Comparison of Ultrasound-guided Suprascapular Nerve Block and Extracorporeal Shock Wave Therapy in Reduction of Pain and Functional Disability in Adhesive Capsulitis of Shoulder: A Randomized Controlled Study
Tripti Swami, Akoijam Joy Singh, L Nilachandra Singh
Extracorporeal shockwave therapy, Range of motion, Shoulder pain and disability index, Suprascapular nerve block,Adhesive capsulitis
Citation Information :
Swami T, Singh AJ, Singh LN. Comparison of Ultrasound-guided Suprascapular Nerve Block and Extracorporeal Shock Wave Therapy in Reduction of Pain and Functional Disability in Adhesive Capsulitis of Shoulder: A Randomized Controlled Study. Indian J Phy Med Rehab 2019; 30 (2):29-33.
Objective: To compare the effectiveness of ultrasound-guided suprascapular nerve block (SSNB) and extracorporeal shockwave therapy (ESWT) in the management of adhesive capsulitis of the shoulder.
Study design: Randomized controlled trial.
Materials and methods: A total of 88 patients from September 2016 to August 2018 were recruited from outpatient of the Department of Physical Medicine and Rehabilitation, Regional Institute of Medical Sciences, Imphal. While the ESWT group received radial shock waves on average 2,000 impulses once weekly for 4 weeks, the SSNB group got ultrasound-guided single SSNB with 10 mL bupivacaine (0.5%). Range of motion (ROM) and shoulder pain and disability index (SPADI) were measured at week 1, week 4, and week 12.
Results: Both groups showed significant improvement in the mean score of ROM and SPADI (p < 0.05). Although SSNB was found to be significantly more effective than ESWT in the reduction of pain and disability in both short term and long term (p < 0.05).
Conclusion: The effectiveness of SSNB specifically in short-term pain control and ease of application under ultrasound guidance makes it preferable in the management of adhesive capsulitis of the shoulder. While ESWT also seems to be a promising therapy and a viable alternative to steroids for adhesive capsulitis in case of patients with diabetes.
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