, comparison revealed that decrease in the VAS score was
statistically significantly higher at the first (3.5 1.9 vs. 1.2 1.0) and third month (4.2 1.7 vs. 1.2
0.9) in the PRF group compared with the NB group (P < 0.01). The PRF group had significantly
higher increases in shoulder ROM compared with the NB group (P < 0.05).The positive changes
in GAS score at month 3 in the PRF group was significantly higher than that in the NB group (P
< 0.05).
Limitation: There is a need for further studies with a longer follow-up period.
Conclusions: In light of these findings, the combination of PRF applied to the suprascapular
nerve and physical therapy was superior to the combination of suprascapular NB and physical
therapy.
Key words: Hemiplegic shoulder, stroke, pain, radiofrequency, suprascapular nerve.</description><identifier>ISSN: 1533-3159</identifier><identifier>EISSN: 2150-1149</identifier><identifier>DOI: 10.36076/ppj.2020/23/245</identifier><language>eng</language><publisher>Paducah: American Society of Interventional Pain Physician</publisher><subject>Electric stimulation therapy ; Physical therapy ; Shoulder ; Stroke</subject><ispartof>Pain physician, 2020, Vol.23 (3), p.245-252</ispartof><rights>2020. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c346t-d2db3ba0871e6b5e73111fcff142cb3e72851bbd94dad4cb6f77ec574a055bdd3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4009,27902,27903,27904</link.rule.ids></links><search><creatorcontrib>Aras, Berke</creatorcontrib><title>Effectiveness of Suprascapular Nerve Pulsed Radiofrequency Treatment for Hemiplegic Shoulder Pain: A Randomized-Controlled Trial</title><title>Pain physician</title><description>Background: Hemiplegic shoulder pain is one of the most common complications after stroke.
Although there are many treatment strategies for this complication, sometimes very resistant
cases are also seen.
Objectives: To evaluate the effect of suprascapular nerve pulsed radiofrequency (PRF)
treatment for hemiplegic shoulder pain (HSP).
Study Design: A prospective randomized-controlled trial.
Setting: University hospital.
Methods: This study included 30 patients with HSP following stroke. The patients were
randomly assigned to receive PRF to the suprascapular nerve (PRF group, n = 15) or suprascapular
nerve block (NB) with lidocaine (NB group, n = 15). The patients were randomized into 2 groups
(n = 15 both). In addition, the patients received physical therapy to the shoulder, including hot
pack, transcutaneous electrical nerve stimulation, and stretching and strengthening exercise (5
days per week for 3 weeks in a total of 15 sessions). Visual Analog Scale (VAS) for pain, the Goal
Attainment Scale (GAS) during upper-body dressing, and shoulder range of motion (ROM) were
assessed at baseline, 1 month, and 3 months after the procedure.
Results: Between the groups, comparison revealed that decrease in the VAS score was
statistically significantly higher at the first (3.5 1.9 vs. 1.2 1.0) and third month (4.2 1.7 vs. 1.2
0.9) in the PRF group compared with the NB group (P < 0.01). The PRF group had significantly
higher increases in shoulder ROM compared with the NB group (P < 0.05).The positive changes
in GAS score at month 3 in the PRF group was significantly higher than that in the NB group (P
< 0.05).
Limitation: There is a need for further studies with a longer follow-up period.
Conclusions: In light of these findings, the combination of PRF applied to the suprascapular
nerve and physical therapy was superior to the combination of suprascapular NB and physical
therapy.
