- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03942640
Perineural Injection and Supraspinatus Tendenopathy
Perineural Injection Therapy in Treatment of Chronic Supraspinatous Tendinopathy :A Randomized Clinical Trial Among Egyptian Patients .
Atotal of 150 consecutive patients with chronic supraspinatous tendinopathy were invited to participate in the study .patients were recruited from the out patient clinic of rheumatology and rehabilitation department,Mansoura university hospital
a. perineural injection therapy group (subcutaneous prolotherapy) This group included 30 patients aged from 18 to 60 years Deep prolotherapy injection group The injection fluid contain 1 ml of 255 glucose and 1ml of lidocaine. The pathological area of the supraspinatous tendon was identified and graded using ultrasound pathology rating scale guided by ultrasonography (Simens Acuson p300 machine) Proper preparation with antiseptic solution of skin overlying the point of injection .
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Baseline Evaluation
All patients were subjected to the following:
Thorough History Taking
- Personal history: collected data include: age, sex, marital status, handedness, special habits and the current occupation.
- Complaint in the patient's own words.
Present History he current symptoms, mode of onset, duration, , factors that may aggravate or relieve pain Characters of pain (dull aching,sharp pain ,burning sensation ,parasthesia). Distribution of pain . Review of systems: symptoms related to rheumatic conditions in particular conditions with predilection for shoulder joint affection.
Symptoms suggestive of medical disorders e.g. diabetes mellitus or thyroid dysfunction.
- Past History Previous significant trauma(direct or occupational) orsugery to shoulder. Previous steroid injection to the shoulder. Previous injection of any type of regenerative medicine (as prp)
Thorough General Examination
- General condition.
- Vital signs (pulse, blood pressure, respiratory rate, body temperature)
Examination of systems (chest,cardiovascular,abdominal,neurological) to identify medical condition that may cause shoulder pain.
3-Muscloskeletal examination
- General muscloskeletal examination
Examination of all joints for :
I.deformity,visible swelling or muscle atrophy II.Palpation for tenderness,warmth,palpable swelling either bony enlargement or synovial effusion.
III.Abnormalities in range of motion. IV.Diffuse muscloskeletal pain. V.Abnormalities of gait.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Dakahlia Provence
-
Mansoura, Dakahlia Provence, Egypt, 050
- Recruiting
- Reham Magdy Shaat
-
Contact:
- Reham M. Shaat, associate professor
- Phone Number: 01224082636
- Email: rehamshaat@gmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Patients with supraspinatous tendinopathy
Exclusion Criteria:
-Shoulder joint instability omplete rotator cuff tear Adhesive capsulitis Septic arthritis Malignancy Coagulopathy Connective tissue diseases Spondyloarthropathies Previous corticosteroid injection in the last six months. Previous other forms of regenerative injection therapy (e.g prp injection therapy) in the last six mo
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: SEQUENTIAL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
OTHER: perineural injection group
perineural injection therapy group (subcutaneous prolotherapy) This group included 30 patients aged from 18 to 60 years Buffered glucose preparation : 2.4 ml of Na Bicarbonate 8.4% are mixed with 500ml dextrose 5%. Patients received 8 weekly injection sessions at sites of chronic constriction injurey of the following nerves : Suprascapular nerve.. |
Buffered glucose preparation : 2.4 ml of Na Bicarbonate 8.4% are mixed with 500ml dextrose 5%. Patients received 8 weekly injection |
OTHER: deepprolotherapy group
Deep prolotherapy injection group The injection fluid contain 1 ml of 255 glucose and 1ml of lidocaine.
The pathological area of the supraspinatous tendon was identified and graded using ultrasound pathology rating scale guided by ultrasonography (Simens Acuson p300 machine) Proper preparation with antiseptic solution of skin overlying the point of injection .
|
The injection fluid contain 1 ml of 255 glucose and 1ml of lidocaine
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
change of pain from baseline
Time Frame: immediately before injection,2 monthes after injection,3 monthes after injection
|
The VAS-pain score is composed of a continuous horizontal line.
This line is 100 mm in length.
To measure the intensity of pain, the score is anchored by (0 score = no pain) at one end and (100 score = worst imaginable pain) on the other end.
The patient places a mark to the VAS line at the point which represents the intensity of his pain
|
immediately before injection,2 monthes after injection,3 monthes after injection
|
change of range of motion from base line
Time Frame: immediately before injection,2 monthes after injection,3 monthes after injection
|
III.Examination of passive and active range of motion using goniometer based on the description of norkin and white as following
|
immediately before injection,2 monthes after injection,3 monthes after injection
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
change of function from base line
Time Frame: immediately before injection,2 monthes after injection,3 monthes after injection
|
Shoulder pain and disability index : a self -administered questionnaire that consists of 2 dimentions ,one for pain and the other for functional activities.
|
immediately before injection,2 monthes after injection,3 monthes after injection
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- MS.17.10.127
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Supraspinatus Tendinopathy
-
Universidad Rey Juan CarlosCompletedSupraspinatus TendinopathySpain
-
University of CadizRocío Martín Valero; Jorge Manuel Góngora Rodriguez; Manuel Rodriguez Huguet; Pablo...CompletedSupraspinatus TendinitisSpain
-
University of CadizCompleted
-
University of CadizCompleted
-
Azienda Ospedaliero-Universitaria Consorziale Policlinico...CompletedSupraspinatus TendinitisItaly
-
University of Roma La SapienzaCompletedSupraspinatus Calcifying Tendonitis
-
Riphah International UniversityCompleted
-
Cairo UniversityNot yet recruiting
-
Christian CandrianClinical Trial Unit Ente Ospedaliero CantonaleCompletedSupraspinatus InjurySwitzerland
-
University of MalayaCompletedRotator Cuff Tendinosis | PRP | Supraspinatus StrainMalaysia
Clinical Trials on subctaneous perineural injection
-
Tri-Service General HospitalCompletedCarpal Tunnel SyndromeTaiwan
-
Cairo UniversityNot yet recruiting
-
National Taiwan University HospitalRecruitingPost-thoracotomy Pain SyndromeTaiwan
-
Eskisehir Osmangazi UniversityCompleted
-
Sisli Hamidiye Etfal Training and Research HospitalRecruitingCoccyx Disorder | Coccyx InjuryTurkey
-
University of Texas Southwestern Medical CenterRecruitingOsteoarthritis, Knee | Osteoarthritis, HipUnited States
-
Afyonkarahisar Health Sciences UniversityRecruitingMusculoskeletal Diseases | Carpal Tunnel Syndrome | Surgery | Median Nerve Disease | Ultrasound-Guided InjectionTurkey
-
Assiut UniversityCompletedDiabetic Neuropathies | Chronic PainEgypt
-
Centre hospitalier de l'Université de Montréal...CompletedTotal Knee ArthroplastyCanada