Effect of pulsed radiofrequency to the suprascapular nerve (SSN) in treating frozen shoulder pain: A randomised controlled trial.

IF 1.2 Q3 SURGERY

Journal of perioperative practice Pub Date : 2024-05-06 DOI:10.1177/17504589241235768

Ghada Mohammad Abo Elfadl, Ayman Mamdouh Osman, Yasmeen Alaa-Eldeen Elmasry, Sherif Sayed Abdelraheem, Manal Hassanien

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引用次数: 0

Abstract

Background: Treatment for frozen shoulder (FS) focuses on pain control and restoring movement and strength through physical therapy. We aimed to evaluate the efficacy of pulsed radiofrequency (PRF) lesioning of the suprascapular nerve for the treatment of FS pain.

Methods: Forty patients with FS were enrolled and randomly assigned into the intervention group (n = 20) that received PRF and a control group (n = 20) which received medical treatment (NSAIDs). Patients were followed-up for a total of three months. The primary outcome was the pain intensity, measured by the Numeric Pain Rating Scale (NRS). The secondary outcomes included shoulder range of motion (ROM) evaluation measured by simple shoulder test (SST); Likert-type-based patient satisfaction scale; and any adverse events (AEs) throughout the treatment period. All results were measured at baseline, at the end of one week, four weeks and 12 weeks after treatment.

Results: At 12 weeks post-procedure, the intervention group significantly improved their pain (NRS dropped to 2.80 ± 0.5) and there was significant improvement in range of motion (SST from 6.55% ± 2.0% to 76.50% ± 6.5) compared to control group.

Conclusions: PRF lesioning of the SSN is a fast and effective modality in treating frozen shoulder pain and improving ROM for three months.

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肩胛上神经（SSN）脉冲射频治疗肩周炎的效果：随机对照试验

背景：肩周炎（FS）的治疗重点是通过物理疗法控制疼痛并恢复运动和力量。我们旨在评估肩胛上神经脉冲射频（PRF）病变治疗肩周炎疼痛的疗效：我们招募了 40 名 FS 患者，并将他们随机分配到接受脉冲射频治疗的干预组（20 人）和接受药物治疗（非甾体抗炎药）的对照组（20 人）。对患者进行了为期三个月的随访。主要结果是疼痛强度，采用数字疼痛评分量表（NRS）进行测量。次要结果包括通过简单肩关节测试（SST）对肩关节活动范围（ROM）进行评估；基于李克特（Likert）类型的患者满意度量表；以及整个治疗期间的任何不良事件（AEs）。所有结果均在基线、治疗后一周、四周和十二周时进行测量：结果：与对照组相比，干预组在术后12周疼痛明显改善（NRS降至2.80±0.5），活动范围明显改善（SST从6.55%±2.0%增至76.50%±6.5）：SSN的PRF病变是治疗肩周炎疼痛和改善活动范围的一种快速有效的方法，可持续三个月。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of perioperative practice Nursing-Medical and Surgical Nursing

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： The Journal of Perioperative Practice (JPP) is the official journal of the Association for Perioperative Practice (AfPP). It is an international, peer reviewed journal with a multidisciplinary ethos across all aspects of perioperative care. The overall aim of the journal is to improve patient safety through informing and developing practice. It is an informative professional journal which provides current evidence-based practice, clinical, management and educational developments for practitioners working in the perioperative environment. The journal promotes perioperative practice by publishing clinical research-based articles, literature reviews, topical discussions, advice on clinical issues, current news items and product information.