Evaluating the Effects of local Injections of Bupivacaine and Triamcinolone Acetate on Shoulder Joint Pain and Restricted Range of Motion Following Cerebrovascular Accidents
Background: Shoulder pain is a common complication of cerebrovascular accidents. This study was conducted to assess the effects of local injections of bupivacaine and triamcinolone acetate on shoulder joint pain and on restricted range of motion following brain events. Methods: This single-blind cl...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | fas |
| Published: |
Tehran University of Medical Sciences
2011-06-01
|
| Series: | Tehran University Medical Journal |
| Subjects: | |
| Online Access: | http://journals.tums.ac.ir/upload_files/pdf/19385.pdf |
| _version_ | 1818020851535052800 |
|---|---|
| author | Asadollah Saadat Niaki M.D. Sirous Momenzadeh M.D. Hossein Mohammadinasab M.D. Mahdi Ghahramani M.D. Hossein Nayebaghaie M.D. Davood Ommi M.D. |
| author_facet | Asadollah Saadat Niaki M.D. Sirous Momenzadeh M.D. Hossein Mohammadinasab M.D. Mahdi Ghahramani M.D. Hossein Nayebaghaie M.D. Davood Ommi M.D. |
| author_sort | Asadollah Saadat Niaki M.D. |
| collection | DOAJ |
| description | Background: Shoulder pain is a common complication of cerebrovascular accidents. This study was conducted to assess the effects of local injections of bupivacaine and triamcinolone acetate on shoulder joint pain and on restricted range of motion following brain events. Methods: This single-blind clinical trial study included 35 patients with chronic shoulder pain (the controls) and 35 patients with chronic shoulder pain due to brain events (the case group). The study was done at Imam Hossein Hospital & Gandhi Day Clinic during the year 2008-2010. The patients in the two groups received bupivacaine and triamcinolone acetate for subacromial bursa injection and suprascapular nerve block by following the protocol described by Dangoisse et al. The patients were followed up for 12 weeks and they were evaluated for pain and range of motion 1, 6, and 12 weeks after the injections.Results: The mean age of the patients was 60.9±9.07 years. Statistically significant improvements in pain score (P=0.001) and shoulder joint range of motion (P=0.001) were observed in patients with chronic shoulder pain versus patients with brain events 12 weeks after suprascapulare nerve block and subacromial bours injections by bupivacaine and triamcinolone acetate.Conclusion: Suprascapular nerve block and subacromial bursa injections of bupivacaine and triamcinolone acetate is a safe and efficacious treatment for the treatment of chronic shoulder pain and restricted range of motion but it is not efficacious or of significant value for the treatment of shoulder pain in patients with brain events. |
| first_indexed | 2024-04-14T08:10:59Z |
| format | Article |
| id | doaj.art-614b8c8b9f7143b1bb0f1a3f79884dad |
| institution | Directory Open Access Journal |
| issn | 1683-1764 1735-7322 |
| language | fas |
| last_indexed | 2024-04-14T08:10:59Z |
| publishDate | 2011-06-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Tehran University Medical Journal |
| spelling | doaj.art-614b8c8b9f7143b1bb0f1a3f79884dad2022-12-22T02:04:33ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222011-06-01696381387Evaluating the Effects of local Injections of Bupivacaine and Triamcinolone Acetate on Shoulder Joint Pain and Restricted Range of Motion Following Cerebrovascular AccidentsAsadollah Saadat Niaki M.D.Sirous Momenzadeh M.D.Hossein Mohammadinasab M.D.Mahdi Ghahramani M.D.Hossein Nayebaghaie M.D.Davood Ommi M.D.Background: Shoulder pain is a common complication of cerebrovascular accidents. This study was conducted to assess the effects of local injections of bupivacaine and triamcinolone acetate on shoulder joint pain and on restricted range of motion following brain events. Methods: This single-blind clinical trial study included 35 patients with chronic shoulder pain (the controls) and 35 patients with chronic shoulder pain due to brain events (the case group). The study was done at