Saadat Niaki A, Momenzadeh S, Mohammadinasab H, Ghahramani M, Nayebaghaie H, Ommi D,
Volume 69, Issue 6 (9-2011)
Abstract
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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.
Kiavash Hushmandi, Mohsen Heidari , Seyedeh Omolbanin Seyed Rezaei, Alireza Bahonar, Mehdi Motififard, Hamed Gholizadeh, Mehdi Raei,
Volume 79, Issue 11 (2-2022)
Abstract
Background: The patient's position during the recovery time after arthroplasty surgery can be a factor in reducing complications and improving patients’ condition. Therefore, this study was performed to compare the knee range of motion after soft tissue repair in both flexion and extension positions of total knee arthroplasty.
Methods: This study is a double-blind clinical trial. The study population was all candidates for total knee arthroplasty surgery in Al-Zahra and Kashani hospitals in Isfahan from July 2011 to September 2012. The sample size was selected using the statistical formula of 88 patients and randomly divided into two groups of flexion and extension. In the first group during the knee soft tissue repair, the knee was in flexion and in the second group it was in extension and then it was repaired. Information such as age, sex, body mass index and surgical position were recorded in the checklist. The knee range of motion was measured at the end of the first, second, fourth, eighth and twelfth weeks and recorded in a checklist. In order to compare the pattern of changes in mean knee range of motion over time in the two groups, mixed linear models and conventional marginal models to generalized estimator equations were used by STATA software.
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Results: The results showed that there was no significant difference between the flexion and extension groups in knee range of motion. In both groups, the mean knee range of motion increased with time (P<0.001). The mean scores of knee function after the end of the twelfth week in the flexion and extension groups were 141.04±23.19 and 143.09±22.34, respectively, and this difference was not significant.
Conclusion: Soft tissue repair in a particular position is not so effective on the outcome that we want to institutionalize it by spending a considerable amount of budget for training surgeons.
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