Key words: Hemiplegic shoulder, stroke, pain, radiofrequency, suprascapular nerve.</description><subject>Electric stimulation therapy</subject><subject>Physical therapy</subject><subject>Shoulder</subject><subject>Stroke</subject><issn>1533-3159</issn><issn>2150-1149</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkUtLxDAURoMoOD72LgNu3NTJo2mtOxl8gag44zqkyY1mSJuatMK48qcbHytXd3Pu4YOD0BElp7widTUfhvUpI4zMGZ-zUmyhGaOCFJSWzTaaUcF5walodtFeSmtCeNU0fIY-L60FPbp36CElHCxeTkNUSath8irie4jvgB8nn8DgJ2VcsBHeJuj1Bq8iqLGDfsQ2RHwDnRs8vDiNl69h8gYiflSuP8cX-bE3oXMfYIpF6McYvM-6VXTKH6Adq7L98O_uo-ery9Xiprh7uL5dXNwVmpfVWBhmWt4qclZTqFoBNaeUWm0tLZluOdTsTNC2NU1plCl1W9m6Bi3qUhEhWmP4Pjr59Q4x5P1plJ1LGrxXPYQpSVZSKkRDGc_o8T90HabY53WSVZlpOGNVpsgvpWNIKYKVQ3SdihtJifxJInMS-Z1EMp79gn8B-x6B-g</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Aras, Berke</creator><general>American Society of Interventional Pain Physician</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>2020</creationdate><title>Effectiveness of Suprascapular Nerve Pulsed Radiofrequency Treatment for Hemiplegic Shoulder Pain: A Randomized-Controlled Trial</title><author>Aras, Berke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c346t-d2db3ba0871e6b5e73111fcff142cb3e72851bbd94dad4cb6f77ec574a055bdd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Electric stimulation therapy</topic><topic>Physical therapy</topic><topic>Shoulder</topic><topic>Stroke</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aras, Berke</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pain physician</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aras, Berke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of Suprascapular Nerve Pulsed Radiofrequency Treatment for Hemiplegic Shoulder Pain: A Randomized-Controlled Trial</atitle><jtitle>Pain physician</jtitle><date>2020</date><risdate>2020</risdate><volume>23</volume><issue>3</issue><spage>245</spage><epage>252</epage><pages>245-252</pages><issn>1533-3159</issn><eissn>2150-1149</eissn><abstract>Background: Hemiplegic shoulder pain is one of the most common complications after stroke.
Although there are many treatment strategies for this complication, sometimes very resistant
cases are also seen.
Objectives: To evaluate the effect of suprascapular nerve pulsed radiofrequency (PRF)
treatment for hemiplegic shoulder pain (HSP).
Study Design: A prospective randomized-controlled trial.
Setting: University hospital.
Methods: This study included 30 patients with HSP following stroke. The patients were
randomly assigned to receive PRF to the suprascapular nerve (PRF group, n = 15) or suprascapular
nerve block (NB) with lidocaine (NB group, n = 15). The patients were randomized into 2 groups
(n = 15 both). In addition, the patients received physical therapy to the shoulder, including hot
pack, transcutaneous electrical nerve stimulation, and stretching and strengthening exercise (5
days per week for 3 weeks in a total of 15 sessions). Visual Analog Scale (VAS) for pain, the Goal
Attainment Scale (GAS) during upper-body dressing, and shoulder range of motion (ROM) were
assessed at baseline, 1 month, and 3 months after the procedure.
Results: Between the groups, comparison revealed that decrease in the VAS score was
statistically significantly higher at the first (3.5 1.9 vs. 1.2 1.0) and third month (4.2 1.7 vs. 1.2
0.9) in the PRF group compared with the NB group (P < 0.01). The PRF group had significantly
higher increases in shoulder ROM compared with the NB group (P < 0.05).The positive changes
in GAS score at month 3 in the PRF group was significantly higher than that in the NB group (P
< 0.05).
Limitation: There is a need for further studies with a longer follow-up period.
Conclusions: In light of these findings, the combination of PRF applied to the suprascapular
nerve and physical therapy was superior to the combination of suprascapular NB and physical
therapy.
Key words: Hemiplegic shoulder, stroke, pain, radiofrequency, suprascapular nerve.</abstract><cop>Paducah</cop><pub>American Society of Interventional Pain Physician</pub><doi>10.36076/ppj.2020/23/245</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | EZB-FREE-00999 freely available EZB journals |
| subjects | Electric stimulation therapy Physical therapy Shoulder Stroke |
| title | Effectiveness of Suprascapular Nerve Pulsed Radiofrequency Treatment for Hemiplegic Shoulder Pain: A Randomized-Controlled Trial |
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