The Comparison of Effects of Suprascapular Nerve Block, Intra-articular Steroid Injection, and a Combination Therapy on Hemiplegic Shoulder Pain: Pilot Study
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Àü¿ìÇö(Jeon Woo-Hyun) - Dong-Eui Medical Center Department of Rehabilitation Medicine
Á¤È£ÁØ(Jeong Ho-Joong) - Kosin University College of Medicine Department of Physical Medicine and Rehabilitation
½É¿µÁÖ(Sim Young-Joo) - Kosin University College of Medicine Department of Physical Medicine and Rehabilitation
¹Ú°Ç¿õ(Park Gun-Woong) - Dong-Eui Medical Center Department of Rehabilitation Medicine
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.
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Stroke, Shoulder pain, Nerve block, Intra-articular injections
KMID :
0361420140380020167
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