Imam Hossein Hospital & Gandhi Day Clinic during the year 2008-2010. The patients in the two groups received bupivacaine and triamcinolone acetate for subacromial bursa injection and suprascapular nerve block by following the protocol described by Dangoisse et al. The patients were followed up for 12 weeks and they were evaluated for pain and range of motion 1, 6, and 12 weeks after the injections.Results: The mean age of the patients was 60.9±9.07 years. Statistically significant improvements in pain score (P=0.001) and shoulder joint range of motion (P=0.001) were observed in patients with chronic shoulder pain versus patients with brain events 12 weeks after suprascapulare nerve block and subacromial bours injections by bupivacaine and triamcinolone acetate.Conclusion: Suprascapular nerve block and subacromial bursa injections of bupivacaine and triamcinolone acetate is a safe and efficacious treatment for the treatment of chronic shoulder pain and restricted range of motion but it is not efficacious or of significant value for the treatment of shoulder pain in patients with brain events.http://journals.tums.ac.ir/upload_files/pdf/19385.pdfBupivacaineCerebrovascular AccidentJointRange of MotionShoulder PainTriamcinolone |
| spellingShingle | Asadollah Saadat Niaki M.D. Sirous Momenzadeh M.D. Hossein Mohammadinasab M.D. Mahdi Ghahramani M.D. Hossein Nayebaghaie M.D. Davood Ommi M.D. Evaluating the Effects of local Injections of Bupivacaine and Triamcinolone Acetate on Shoulder Joint Pain and Restricted Range of Motion Following Cerebrovascular Accidents Tehran University Medical Journal Bupivacaine Cerebrovascular Accident Joint Range of Motion Shoulder Pain Triamcinolone |
| title | Evaluating the Effects of local Injections of Bupivacaine and Triamcinolone Acetate on Shoulder Joint Pain and Restricted Range of Motion Following Cerebrovascular Accidents |
| title_full | Evaluating the Effects of local Injections of Bupivacaine and Triamcinolone Acetate on Shoulder Joint Pain and Restricted Range of Motion Following Cerebrovascular Accidents |
| title_fullStr | Evaluating the Effects of local Injections of Bupivacaine and Triamcinolone Acetate on Shoulder Joint Pain and Restricted Range of Motion Following Cerebrovascular Accidents |
| title_full_unstemmed | Evaluating the Effects of local Injections of Bupivacaine and Triamcinolone Acetate on Shoulder Joint Pain and Restricted Range of Motion Following Cerebrovascular Accidents |
| title_short | Evaluating the Effects of local Injections of Bupivacaine and Triamcinolone Acetate on Shoulder Joint Pain and Restricted Range of Motion Following Cerebrovascular Accidents |
| title_sort | evaluating the effects of local injections of bupivacaine and triamcinolone acetate on shoulder joint pain and restricted range of motion following cerebrovascular accidents |
| topic | Bupivacaine Cerebrovascular Accident Joint Range of Motion Shoulder Pain Triamcinolone |
| url | http://journals.tums.ac.ir/upload_files/pdf/19385.pdf |
| work_keys_str_mv | AT asadollahsaadatniakimd evaluatingtheeffectsoflocalinjectionsofbupivacaineandtriamcinoloneacetateonshoulderjointpainandrestrictedrangeofmotionfollowingcerebrovascularaccidents AT sirousmomenzadehmd evaluatingtheeffectsoflocalinjectionsofbupivacaineandtriamcinoloneacetateonshoulderjointpainandrestrictedrangeofmotionfollowingcerebrovascularaccidents AT hosseinmohammadinasabmd evaluatingtheeffectsoflocalinjectionsofbupivacaineandtriamcinoloneacetateonshoulderjointpainandrestrictedrangeofmotionfollowingcerebrovascularaccidents AT mahdighahramanimd evaluatingtheeffectsoflocalinjectionsofbupivacaineandtriamcinoloneacetateonshoulderjointpainandrestrictedrangeofmotionfollowingcerebrovascularaccidents AT hosseinnayebaghaiemd evaluatingtheeffectsoflocalinjectionsofbupivacaineandtriamcinoloneacetateonshoulderjointpainandrestrictedrangeofmotionfollowingcerebrovascularaccidents AT davoodommimd evaluatingtheeffectsoflocalinjectionsofbupivacaineandtriamcinoloneacetateonshoulderjointpainandrestrictedrangeofmotionfollowingcerebrovascularaccidents |