Suprascapular Nerve Block in Addition to Intra-articular Corticosteroid Injection in Adhesive Capsulitis
Condition: Adhesive Capsulitis of the Shoulder
MeSH terms: Bursitis
Study type: Interventional

Summary: 
      Adhesive capsulitis is a disease that negatively affects a person's quality of life by
      causing severe pain and limitation in the movements of the shoulder joint in all directions.
      Conservative approaches including nonsteroidal anti-inflammatory drugs or oral corticosteroid
      usage and physiotherapy program are the first choice for the treatment. However, painful
      exercises usually prevent patients from fully participating in the physiotherapy program. For
      this reason, interventional procedures such as intra-articular corticosteroid injection (IAI)
      and suprascapular nerve block (SSNB) are preferred to be applied before the physiotherapy
      program.

      The aim of this study is to reveal both short and long-term effects of SSNB and IAI
      combination on pain, shoulder range of motion (ROM), disability, and quality of life in
      patients with adhesive capsulitis. It is hypothesized that the addition of SSNB to IAI
      results in greater improvements in pain, passive and active shoulder ROMs, disability, and
      quality of life.
    

Detailed description: 
      Adhesive capsulitis (AK), also known as frozen shoulder, is a disease that negatively affects
      a person's quality of life by causing severe pain and limitation in the movements of the
      shoulder joint in all directions. Although the underlying etiology is not clear, it may
      develop as a result of primary (idiopathic) or secondary causes such as diabetes mellitus,
      malignancy, thyroid dysfunction, hypoadrenalism, Parkinson's disease, stroke, cardiac and
      pulmonary diseases, or local shoulder problems such as trauma, tendinitis, rupture. Prolonged
      immobilization after injuries is another important risk factor for adhesive capsulitis. It is
      more common in women between the ages of 40-60. Conservative approaches including
      nonsteroidal anti-inflammatory drugs or oral corticosteroid usage and physiotherapy program
      are the first choice for the treatment. The physiotherapy program consisting range of motion
      (ROM), stretching and strengthening exercises are often painful and prevent the patient's
      full participation. For this reason, interventional procedures such as intra-articular
      corticosteroid injection (IAI) and suprascapular nerve block (SSNB) are preferred to be
      applied before the physiotherapy program.

      The aim of this study is to reveal both short and long-term effects of SSNB and IAI
      combination on pain, shoulder ROM, disability, and quality of life in patients with adhesive
      capsulitis. It is hypothesized that the addition of SSNB to IAI results in greater
      improvements in pain, passive and active shoulder ROMs, disability, and quality of life. The
      primary outcome measure of the study is determined to be the Shoulder Pain and Disability
      Index (SPADI), while the secondary outcome measures to be the Numeric Rating Scale (NRS),
      active and passive ROMs, and the Short Form 36 (SF-36).
    

Intervention name(s): Ultrasound-guided IAI; Ultrasound-guided SSNB
Intervention type(s): Procedure; Procedure
Intervention description(s): Ultrasound-guided IAI was applied with a posterior glenohumeral joint in-plane injection technique.; Ultrasound-guided SSNB was carried out with a supraspinatus fossa level in-plane injection technique
Allocation: Randomized
Intervention model: Single Group Assignment
Intervention model description: A double-blind, randomized controlled trial, to have two groups with a single arm
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Adhesive Capsulitis of the Shoulder; Intra-Articular Injections; Nerve Blockade