Suprascapular nerve block and glenohumeral injection in hemiplegic shoulder pain: to compare the effectiveness on pain and disability/Hemiplejik agrili omuzda supraskapular sinir blokaji ve glenohumeral eklem enjeksiyonu: agri ve ozurluluk uzerindeki etkilerinin karsilastirilmasi

• Published in: Türkiye fiziksel tip ve rehabilitasyon dergisi 2012-12, Vol.58 (4), p.299
• Main Authors: Tubay, Aysegul, Bal, Serpil, Bayram, Korhan Baris, Kocyigit, Hikmet, Gurgan, Alev
• Format: Article
• Language: Turkish
• Subjects: Care and treatment; Pain; Shoulder pain; Toy industry
• ISSN: 1302-0234
• DOI: 10.4274/tftr.54771

Objective: The aim of this study was to compare the effectiveness of glenohumeral (GH) joint injection and suprascapular nerve block (SNB) in patients with hemiplegic shoulder pain. Materials and Methods: Thirty-six patients with shoulder pain lasting for at least 3 months were randomized into two groups in which SNB was applied in the first and GH joint steroid injection in the second group. All patients were evaluated before treatment, after 30 minutes, second week and third month after the treatment. Pain at rest, with motion and nocturnal pain were determined by the visual analogue scale. Shoulder joint range of motion was recorded for all patients. Disability status was assessed using the Functional Independence Measure (FIM). Results: There was a significant decrease in VAS scores for pain at rest, night and activity immediately after, at the second week and at the third month after the treatment in both groups. Change scores were similar in both groups. Conclusion: Although, both GH joint injection and SNB reduced pain and improved functional status at upto 3 months, there was no superiority of the one over the other. Key Words: Glenohumeral injection; hemiplegia; shoulder pain; suprascapular nerve block Amac: Calismanin amaci hemiplejik omuz agrisi olan hastalarda supraskapular sinir blokaji (SSS) ve glenohumeral (GH) eklem enjeksiyonunun etkinliklerini karsilastirmaktir. Gerec ve Yontem: Calismaya en az 3 aydir hemiplejik omuz agrisi olan toplam 36 hasta alindi. Hastalar 2 gruba randomize edildi. Birinci gruba SSS blokaji, ikinci gruba ise GH ekleme steroid enjeksiyonu uygulandi. Hastalar tedavi oncesi, tedaviden hemen sonra (30. dakika), 2. hafta ve 3. ayda degerlendirildi. Degerlendirmede VAS ile istirahat, gece ve hareket sirasindaki agri yogunluklari ve omuz eklem hareket acikliklari saptandi. Ayrica ust ekstremite ozurluluk durumu fonksiyonel bagimsizlik olcegi (FBO) ile degerlendirildi. Bulgular: Enjeksiyon sonrasinda her iki grupta da tedavi sonrasi-hemen, 2. hafta ve 3. ayda istirahat, hareket ve gece agrisinda anlamli azalma saptandi. Degisim skorlari her iki grupta da benzerdi. Bunun yaninda her iki enjeksiyon grubunda da eklem hareket acikliklari ve FBO skorlarinda tedavi sonrasi 2. hafta ve 3. ayda anlamli duzelmeler saptanirken bu duzelmeler iki grup arasinda benzerdi. Sonuc: Hemiplejik omuz agrisinin tedavisinde GH eklem enjeksiyonu ve SSS blokajinin agri ve foksiyonel durumlar acisindan uc aya varan duzelme saglamakla birlikte birbi