Suprascapular Nerve Block With Oral Gabapentin For Pain Management In Frozen Shoulder
Primary Purpose
Pain, Shoulder
Status
Completed
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
Ultrasound Guided Continuous Suprascapular Nerve Block With methyl prednisolone and marcaine
Sponsored by
About this trial
This is an interventional supportive care trial for Pain, Shoulder
Eligibility Criteria
Inclusion Criteria:
- Body mass index ≥ 18 Kg/m2 ≤ 30Kg/m2
- ASA I, II or III.
- Cooperative patients.
Exclusion Criteria:
- local infection at site of injection.
- coagulopathy
- previous history of mental disorders or chronic drug abuse (opioids, tranquilizers)
- known hypersensitivity to any of the drugs used in the study.
Sites / Locations
- Amr Shaaban Elshafei
Arms of the Study
Arm 1
Arm 2
Arm Type
Placebo Comparator
Experimental
Arm Label
Control Group (C Group)
Gabapentin Group (G Group)
Arm Description
Patients will receive continuous US suprascapular nerve block only.
Patients will receive continuous US suprascapular nerve block with oral gabapentin 300 mg once daily at bed time.
Outcomes
Primary Outcome Measures
Visual analogue scale
10cm line where zero means no pain and ten means worse imaginary pain
Secondary Outcome Measures
Range of passive and active movements
by goniometer
Patients satisfaction
by questionnaire with 3 degrees
Fair
Good
Excellent
Full Information
NCT ID
NCT05037994
First Posted
September 3, 2021
Last Updated
November 14, 2021
Sponsor
Zagazig University
1. Study Identification
Unique Protocol Identification Number
NCT05037994
Brief Title
Suprascapular Nerve Block With Oral Gabapentin For Pain Management In Frozen Shoulder
Official Title
Ultrasound Guided Continuous Suprascapular Nerve Block With Oral Gabapentin For Pain Management In Patients With Frozen Shoulder
Study Type
Interventional
2. Study Status
Record Verification Date
November 2021
Overall Recruitment Status
Completed
Study Start Date
April 1, 2021 (Actual)
Primary Completion Date
September 1, 2021 (Actual)
Study Completion Date
October 30, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Zagazig University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
The patients will be randomly allocated into two equal groups (each 20 patients) using sealed opaque numbered envelopes:
Control Group (C Group) : Patients receive continuous US suprascapular nerve block only.
Gabapentin Group (G Group) : Patients receive continuous US suprascapular nerve block with oral gabapentin 300 mg once daily at bed time.
Both groups compared as regard:
Visual Analogue Scale Range of passive and active movements Patients satisfaction complication related to block The total dose of diclofenac sodium
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pain, Shoulder
7. Study Design
Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
40 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Control Group (C Group)
Arm Type
Placebo Comparator
Arm Description
Patients will receive continuous US suprascapular nerve block only.
Arm Title
Gabapentin Group (G Group)
Arm Type
Experimental
Arm Description
Patients will receive continuous US suprascapular nerve block with oral gabapentin 300 mg once daily at bed time.
Intervention Type
Procedure
Intervention Name(s)
Ultrasound Guided Continuous Suprascapular Nerve Block With methyl prednisolone and marcaine
Other Intervention Name(s)
Oral gabapentin 300 mg at bed time in GG
Intervention Description
The high frequency linear ultrasound transducer (Sonosite 6-13 MHz) in a transverse orientation will be placed over the scapular Spine.
Moving the transducer cephalad the suprascapular fossa will be identified. 18 gauge touhy needle will be inserted in plane after subcutaneous local anesthesia infiltration with 1 ml lidocaine 2% Real-time imaging will be used to direct injection of 2 ml lidocaine 2% to test perineural spread of injectate after confirmation of the position of tip of needle injection of 40mg methyl prednisolone diluted in 5 ml bupivacaine 0.5% will be done through the needle to anesthetize the nerve and create space for catheter insertion. After catheter insertion another 2 ml lidocaine 2% will be injected through the catheter to confirm position perineural in the scapular notch. Lastly Catheter will be fixed via skin tunnel and secured with skin sutures and adhesive tap.
Primary Outcome Measure Information:
Title
Visual analogue scale
Description
10cm line where zero means no pain and ten means worse imaginary pain
Time Frame
6 weeks
Secondary Outcome Measure Information:
Title
Range of passive and active movements
Description
by goniometer
Time Frame
6 weeks
Title
Patients satisfaction
Description
by questionnaire with 3 degrees
Fair
Good
Excellent
Time Frame
6 weeks
Other Pre-specified Outcome Measures:
Title
The total dose of diclofenac sodium
Description
Indicator for analgesia required
Time Frame
6 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Body mass index ≥ 18 Kg/m2 ≤ 30Kg/m2
ASA I, II or III.
Cooperative patients.
Exclusion Criteria:
local infection at site of injection.
coagulopathy
previous history of mental disorders or chronic drug abuse (opioids, tranquilizers)
known hypersensitivity to any of the drugs used in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
AHMAD S HEGAB, MD
Organizational Affiliation
Assistant professor of Anesthesia & Surgical Intensive Care Faculty of Medicine - Zagazig University
Official's Role
Study Director
Facility Information:
Facility Name
Amr Shaaban Elshafei
City
Zagazig
Country
Egypt
12. IPD Sharing Statement
Plan to Share IPD
No
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Suprascapular Nerve Block With Oral Gabapentin For Pain Management In Frozen Shoulder
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